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AAR INDAMER TECHNICS PRIVATE LIMITED

REIMBURSEMENT OF BOOKS & PERIODICALS EXPENSES FY 2022-23

Employee Name:* Location:

Employee No.*
(As per payslip)

Sr. No. Name of the person Bill Date Bill No Amount

1
2
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15

Total

I hereby declare that what is stated above is true & correct. Any Income Tax liability arising out of a wrong declaration will be my
responsibility, and I undertake to indemnify the Company and its officers from all consequences, monetary and otherwise, arising out
of any incorrect and/or incomplete information provided in this declaration.

_____________________________ ________________
Employee Signature* Date

Note
- Please attach Original Bills / Receipts only.
- Employee number and name is mandatory.
- Any alteration on Bills/Receipts will be disallowed.
- Reimbursement will be processed only for current Financial Year.
- For New Joinees Reimbursements will be processed from the date of joining.
- Bills/Receipts submitted will not be returned under any circumstances.

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