ECOTRAIL PERSONAL CARE PVT LTD

For rubber seal. *

STATEMENT OF EXPENSES FOR THE MONTH OF -
Employee No. :
ECOTRAIL PERSONAL CARE PVT LTD
Name : VIJAY KUMAR RAJAK Designation : SO
HQ: JABALPUR

Reporting to : - Fare Allowance

Other Allowance Rs. P. Total Rs.
DATE Sundries Description of Sundry Expenses
Dep. Base Camp- Dist. Rly Bus Internet/ P.
From To Arrival mode Rs EX. OUT Post Courier Phone
Time Night holt Km Rs. P. Rs. P. H.Q.
Time P H.Q. STATION

1 0
2 0
3 0
4 0
5 0
6 0
7 0
8 0
9 0
10 0
11 0
12 0
13 0
14 0
15 0
16 0
17 0
18 0
19 0
20 0
21 0
22 0
23 0
24 0
25 0
26 0
27 0
28 0
29 0
30 0
31 0

0 0 0 0 0 0 0 0 0 0 0 0 0

0
TOTAL EXPENSES CLAIMED -
LESS : EXPENSES DISALLOWED OR KEPT IN ABEYANCE
ADD : AMOUNT PREVIOUSLY DISALLOWED / ABEYANCE NOW RELEASED
NET AMOUNT PAYABLE
"(EMPLOYEE SIGN. & DATE)" Check by RSM / ASM sing and dated APPROVED BY (MKT)

CHECKED BY : _____________________ DATE : _____ / /2018_______