You are on page 1of 2

Page 1 of 2

A B C D E F G H I J K

1 GENERAL EXPENSE FORM Doc. #: F-HR-06

2 Rev. #: 01
3 Rev. Date: 21-10-2020
4 Period of Claim
5 From To District Code :
6 < District Name > For HRD/Admin/Accounts
7 Name of DM / Claimant :
8 (Add as many lines as required above in each segment)
Sr# HOA Description / Occasion Measure Quantity Rate Voucher HOA / Remarks
Unit Amount Segment
9 Expense Details Amount

10 - 1 3 4 5 6 7 8 9 10
11
12
13
14
15 FA IT Equipment (Details must mention) Add line(s) above ↑ Seg Total →:
16
17
18 Exp->Food or Food Stuff Add line(s) above ↑ Seg Total →: -
19
20
21
22
23
24
25 Exp-Travelling Charges - (Bus, Taxi etc) Add line(s) above ↑ Seg Total →: -
26
27
28
29
30 Exp-Freight Charges Add line(s) above ↑ Seg Total →: -
31
32
33 Exp-Stationery Add line(s) above ↑ Seg Total →: -
34
35
36
37
38 Exp-Photocopy Add line(s) above ↑ Seg Total →: -
39
40
41
42
43
44
45 Exp-Misc Janitorial Stuff Add line(s) above ↑ Seg Total →:
46
47
48
49
50 District Manager Assistant Manager Admin Manager HR
51
52
53
54
55
56
57
58
Page 2 of 2
A B C D E F G H I J K
59 Chief Environmental Expert Director Operations Executive Director
60

You might also like