NIPRO JMI Pharma Ltd.

Monthly Expense Bill

Name:………………………………………....…..…….… Design.:……….... E.ID:.……...…... Month:………….…….
Base HQ:…………….………… Depot:…………………Target:………………Sales:…………………Ach. %.............
Work DA Fare Others** Total Amount
Date Working Place (Morning & Evening)
Station (Taka) (Taka) (Taka) (Taka)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Sub Total =

Grand Total =
Taka (in word):

______________ _____________ _________________ ______________

Submitted by Verified by Recommended by Approved by
Explanatory Note:
*i) Fare break-down should be given in details on the reverse
**ii) Others : Courier, Fax, Stationary, Orders cost etc. voucher must be attached (if any)
 NIPRO JMI Pharma Ltd.
Fare Break-down (HQ to Ex-HQ / OS & Internal Market) *

Distance Amount
Date From To Mode of Transport
(Km) (Taka)