Expense Reimbursement Form

Pay Period
Name:- From:
Reporting Manager:- To:

Expense Done By Date Description Amount GST Receipt attached (Y /N) Total

Total
Itemized Expenses or Description for "Other"
Date Description

Date
sandeep k rai swapan sen
manoj rai sandeep rai
devesh gautam  sandeep rai
surya tomer sandeep rai
daya shankar  manoj rai
nagendra daya shankar
ankit porval manoj rai
shivam  manoj rai
jamal manoj rai
abhishek jolly devesh gautam
harshit bhatnagar  devesh gautam
rishabh sion  devesh gautam
izhar  surya tomer 
lalit surya tomer 
yashoda surya tomer 
priyank surya tomer 
surbhi sandeep rai
 Expense Reimbursemen
Name:- Arghya Nag
Reporting Manager:- Swapan Sen
Two Wheeler:- Rs.6/km
Four Wheeler:- Rs.12/km

Expense Done By Date

Arghya Nag 01.10.22

Arghya Nag 02.10.22
Arghya Nag 08.10.22
Arghya Nag 09.10.22
Arghya Nag 10.10.22
Arghya Nag 10.10.22
Arghya Nag 11.10.22
Arghya Nag 11.10.22
Arghya Nag 14.10.22
Arghya Nag 14.10.22
Arghya Nag 15.10.22
Arghya Nag 16.10.22
Arghya Nag 18.10.22
Arghya Nag 19.10.22
Arghya Nag 19.10.22
Arghya Nag 19.10.22
Arghya Nag 22.10.22
Arghya Nag 23.10.22

Itemized Expenses or Description for "Other"

Date
 Expense Reimbursement Form

Description Wheeler Rate

Office To DLF Grove and Back Four Wheeler 12.00

Office To DLF Grove and Back Four Wheeler 12.00
Office To DLF Grove and Back Four Wheeler 12.00
Office To DLF Grove and Back Four Wheeler 12.00
Office To DLF and Back Four Wheeler 12.00
Office To DLF Grove and Back Four Wheeler 12.00
Four Wheeler 12.00
Four Wheeler 12.00
Four Wheeler 12.00
Four Wheeler 12.00
Four Wheeler 12.00
Four Wheeler 12.00
Four Wheeler 12.00
Four Wheeler 12.00
Four Wheeler 12.00
Four Wheeler 12.00
Four Wheeler 12.00
Four Wheeler 12.00
Four Wheeler 12.00
Four Wheeler 12.00
Four Wheeler 12.00
Four Wheeler 12.00
Four Wheeler 12.00
Four Wheeler 12.00
Four Wheeler 12.00
Four Wheeler 12.00
Four Wheeler 12.00
Four Wheeler 12.00
Four Wheeler 12.00
-
0.00

enses or Description for "Other"

Description
 Pay Period
From: 1.10.2022
To: 31.10.2022

Receipt attached (Y
KM GST Total
/N)
14.00 168.00
14.00 168.00
14.00 168.00
14.00 168.00
95.00 1,140.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
-
151.00

₹ 1,812.00
Date
Two Wheeler
Four Wheeler