reimbursement format
DESCRIPTION
Reimrsement detailsTRANSCRIPT
Deputee Id : 506817
Name : Sombir Singh
Location : Faridabad REIMBURSMENT VOUCHER
SupervisorName Nitin Sangwan Month : April'16
EXPENSE STATEMENT DETAILS
S. NO. Date ParticularsType Of Expenses
Travel Ticket Hotel Bill Fooding Bill Local Conv. Allowance Miscl/ Others Total
1 Friday, April 01, 2016 1000 70 200 270
2 ### 84 200 284
3 ### 0 0 0
4 ### 100 200 300
5 ### 94 200 294
6 ### 114 200 314
7 ### 104 200 304
8 Friday, April 08, 2016 70 200 270
9 ### 98 200 298
10 ### 0 0 0
11 ### 88 200 288
12 ### 80 200 280
13 ### 106 200 306
14 ### 122 200 322
15 Friday, April 15, 2016 96 200 296
16 ### 0 0 0
17 ### 0 0 0
18 ### 0 0 0
19 ### 0 0 0
20 ### 104 200 304
21 ### 94 200 294
22 Friday, April 22, 2016 78 200 278
23 ### 82 200 282
24 ### 0 0 0
25 ### 76 200 276
26 ### 84 200 284
27 ### 136 200 336
28 ### 104 200 304
29 Friday, April 29, 2016 130 200 330
30 ### 92 200 292Total 0 0 1000 0 2206 4600 0 7806
Checked by : __________ Aproved by : __________
Sign. _________________ Sign. _________________
Mobile Bill / Internet
Deputee Id : 506817
Name : Sombir Singh
Location : Faridabad CONV. VOUCHER
SupervisorName Nitin Sangwan Month : April'16
EXPENSE STATEMENT DETAILS
S. NO. Date Mode of TravelFrom To KM Rate Total
1 Friday, April 01, 2016 Bike Faridabad Faridabad 35 2 70
2 ### Bike Faridabad Faridabad 42 2 84
3 ### 2 0
4 ### Bike Faridabad Faridabad 50 2 100
5 ### Bike Faridabad Faridabad 47 2 94
6 ### Bike Faridabad Faridabad 57 2 114
7 ### Bike Faridabad Faridabad 52 2 104
8 Friday, April 08, 2016 Bike Faridabad Faridabad 35 2 70
9 ### Bike Faridabad Faridabad 49 2 98
10 ### 2 0
11 ### Bike Faridabad Faridabad 44 2 88
12 ### Bike Faridabad Faridabad 40 2 80
13 ### Bike Faridabad Faridabad 53 2 106
14 ### Bike Faridabad Faridabad 61 2 122
15 Friday, April 15, 2016 Bike Faridabad Faridabad 48 2 96
16 ### 2 0
17 ### 2 0
18 ### 2 0
19 ### 2 0
20 ### Bike Faridabad Faridabad 52 2 104
21 ### Bike Faridabad Faridabad 47 2 94
22 Friday, April 22, 2016 Bike Faridabad Faridabad 39 2 78
23 ### Bike Faridabad Faridabad 41 2 82
24 ### 2 0
25 ### Bike Faridabad Faridabad 38 2 76
26 ### Bike Faridabad Faridabad 42 2 84
27 ### Bike Faridabad Faridabad 68 2 136
28 ### Bike Faridabad Faridabad 52 2 104
29 Friday, April 29, 2016 Bike Faridabad Faridabad 65 2 130
30 ### Bike Faridabad Faridabad 46 2 92
Total 1103 2206
Checked by : __________ Aproved by : __________
Sign. _________________ Sign. _________________
PSR EXPENSE STATEMENT DETAILS
Zone Branch Name of Employee Month
Claimed as per Expense Statement Supportings attached for Amount Deductions
PayableTL Name Designation Hotel Bill Mobile Bill Fooding Bill Local Conv. Allowance Data Card Total Allowance Data Card Total Hotel Bill Mobile Bill Allowance Data Card Total
0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Deputee ID
BMC Name Travel
TicketMiscl/
Others Travel Ticket
Hotel Bill
Mobile Bill
Fooding Bill
Local Conv.Miscl/ Others
Travel Ticket
Fooding Bill
Local Conv.
Miscl/ Others