7/27/2019 Copy of Ex-pence Sheets

1/2

Novo Nordisk India Private LimitedPlot No.32,47-50,EPIP Area,Whitefield, Employee IDBan alore - 560 066

Statement of Expenses Claims Submitted to Head OfficeMonth: January Year: 2012

DayMonth /

YearDetails

HQ/O

S/ Ex

HQ

Hotel

Daily

Allowance

Travel

Entitlemen

t

AccomodationTaxi-

Company

Taxi -

Others

Postage

&

Courier

Phone & Fax Internet

Mobile

Phone

Expenses

Printing &

StationeryPhotoco

1 2 3 4 5 6 7 8 91

2

34

5

67

8

910

11

1213

14

15

16

Advances Requested Give Details of Programs here:1

2

3

Signature of Manager / BM / RM / ZM

NOTES:

1 Claims made for each type of exp shall be stated seperately with Expense code For eg:- if you have 2 bills pertaining to accomodation and taxi, then it should be attached as Ex

2 Any correction by approving authority shall be given effect in the both individual claim and total claims.3 If any expenditure is incurred for a HCP,the name of the Doctor and details of expenses shall be clearly specified in the column 16 provided in the above. Approval of these exp

4 In case of Hotel stay, the number of Days stay shall be clearly mentioned in the details column.5 Seperate bill to be obtained for Internet, Photocopy, Printing & Stationary.

6 Please see overleaf for limits

Total Expenses for the Fortnight

Total

Expense Code----------------->

Fixed Allowance Transportation

Signature of Employee

Communication

Name:

Initials:

Territory/zone/Re

Manager's Initials:Designation:

Others (Specify)

40858

PEP

0

Amount (Rs.)

7/27/2019 Copy of Ex-pence Sheets

2/2

Novo Nordisk India Private Limited

Plot No.32,47-50,

EPIP Area,Whitefield, Employee ID

Bangalore - 560 066

Statement of Expenses Claims Submitted to Head Office

Month: DECEMBER Year: 2011

DayMonth /

YearDetails

HQ/OS/

Ex-HHotel

Daily

Allowanc

e

Travel

Entitleme

nt

Accomod

ation

Taxi-

Company

Taxi -

Others

Postage &

CourierPhone & Fax Internet

1 2 3 4 5 6

Advances Requested Give Details of Programs here:

1

2

3

Signature of Manager / BM / RM / ZM

Name:

Initials:

Manager's Initials:

Designation:

Territory/zone/Re

Fixed Allowance Transportation Communicat

40827

PEP

Others (Specify)

Total 0

Signature of Employee

Expense Code----------------->

Total Expenses for the Fortnight

Amount (Rs.)