FORM FOR REIMBURSEMENT PROOFS-MEDICAL EXPENSES

Employee ID Employee Name

Designation Grade G-
Date of Joining Location Hyderabad/Indore/Noida
Extension No. Financial year 2008-09

Note: 1)Name of dependents and their relationship with the employee should be specified in Remarks column.

2) Bills should be for the period of employment with current Employer only.

3) Original medical bills have to be submitted.

Bill/Receipt Bill/Receipt
S.No. Description Amount (Rs.) # Remarks, if any
Number Date

Total -

I assume full responsibility for the correctness of this claim and in case of any query, shall be under an obligation to satisfy the Income Tax
authorities regarding the genuineness of this claim as required under the provisions of Income Tax Act,1961.

___________________
(Signature of Employee) Date : ________________________

___________________
Approval (By Finance Dept.) Date : ________________________
 FORM FOR REIMBURSEMENT PROOFS-TELEPHONE EXPENSES

Employee ID IIIPL-1533 Employee Name Sanjay Sharma

Designation Tech Architect Grade G-12
Date of Joining 9/29/2008 Location Noida
Extension No. 2761 Financial year 2008-09

Note: 1)Telephone should be in the name of employee & can be claimed for landline and mobile (one connection each). Reduce DSL reimbursement, if already claimed.

2) Bills should be for the period of employment with current Employer only.

3) Original telphone bills have to be submitted.

Bill/Receipt
S.No. Telephone/Mobile No. Bill/Receipt Number Amount (Rs.) Remarks if any
Date

Total -

I assume full responsibility for the correctness of this claim and in case of any query, shall be under an obligation to satisfy the Income Tax
authorities regarding the genuineness of this claim as required under the provisions of Income Tax Act,1961.

___________________
(Signature of Employee) Date : __________________

___________________
Approval (By Finance Dept.) Date : __________________
 FORM FOR REIMBURSEMENT PROOFS-PROFESSIONAL DEVELOPMENT

Employee ID Employee Name

Designation Grade G-
Date of Joining Location Hyderabad/Indore/Noida
Extension No. Financial year 2008-09

Note: 1) Original bills/receipts only along with brochure of the Institute have to be submitted & Bills/Receipts should be sealed/stamped.

2) Bills/Receipts should be for the period of employment with current Employer only.

Bill/Receipt
S.No. Description Bill/Receipt Number Amount (Rs.) # Remarks, if any
Date

Total -

I assume full responsibility for the correctness of this claim and in case of any query, shall be under an obligation to satisfy the Income Tax
authorities regarding the genuineness of this claim as required under the provisions of Income Tax Act,1961.

___________________
(Signature of Employee) Date : ___________________

___________________
Approval (By Finance Dept.) Date : ___________________
 FORM FOR REIMBURSEMENT PROOFS-PERIODICALS & JOURNALS

Employee ID Employee Name

Designation Grade G-
Date of Joining Location Hyderabad/Indore/Noida
Extension No. Financial year 2008-09

Note: 1) Original bills have to be submitted.

2) Bills should be for the period of employment with current Employer only.

3) Bills should be for purchase of news papers and magazines which are relevant to the employee’s profile.

Bill/Receipt
S.No. Description Bill/Receipt Number Amount (Rs.) # Remarks, if any
Date

Total -

I assume full responsibility for the correctness of this claim and in case of any query, shall be under an obligation to satisfy the Income Tax
authorities regarding the genuineness of this claim as required under the provisions of Income Tax Act,1961.

___________________
(Signature of Employee) Date : _____________________

___________________
Approval (By Finance Dept.) Date : _____________________
 FORM FOR REIMBURSEMENT PROOFS-CAR RUNNING & MAINTENANCE

Employee ID Employee Name

Designation Grade G-
Date of Joining Location Hyderabad/Indore/Noida
Extension No. Financial year 2008-09

Note: 1) Car should be in the name of employee and copy of car registration and Insurance receipt of car is to be enclosed.

2) Original Fuel and Maintenance of car bills have to be submitted.

3) Bills should be for the period of employment with current Employer only.

Bill/Receipt
S.No. Description Bill/Receipt Number Amount (Rs.) # Remarks, if any
Date

Total -

I assume full responsibility for the correctness of this claim and in case of any query, shall be under an obligation to satisfy the Income Tax
authorities regarding the genuineness of this claim as required under the provisions of Income Tax Act,1961.

___________________
(Signature of Employee) Date : ______________________

___________________
Approval (By Finance Dept.) Date : ______________________