TELEPHONE REIMBURSEMENT FORM

Name: UDAY KUMAR

Emp Code: 4140
Designation: Buyer, Procurement
Grade: D2
S.
No.

Type of Claim

Bill No

Bill Date

Mobile / Landline / Broadband

Number

Amount

Mobile

284072270 24/01/2016 9582712505

INR 353.02

Mobile

241314105 24/12/2015 9582712505

INR 393.49

Mobile

203540413 24/11/2016 9582712505

INR 708.94

Broadband

296848559 23/02/2016
42
296848559 23/01/2016
43
296848559 25/12/2015
44
296848559 25/11/2015
45

1486697

INR 972

1486697

INR 972

1486697

INR 972

1486697

INR 972

1
2
3
4
Broadband
5
Broadband
6
Broadband
7
8
9
10
11
12
13
14
15
16

TOTAL
Eligibility period start subject to joining date / revision date
Signature of claimant:
Approved by:

INR 5343.45