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Reimbursement of Tour Expenses

Employee Details Travel Details

Employee Name From To

Designation Mode of Travel

Employee no. Departure Date & Time

Department Return Journey YES / NO

Branch / Location Arrival Date & Time


Travel Expense details

Sr.No. Particulars Amount (in Rs.)

1 Cost of Tickets paid by self (Encl Bills)

2 Lodging expenses paid by self (Encl Bills)

3 Taxi / Auto Charges paid by self (Encl Details)

4 Halting / Boarding Allowance Rs._________ X No. of days___________

5 Flight Insurance (Encl Ticket /Receipt /Bill)

Grand Total

Amount in words: Rupees ____________________________________________________________________

*Please enclose Original Bills / tickets with employee signature / initial on it

I hereby certify that all the above expenses except I recommend and approve the reimbursement of
halting allowance have been actually incurred by me stated expenses undertaken by above noted
employee for official reasons.

Signature of the Reporting Manager


Name:
Signature of the Employee Designation:
Date : Branch / Location:
Administration Department
BILLS VERIFIED, FOUND IN ORDER
& RECOMMENDED FOR PAYMENT

Approved by
(VP – Admin)

Note:
1. All claims should be made as per HR policy only.
2. Tour approval copy should be enclosed.
3. All the fields are mandatory, and incomplete forms will not be accepted
4. Details / break-up of taxi charges is a must (Enclose separate sheet)

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