Expense Claim Form ( ECF )

NAME* Pavnish Kumar Sharma ECN No.* 108710

LOCATION* (Please tick) JAI CCN No.*

ANALYSIS AND JUSTIFICATION OF EXPENDITURE(A) Give details of expenditure on the reverse of this claim PAYMENT (Please tick)

& these expenses need authorisation Date Line Ref. Nature and Business Purpose Required for all Expenditure kms Amount(+) Supports be attached CHEQUE PAY TO ----------------------------- ( Including names of customers/suppliers/employees if applicable) Rs.

For further information on completion see page-2 -------------------------------

SL. COMPUTER RS. 1-Dec Home to

NO. EXPENDITURE CODE Pl round off to nearest Re 2-Dec Home to

1 MEDICAL- Monthly Reimbursement for self & dependents (+) 3-Dec Home to

2 PETROL - Montly Reimbursment (+) 4-Dec Home to Travplus, Crown, Udaantrip, Nexus tours, Safar, Mayur travels

3 DRIVER - Monthly Reimbersment (+) 7-Dec Home to Classic, Grand tours, master Int., Travel care, Streetway, Satguru

4 TAXI HIRE CHARGES (A)+ 8-Dec Home to

5 VEHICLE MAINT - for Co. Vehicles (A)+ 9-Dec Home to Trvelospin, Mittal, Padmashree, Sangi, Traverse, Mayur travels

6 CONVEYANCE - Monthly Reimbursement (A)+ 4736 10-Dec Home to Ritco travels, Travel Planners, Deepak air, Sapient, Sachiya, Pinky

7 LOCAL CONVEYANCE / TRANSPORTATION / FREIGHT/ OCTROI (A)+ 11-Dec Home to Mittal, Padmashree, Udaantrip, Nexus, Safar, Satguru holidays

8 STAFF WELFARE - Refreshment & Goods for staff only (A)+ 14-Dec Home to Amrapali, Grand tours, Mayur, Streetway, Travel care, Indigo

9 PRINTING & STATIONARY For office use only (A)+ 15-Dec Home to Perfect holidays, padamshree, Udaantrip, Tirupati, Ritco. Flywell

10 PURCHASE SERVICES / CASUAL LABOUR (A)+ 16-Dec Home to

11 GIFT & PRESENTATION (Please provide name of giftees) (A)+ 17-Dec Home to Travelospin, Travplus, Padmashree, sangi. Traverse, mayur travels

12 (A)+ 18-Dec Home to

21-Dec Home to

13 MEETING/CONFERENCE/SEMINAR (A)+ 22-Dec Home to Mittal, Padmashree, Udaantrip, Nexus, Safar, Mayur travels

14 BOOKS & PERIODICALS FOR OFFICE (A)+ 23-Dec Home to Udaipur Sales visit

15 MEMBERSHIP & SUBSCRIPTION (A)+ 24-Dec Home to Udaipur Sales visit

16 TELEPHONE/MOBILE (A)+ 1100 28-Dec Home to17 REPAIRS & MAINT. - Renovation & Repairs (A)+ 29-Dec Home to Tirupati, Ritco, Flywell, Perfect, Padmashree, Udaantrip travels

18 COURIER CHARGES - Local courier/cases delivery person etc. (A)+ 30-Dec Home to Ritco, Travel planners, Udaantrip, Amrapali, Indigo, Flywell

19 POSTAGE & TELEGRAM (A)+ 31-Dec Home to Rajjas, Shrishiv, Ankit, BCS tours, Indus, Frequent forex

20 LEGAL/PROFESSIONAL CHARGES (A)+

21 DEVELOPMENT CHARGES (A)+

22 PHOTOCOPYING CHARGES (A)+

23 AUDITORS OUT OF POCKET EXPENSES (A)+

24 IMPREST (A)+

Amrapali, Grand tours, Frequent travels, Streetway, Master travels, Indigo travels

Shree shiv, BCS tours, Ankit travels, GjC holidays, Crown tours, Perfect holidays

Ritco travels, Travel Planners, Udaantrip, Sapient, Sachiya, Pinky forex

Sapient, Sachiya, Pinky Forex, Frequent, Ritco travels, Travel planners

Gjc holidays, Classic tours, Frequent, Pearl, Travel planners, Indus tours

BUSINESS PROMOTION / ENTERTAINMENT (Pls. provide Entertainment Expenditure Declaration Form)

Sapient, Sachiya, Pinky forex, Ritco travels, Travel planners, Frequent

Indus tours, Rainbow vacations, Travel planners, Frequent, Satguru, Rajjas

Sapient, Sachiya, Pinky Forex, Frequent, Ritco travels, Travel planners

25 OTHERS PLS SPECIFY Parking (A)+

A Actual mobile bill amt 1166

TOTAL AMOUNT CLAIMED 5836.0 B less part of salary 0

LESS: IMPREST / ADVANCE TAKEN 0 C less personal calls 66

BALANCE DUE ( TO ) FROM COMPANY 0 D Balance:(A-B-C) 1100

AMOUNT IN WORDS Five thousand Eight hundred Thirty Six only E eg:-as per dsgnt USAGE LIMIT 1500

Balance:(D-E)

AMOUNT PASSED BY ACCOUNTS Total Claim 1100

Please ensure that approval signatories are confirming compliance to approval authority policy.

Claimant's Signature* Approval Signature* Special Approval Checked by Accounts Dept

Name: Pavnish kumar sharma Name Name Cash Received by

Date: 1 Jan 2016 Date Date Signature

Kindly affix Revenue Stamp, if payment exceeds Rs. 500/-

2-Dec Home to Airport Sanganer, Malviya Nagar, Indira Bazar 3-Dec Home to Airport Sanganer, Station Road, Bani Park4-Dec Home to C-Scheme, M.I.Road, Murlipura5-Dec Home to subhash Nagar & Back7-Dec Home to Airport Sanganer, Tonk Road, M.I.Road8-Dec Home to Airport Sanaganer, Station Road, Civil Lines, C-Scheme9-Dec Home to Airport Sanganer. Tonk Road, C-Scheme

10-Dec Home to Airport Sanganer, M.I. Road11-Dec Home to Airport Sanganer, Tonk Road, M.I.Road12-Dec Riya Travel M.I.Road, Nehru Bazar, Jawahar Nagar14-Dec Home to Airport Sanganer, Durgapura, Devi nagar, Nirman nagar15-Dec Home to Airport Sanganer, S.C.Road, M.I.Road16-Dec Home to Airport Sanganer, station road, chandpole, C-scheme17-Dec Home to Airport Sanganer, hawa sarak, Ajmer Road18-Dec Home to Airport Sanganer, C-scheme, Tonk Road, Subhash nagar19-Dec21-Dec Sri Balaji Associates Sikar Road, Murlipura, V.K.I, Vidyadhar22-Dec Shiv Enterprises Chand Pole Gate, Indira Bazar, S.C.Road23-Dec Home to Airport Sanganer, M.I.Road, 24-Dec Home to Airport Tonk Road, Bapu nagar28-Dec Diana Travel Station Road, M.I.Road, Bani Park29-Dec Home to Airport Sanaganer, Raja Park, Tilak Nagar30-Dec Riya Travel M.I.Road, Johri Bazar31-Dec ON LEAVE