KOTAK LTD

India

STATEMENT OF EXPENSES

Name: --------------------------------------------------- Tour: ----------------------------------------------------

From:- --------------: To ------------------------ Purpose: ------------------------------------------------

S.N. Particulars Amount

1. Lodging

2. Boarding
3 Additional Boarding
SUB TOTAL ( 1 to 2 )
4 City Transport
5. Travelling Expenses
6. Attached Voucher Total
Grand Total Rs.

Received with thanks Rs.------------------------------------------------------------------------- Only

Date: ------------------- Signature: --------------------------