REIMBURSEMENT CLAIM AGAINST EXPENSES INCURRED ON OFFICIAL TOURS / VISITS.

Employee Name : Rajesh Solanki Period : December-2011 Designation : Material Supervisor

Month/Date 1-Dec-11 3-Dec-11 6-Dec-11 8-Dec-11 10-Dec-11 14-Dec-11 17-Dec-11 Petrol Petrol Petrol Petrol Petrol Petrol Petrol

Description Expence (26589) Expence (26590) Expence (26919) Expence (27066) Expence (27296) Expence (34452) Expence (29423)

Meals

Lodging

Client Transportation Entertainment 300.00 150.00 300.00 300.00 300.00 300.00 300.00

Medical

Misc

Advances

Total INR 300.00 INR 150.00 INR 300.00 INR 300.00 INR 300.00 INR 300.00 INR 300.00

SUB TOTAL :TOTAL(FINAL) :-

0.00

0.00

0.00

1,950.00

0.00

0.00

0.00

1,950.00

INR 1,950.00

SUB - TOTAL BROUGHT FORWARD TOTAL (a) (b) (c) (d) (e) (f) (g)

Total Expenses (a+b+c+d+e+f) Total Advance (g) Balance Due to Employee Balance Due to Company 0.00

EMPLOYEE SIGNATURE:

DATE :

21-Dec-11