KID SHAPER INDIA Pvt. Ltd.

,
Sco-272, Sector 35 -D, Chandigarh - 160035, INDIA

Employee Out-of-Pocket Expense Reimbursement form - EOPE claim

Name :- ARUN KUMAR

Staff ID Number :- Date Submitted :-3/7/2019
Designation :- PET
Head Quarter :-

Time
Mode of
Date Reason Quantity Purpose OUT IN Payment Amount Remarks if any
30-Jun-19 hotel accomodation transfer ### 990
1-Jul-19 hotel accommodation transfer 4:00 PM 990

Summary: CLAIMED APPROVED

Local Travel (Bus/Auto/Taxi/Bike Expenses): I have verified supporting voucher(s)
Outstation Travel (Bus/train/taxi) for every item of expense.
Equipment transportation (courier/auto/taxi) I confirm that this claim is accurate.
Assessment reports transportation (courier/auto/taxi)
Food Expenses RM Authorisation signature
Hotel (accommodation) 1980 Date:
Printing & Stationery
TOTAL EXPENSE 1980

Signature of the Employee Accounts payment date:

Arun kumar

Each expense claim should be supported by original receipt. In the absence of original receipt, a slip of paper written in own handwriting should
describe the nature of expense and the amount claimed with the date of expense.
Please DO NOT overwrite amount figures. Double check totals.
Employee Out-of-Pocket Expense Reimbursement form - EOPE claim
Name : ______________________________________________________________________________________
Staff ID Number : _____________________________________________________________________________
Designation : ________________________________________________________________________________
Head Quarter:________________________________________________________________________________

Date Reason Quantity

Summary: CLAIMED
Local Travel (Bus/Auto/Taxi Expenses):
Outstation Travel (Bus/train/taxi)
Equipment transportation (courier/auto/tax1)
Assessment reports transportation (courier/auto/taxu)
Food Expenses
Hotel (accommodation)
Printing & Stationery
TOTAL EXPENSE

Each expense claim should be supported by original receipt. In the absence of original receipt, a slip of paper written in own h
Please DO NOT overwrite amount figures. Double check totals.
 First Spark Educare Pvt. Ltd.,
309/A, Jawala Nagar, Delhi - 110032,

ent form - EOPE claim

_____________________________________
_____________________________________
____________________________________
_____________________________________

Time

Purpose OUT

APPROVED

I have verified supporting voucher(s) for every item of ex

I confirm that this claim is accurate.

Signature of the Employee RM Authorisation signature

Date:
riginal receipt, a slip of paper written in own handwriting should describe the nature of expense and the amount claimed with the date of e
k Educare Pvt. Ltd.,
09/A, Jawala Nagar, Delhi - 110032, INDIA

Date submitted: _______________________

Mode of
IN Payment Amount

porting voucher(s) for every item of expense.

claim is accurate.

the amount claimed with the date of expense.

_______________

Remarks if any

Accounts payment date: