Contractor Expense Reimbursement

Please submit this form online and ensure approval from Supervisor. All supp
should be submitted to your Staffing Agency to claim the same fro

NOTE: Expense amount claimed below should be in same currency as per Syne
different currency expenses are incurred, they require getting converted to the
Synergy Workorder.

Serial
Date  Bill / Receipt No. Expense Type / Nature of Expense
Number

1 1-Jan-2021 NA Late Evening Shift Allowance

2 2-Jan-2021 NA Late Evening Shift Allowance
3 6-Jan-2021 NA Night Shift Allowance
4 7-Jan-2021 NA Night Shift Allowance
5 8-Jan-2021 NA Night Shift Allowance
6 9-Jan-2021 NA Night Shift Allowance
7 15-Jan-2021 NA Night Shift Allowance
8 16-Jan-2021 NA Night Shift Allowance
9 20-Jan-2021 NA Night Shift Allowance
10 21-Jan-2021 NA Night Shift Allowance
11 22-Jan-2021 NA Night Shift Allowance
12 23-Jan-2021 NA Night Shift Allowance
13 26-Jan-2021 NA Late Evening Shift Allowance
14 27-Jan-2021 NA Night Shift Allowance
15 16-Jan-2021 NA Night Shift Allowance
16 29-Jan-2021 NA Late Evening Shift Allowance
17 30-Jan-2021 NA Late Evening Shift Allowance
18 19-Jan-2021 NA Night Shift Allowance

Total
 Total Claimed Amount

Note:
Supervisor to approve expenses based on Wipro approved rates in the respective Geography
Contractor to check with his supervisor on the rates
pense Reimbursement
pproval from Supervisor. All supporting receipt / bills,
fing Agency to claim the same from Wipro.

be in same currency as per Synergy Workorder. In case

y require getting converted to the same currency as per
rgy Workorder.

Claimed Amount Comments 

300.00 Late Evening Shift Allowance

300.00 Late Evening Shift Allowance
400.00 Night Shift Allowance
400.00 Night Shift Allowance
400.00 Night Shift Allowance
400.00 Night Shift Allowance
400.00 Night Shift Allowance
400.00 Night Shift Allowance
400.00 Night Shift Allowance
400.00 Night Shift Allowance
400.00 Night Shift Allowance
400.00 Night Shift Allowance
300.00 Late Evening Shift Allowance
400.00 Night Shift Allowance
400.00 Night Shift Allowance
300.00 Late Evening Shift Allowance
300.00 Late Evening Shift Allowance
400.00 Night Shift Allowance

Rs 6700/-
6,700.00