LIFESTAR EXPENSE REIMBURSEMENT FORM

(KINDLY ATTACH BILL WITH THIS CLAIM FORM AND IT SHOULD

REACH OFFICE BY 10TH OF EVERY MONTH)
NAME OF MANAGER/MR

TYPE OF
CHARGES

DESI

AMOUNT CLAIMED

TELEPHONE

FAX

COURIER

TRANSPORT

RICKSHAW

STATIONARY

XEROX

OTHER*

TOTAL

H.Q.

MONTH

REMARKS / DETAILS

*PLEASE MENTION THE NAME FROM WHOM YOU HAVE TAKEN APPROVAL
SIGNATURE OF MR/MGR :-.
DATE:-
Note:- Special letter with reasons and details must be attached with this,
in case you have crossed the limit of any expenses.

LIFESTAR EXPENSE REIMBURSEMENT FORM

(KINDLY ATTACH BILL WITH THIS CLAIM FORM AND IT SHOULD
REACH OFFICE BY 10TH OF EVERY MONTH)
NAME OF MANAGER/MR

TYPE OF
CHARGES

DESI

AMOUNT CLAIMED

TELEPHONE

FAX

COURIER

TRANSPORT

RICKSHAW

STATIONARY

XEROX

OTHER*

TOTAL

H.Q.

MONTH

REMARKS / DETAILS

*PLEASE MENTION THE NAME FROM WHOM YOU HAVE TAKEN APPROVAL
SIGNATURE OF MR/MGR :-.
DATE:-
Note:- Special letter with reasons and details must be attached with
this, in case you have crossed the limit of any expenses.