EXPENSE STATEMENT-SE/ASM/RBM

Emp.Code_ Designation ___ ___________________

Name _ ___ H.Q_____ _________
Division ____________ __ _ Month _ ______Date of Posting _________
Journey Amount in Rs.
Lodging/ Daily
Fare (T. Boardin Working
Date Place Worked From To A.) g Allowance
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Total 0 0 0

Vehicle Allowance
Cyber Café Expense
Previos Pending
Other(Specify)
Sp. Conveyance Alw.

Signature of SE/ASM/RBM________
SE/ASM/RBM
___________________
_________
____Date of Posting _________
Amount in Rs.

Others Total
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0

Vehicle Allowance
Cyber Café Expense
Previos Pending
Other(Specify)
Sp. Conveyance Alw.
Signature of SE/ASM/RBM________
Total (B)
Signature of Sanctioning Authority__________ Total (A+B)
Total (B) 0
Total (A+B) 0