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Expenses Reimbursement Form: Details of Advance Received

This document is an expense reimbursement form submitted by an employee named Anubhav Tripathi for expenses incurred from November 1st to 30th, 2021. It details expenses across various categories like lodging, travel, stationery, and others totaling 20,605. The form references the department and SOP details for expense reimbursement processes.

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misbah
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41 views2 pages

Expenses Reimbursement Form: Details of Advance Received

This document is an expense reimbursement form submitted by an employee named Anubhav Tripathi for expenses incurred from November 1st to 30th, 2021. It details expenses across various categories like lodging, travel, stationery, and others totaling 20,605. The form references the department and SOP details for expense reimbursement processes.

Uploaded by

misbah
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
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Departme

FA
Name of the Employee
Anubhav Tripathi
Details of Advance received:
Sr.No. Date Particulars of Pay

Total

Expenses incurred by Employee:


Sr.No. Date Description Product

1 09.11.21 Haldwani
2 21.11.21 Chamoli
3 22.11.21
Chamoli
4 23.11.21 Chamoli
5 25.11.21 Ruderpryag
6 26.11.20 Augestmuni
7 27.11.20 Ruderpryag
8 28.11.20 Pauri
9 29.11.20 Pauri
10 30.11.20 Pauri
11
12
13
14
15
Grand Total: 0

Signature of an
Employee:

Reference SOP/WI/QP Details: BT-FA02-Withdrawal & Handling


Revision History
Rev CRN No. Effective Date

1 CRN95 01.07.2020
Form Details F-FA01-01 w.e.f. 01.07.2020
Expenses Reimbursement Form
Department Date
FA 05.12.21
Expenses Details (Period)
From To
01.11.21 30.11.21

Particulars of Pay received Amount

Telephone/
Traveling- Consumable
Local Conveyance Mobile Stationery Lodging Other Expenses Total
Long distance Purchase
Recharge bill

420 420

174 450 591 1215

50 557
507
60 4200 950 435 5642
118 330 563 1011
120 560 680
15 2600 450 434 3499
440 557 997
553 553
5040 380 611 6031

417 0 440 11840 3100 0 4811 20605

Balance amount payable(-)/receivable(+)


20605
T-FA02-Withdrawal & Handling Petty Cash
sion History
Effective Date Initiated By Description of Change

01.07.2020 Ankita Sorkhel Document revised as per revised control of documents


7.2020

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