Entity Name

Month Employee Name Emp Code

Expense Date Bill No. Bill date Nature of Vendor Name Client Name Client
expenses Organisation
details (L2 as
per caliber)

* The additional fields - Service Tax, SBC and KKC needs to be filled up where ever vendor charges the same. Please see the vendor invoice
** Employees are required to obtain the invoice from vendor in the name of the Company plus the employee name.

Declaration: I hereby declare that the details provided above are correct and all the expenses are incurred for business purpose

Signature of employee Signature of Approver

______ _____
 Approver Name
Team Team Particulars Total Claim amount Service Swachh Krishi Invoices
Attendee Attendee (inclusive of all taxes) Tax Bharat Kalyan (Yes / No)
Emp code Emp Name Cess Cess

TOTAL

ame. Please see the vendor invoice and capture the same correctly.

or business purpose

ature of Approver