You are on page 1of 2

EXPENSE STATEMENT

SALES OFFICER
Name. H.Q. .. Period ...
Sale Target Rs. Sales Rs...
Date

TOWN COVERED

HQ/EX/OS/
TR/NWD

D.A.

FARE

POST/COUR./
TELEGRAM

PHONE

MISC/
FREIGHT

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31

Grand Total

Claimed Amount in words .. Sign...Date ...


Passed Amount . Passed By(Sign).(Refer MSL-ROI Plan/Entitlement Charts)
---------------------------------------------------------------Perforation----------------------------------------------------------------------------------------(To be filled by Claiment )
NameH.Q. .. Month.Claimed Amounts....
(For office use only)
Amount remitted.....
Passed by ...
SH/NA(1+2*14)*1/JUNE'09

iod ...
.
TOTAL

...Date ...
efer MSL-ROI Plan/Entitlement Charts)
--------------------------------------------------------

Claimed Amounts....
...

You might also like