( Company Name )

BOOKS & PERIODICALS REIMBURSEMENT FOR THE PERIOD ……………………………….

(Please ensure that no column is left blank. Incomplete Forms will not be entertained)

(To be submitted before ----- of every month

Bills Submitted after ---- of the month will be considered for payment along with next month's salary)

Reimbursement Claims can be made on amount spent on purchase of books / periodicals for professional updation.

NAME : DESIGNATION :

EMPLOYEE CODE : FUNCTIONAL AREA :

ZONE : LOCATION :

BOOKS & PERIODICALS EXPENSE DETAILS

BILL / CASH MEMO AMOUNT

S.N BOOK / PERIODICAL NAME PURCHASE FROM
O NO. DATE RS. PAISE

SIGNATURE OF THE EMPLOYEE DATE

FOR HR RECORDS AND ACTION

REIMBURSEMENT AMOUNT PASSED FOR : Rs……………………..

SIGNATURE DATE