Page 1 of 2 KERNEX MICROSYSTEMS (INDIA) LTD HYDERABAD STATEMENT OF PROJECT EXPENSES Name of the Employee : Project Name : Sl.

No. From To KR Route Particulars Designation : Type of Work :

Telephone Labor / Hotel & Fax Portal Expenses Charges Charges (1) (2) (3) Vehicle Printing Local Local Hire & Purchases Conve Charges Stationery yance (4) (5) (6) (7)

Employee Code : Place : Belapur (Amount in Rupees)

Travel Expenses (8) Misc. Expenses (9) Grand Total

4 Grand Total Total Project Expenses (B) (Grand Total = 1+2+3+4) Page 2 of 2

Give work particulars Incubation / Installation / Maintenance or any other Specifically

Abstract of Project Particulars Advance Taken S.No. Date Amount Project Advance Particulars

Total Advance (A) Less : Total Expenses (B) Due to Company / Employee : Rs.

: : :

(Rupees ----------------------------------------------Only)

Name of the Employee : Signature :

Verified by : Signature :

Forwarded by : Signature:

KERNEX MICROSYSTEMS (INDIA) LTD HYDERABAD Statement of Telephone & Fax Expenses (1)

S.No.

Date

Telephone Number

Amount in Rs.

Called Party

Particulars of Calls

Remarks

Grand Total Name of the Employee : Signature : Verified by : Signature :

KERNEX MICROSYSTEMS (INDIA) LTD HYDERABAD Statement of Labor & Porter Charges (2)

S.No. 1 2 3 4 5 6

Date

Name of the Labor/ Porter

Amount in Rs.

Type of work

Signature of Project Coordinator/Authorizing Person

Remarks

Grand Total Name of the Employee : Signature : Verified by : Signature :

KERNEX MICROSYSTEMS (INDIA) LTD HYDERABAD Statement of Hotel Accommodation(3) S.No. From To Name of the Hotel & Place Room Number(s)& Type (s) Stayed Employee(s) Paid Bill, Receipt No.& Rs. Remarks

Grand Total Name of the Employee : Signature : Verified by : Signature :

KERNEX MICROSYSTEMS (INDIA) LTD HYDERABAD Statement of Vehicle Hire Charges (4)

S.No.

From

To

Name of the Party / Transporter & PAN Number

Type of Vehicle @ Rate & Days

Purpose of Project Work

Vehicle Log Book Reference Number

Remarks

Grand Total Name of the Employee : Signature : Verified by : Signature : KERNEX MICROSYSTEMS (INDIA) LTD HYDERABAD Statement of Printing & Stationery (5)

without Log Book Sheets / Xerox Sheets

the bills cant be process

S.No.

Date

Name of the Party

Type of Material

Amount in Rs.

Purpose of Material

Remarks

Grand Total Name of the Employee : Signature : Verified by : Signature :

KERNEX MICROSYSTEMS (INDIA) LTD HYDERABAD Statement of Local Purchase (6)

S.No.

Date

Name of the Party & Bill Number

Type of Material

Amount in Rs.

Purpose of Material

Remarks

Grand Total Name of the Employee : Signature : Verified by : Signature :

KERNEX MICROSYSTEMS (INDIA) LTD

HYDERABAD Statement of Local Conveyance (7)

S.No.

Date

Journey from

Journey to

Bill Number & Type of Journey

Amount in Rs.

Assigned Person Name & Signature

Remarks

Name of the Employee : Signature :

Verified by : Signature :

KERNEX MICROSYSTEMS (INDIA) LTD

HYDERABAD Statement of Traveling Expenses (8)

S.No.

Date

Journey from

Journey to

Bill Number & Type of Journey

Amount in Rs.

Assigned Person

Remarks

Grand Total Name of the Employee : Signature : Verified by : Signature :

KERNEX MICROSYSTEMS (INDIA) LTD HYDERABAD

Statement of Miscellaneous Expenses (9)

S.No.

Date

Type of Expenses

Amount in Rs.

Signature of Project Coordinator

Remarks

Name of the Employee : Signature :

Verified by : Signature :