REIMBURSEMENT FORMAT & INSTRUCTIONS

1. Claim Sheet should be submitted to Indus Towers before 15th of every month.
2. Claim Sheet should be approved by reporting manager
3. Claim Sheet should be submitted along with all original bills and duly approved timesheet.
4. Please add another sheet - in case if you are not able to complete your details in single sheet.
6. Please take print out of formats on A4 size white paper

CTIONS

EMPL. ID (SUPPLIER)

A134706

NAME OF RESOURCE

Himadri Ganguly

EMAIL ID

a-himadri.ganguly1@industowers.com

PROJECT

Indus Tower

LOCATION

Kolkata

CONTACT NO.

9836640402

MOBILE
DISCRIPTION
Mobile bill payment (Mar'14)

FROM DATE
06.03.14

TO DATE
05.04.14

AMOUNT

BILL ATTACHED (YES/NO)

Yes

270

TOTAL

270

LOCAL TRAVEL
PURPOSE

FROM DATE

TO DATE

AMOUNT

BILL ATTACHED (YES/NO)

TOTAL
GRAND TOTAL

270

DATE OF CLAIMS SUBMISSION:.

APPROVED BY:

SIGNATURE

SIGNATURE
NAME:

OUTSTATION TRAVEL REIMBURSMENT CLAIM SHEET

FOR THE MONTH____________Nov'13________________________
EMPL. ID (SUPPLIER)

A134706

NAME OF RESOURCE

Himadri Ganguly

EMAIL ID

PROJECT

Indus Tower

LOCATION

Kolkata

CONTACT NO.

a-himadri.ganguly@industowers.com

9836640402

TRAVELLING EXPENSES (TRAIN/BUS/AIR)

PURPOSE

TRAVEL DATE

MODE OF TRAVEL

FROM DATE

TO DATE

BILLS ATTACHED(YES/NO)

AMOUNT

Outbound Review at Purulia (Howrah to Asansol)

20.11.13

Train

20.11.13

20.11.13

Yes

100

Outbound Review at Purulia (Asansol to Howrah)

21.11.13

Train

21.11.13

21.11.13

Yes

100

TOTAL

200

GRAND TOTAL

200

DATE OF CLAIMS SUBMISSION:.

APPROVED BY:

SIGNATURE

SIGNATURE
NAME:

EMPL. ID (SUPPLIER)

A134837

NAME OF RESOURCE

Chandan Kumar Mandal

EMAIL ID

chandan.mandal88@gmail.com

PROJECT

Indus Tower

LOCATION

Kolkata

CONTACT NO.

9051937766

LOCAL TRAVEL
PURPOSE

DATE

BILL ATTACHED (YES/NO)

AMOUNT

YES

1020

Meal Reimbursement

LUNCH BILL(5 PERSONS)

Due to unavailability of food & other
resources near office area, Circle CEO
approved special allowances for Food
during these festival days. **approval
mail also attach with this claim sheet**

02nd OCTOBER'2014

TOTAL

1020

GRAND TOTAL
DATE OF CLAIMS SUBMISSION:

SIGNATURE

09.10.2014

1020
APPROVED BY:

SIGNATURE
NAME: