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EXPENSE REPORT:

Company:
Employee Name:
Employee ID:
Claim ID #:
Report print date:
Date Submitted:
Reimbursement Currency:

( JAJPURBILASPURTATA )

Essae Digitronics Private Limited


Sambeet Nayak
TWS006
27107
02/03/2015
-INR
INR

No of items

Scanned & E-Receipts

sub-total

0.00
16,454.94
16,454.94

0
22
22

0
0
0

Total

16,454.94

22

Cash:
-Billable
(0 %)
-Non-Billable (100 %)

ADVANCES:
- Received
- Set-off per this claim
- Balance outstanding
- Balance returned
Final advance balance

0.00
0.00
0.00
0.00
0.00

Amount due to employee (reimbursable)

0.00

EMPLOYEE:

Signature:

Date submitted:

APPROVER:

VERIFIER:

Signature:
NOTES:
NA

Date:

NA

Signature:

NA

[ Version 0 (Draft) ]
Page 1 of 6

Date:

Actual receipts

Expense Report:

Employee Name:

Sambeet Nayak

Employee ID:

TWS006

Report Print Date:

02/03/2015

CASH EXPENSES:
NON-BILLABLE
Customer:
TWS

TWS

TWS

TWS

TWS

Page 2 of 6

Project:
None
Notes:
Details:
Details:

Expense Date:
15/01/2015
v-08

Category:
Unique Doc ID:
Courier Charges-TWD-Service 354-2429

courier to H.O

Supplier:

DTDC

None
Notes:
Details:
From(Destination):
Class:

17/01/2015
v-01

Travelling Expenses TWD

354-2361

INR 310.00

bbsr
g

To(Returning from):

jajpur

Airline:

None
Notes:
Details:
From(Destination):
Class:

17/01/2015

Travelling Expenses TWD

stand
g

To(Returning from):

None
Notes:
Details:
From(Destination):
Class:

17/01/2015

Travelling Expenses TWD

lodge
g

To(Returning from):

mep site & back

Airline:

None
Notes:
Details:
From date:

18/01/2015
v-06.

Lodging-TWD-City - Other

354-2378

INR 650.00

17/01/2015

To date:

18/01/2015

Location:

[ Version 0 (Draft) ]
JAJPURBILASPURTATA

Currency:
INR 250.00

Conv. Rate:

Airline:

Amount:
250.00

1.000

310.00

1.000

50.00

1.000

260.00

1.000

650.00

Bus

INR 50.00

lodge

1.000

auto

INR 260.00

auto

jajpur

Page 1 of 5 (of Cash report)

Expense Report:

Employee Name:

Sambeet Nayak

Employee ID:

TWS006

Report Print Date:

02/03/2015

CASH EXPENSES:
TWS

TWS

TWS

TWS

TWS

Page 3 of 6

None
Notes:
Details:
From(Destination):
Class:

18/01/2015
v-09, for print,scan,internet.

Travelling Expenses TWD

354-2430

INR 180.00

bbsr
na

To(Returning from):

market

Airline:

None
Notes:
Details:
From(Destination):
Class:

18/01/2015

Travelling Expenses TWD

lodge
g

To(Returning from):

bus stand

Airline:

None
Notes:
Details:
From(Destination):
Class:

18/01/2015
v-02

Travelling Expenses TWD

354-2365

INR 310.00

jajpur
g

To(Returning from):

bbsr

Airline:

None
Notes:
Details:
From(Destination):
Class:

19/01/2015
v-03

Travelling Expenses TWD

354-2366

INR 1,857.47

bbsr
ac

To(Returning from):

raipur

Airline:

None
Notes:
Details:
From(Destination):
Class:

20/01/2015
v-04

Travelling Expenses TWD

354-2367

INR 480.00

raipur
g

To(Returning from):

bsp

Airline:

[ Version 0 (Draft) ]
JAJPURBILASPURTATA

1.000

180.00

1.000

60.00

1.000

310.00

1.000

1,857.47

1.000

480.00

na

INR 60.00

auto

Bus

Train

Bus

Page 2 of 5 (of Cash report)

Expense Report:

Employee Name:

Sambeet Nayak

Employee ID:

TWS006

Report Print Date:

02/03/2015

CASH EXPENSES:
TWS

TWS

TWS

TWS

TWS

Page 4 of 6

None
Notes:
Details:
From(Destination):
Class:

20/01/2015

Travelling Expenses TWD

stand
g

To(Returning from):

None
Notes:
Details:
From(Destination):
Class:

20/01/2015

Travelling Expenses TWD

station
g

To(Returning from):

None
Notes:
Details:
From(Destination):
Class:

21/01/2015

Travelling Expenses TWD

lodge
g

To(Returning from):

None
Notes:
Details:
From(Destination):
Class:

23/01/2015
Travelling Expenses TWD
for 02 no. days auto fare claimed to site i.e 22.1.15 & 23.1.15.

None
Notes:
Details:
From(Destination):
Class:

25/01/2015
Travelling Expenses TWD
for 02 no. days auto fare claimed to site.i.e 24.1.15 & 25.1.15.

lodge
g

lodge
g

To(Returning from):

To(Returning from):

[ Version 0 (Draft) ]
JAJPURBILASPURTATA

INR 60.00

lodge

Airline:

Airline:

Airline:

Airline:

Airline:

1.000

220.00

1.000

640.00

1.000

680.00

auto traveller

INR 680.00

kharsia site & back

80.00

auto

INR 640.00

baradwar site & back

1.000

auto

INR 220.00

uslapur site & back

60.00

auto

INR 80.00

bus stand

1.000

auto traveller

Page 3 of 5 (of Cash report)

Expense Report:

Employee Name:

Sambeet Nayak

Employee ID:

TWS006

Report Print Date:

02/03/2015

CASH EXPENSES:
TWS

TWS

TWS

TWS

TWS

Page 5 of 6

None
Notes:
Details:
From date:

27/01/2015
Lodging-TWD-City - Other
354-2379
v-07, for 07 days lodging bill claimed from 20.1.15 to 27.1.15.

INR 5,140.00

20/01/2015

To date:

Location:

None
Notes:
Details:
From(Destination):
Class:

27/01/2015

Travelling Expenses TWD

lodge
g

To(Returning from):

station

Airline:

None
Notes:
Details:
From(Destination):
Class:

27/01/2015
v-05

Travelling Expenses TWD

354-2374

INR 1,422.47

bilaspur
ac

To(Returning from):

tata

Airline:

None
Notes:
Details:
From(Destination):
Class:

27/01/2015

Travelling Expenses TWD

station
g

To(Returning from):

None
Notes:
Details:
From(Destination):
Class:

29/01/2015
Travelling Expenses TWD
for 02 no. days auto fare calimed to site.i.e. 28.1.15 & 29.1.15
lodge
g

To(Returning from):

[ Version 0 (Draft) ]
JAJPURBILASPURTATA

27/01/2015

Airline:

40.00

1.000

1,422.47

1.000

65.00

1.000

340.00

Train

auto

INR 340.00

tata site & back

1.000

auto

INR 65.00

Airline:

5,140.00

bilaspur

INR 40.00

lodge

1.000

auto bus

Page 4 of 5 (of Cash report)

Expense Report:

Employee Name:

Sambeet Nayak

Employee ID:

TWS006

Report Print Date:

02/03/2015

CASH EXPENSES:
TWS

TWS

Total No of expenses:

Page 6 of 6

None
Notes:
Details:
Town/City:

31/01/2015
Boarding -TWD-City -Other
for 15 no. days boarding amount claimed.i.e 17.1.15 to 31.1.15.

None
Notes:
Details:
From(Destination):
Class:

31/01/2015
Travelling Expenses TWD
for 02 no. days auto fare claimed to site.i.e 30.1.15 & 31.1.15.

jajpur,bilaspur,tata

lodge
g

No. of people:

To(Returning from):

22

[ Version 0 (Draft) ]
JAJPURBILASPURTATA

INR 3,000.00

1.000

3,000.00

INR 360.00

1.000

360.00

sub-total
NON-BILLABLE TOTAL:

16,454.94
16,454.94

01

tata site & back

Airline:

auto bus

Page 5 of 5 (of Cash report)

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