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Employee Travel Reimbursement Form

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jakichan789
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0% found this document useful (0 votes)
254 views1 page

Employee Travel Reimbursement Form

Uploaded by

jakichan789
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd

Local Conveyance Form

Name: Employee Id:

Designation: Level at the Instittue:

Department:

Mode of
Place Place Amount
Conveyance Purpose of Visit
(Bus/Three and Source of
Date Distance
Wheeler Auto Funding (Project,
From To (Rs.)
Rickshaw/Taxi/O PDA or Insitute)
wn Vehicle)

Total (in words)___________________________________

Certified that no offical vehicle was made available for the purpose (s) specified above. I have actually
spent the amount (s) claimed above for the official purpose. The amount may be transferred to my
bank account.

(Signature of the Claimant)

(Signature of the Reporting Authority)

Date:

(For Use of F&A Division)

Checked and passed for payment of Rs…………………(Rupees……………………………………………..


……………………..). Total reimbursment during the year so far has been Rs……………………………….

(Assistant-Accounts) JM (Accounts)

Controller of Finance

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