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Page 1 of 2

KERNEX MICROSYSTEMS (INDIA) LTD

HYDERABAD

STATEMENT OF PROJECT EXPENSES

Name of the Employee : Designation : Employee Code :

Project Name : KR Route Type of Work

: Place : Belapur

(Amount in Rupees)

Sl.

No.

From To Particulars Telephone& FaxCharges

(1)

Labor /

PortalCharges

(2)

Hotel

Expenses

(3)

Vehicle

HireCharges

(4)

Printing

&Stationery

(5)

Local

Purchases

(6)

Local

Conveyance

(7)

Travel

Expenses

(8)

Misc.

Expenses

(9)

Grand

Total

1

2

3

4

GrandTotal

Total Project Expenses (B) (Grand Total = 1+2+3+4)

Page 2 of 2

Give work particulars Incubation / Installation / Maintenance or any other Specifically

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Abstract of Project Particulars

Advance Taken S.No. Date Amount Project Advance Particulars

Total Advance (A) :

Less : Total Expenses (B) :

Due to Company / Employee : Rs. :

(Rupees ----------------------------------------------Only)

Name of the Employee : Verified by : Forwarded by :Signature : Signature : Signature:

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KERNEX MICROSYSTEMS (INDIA) LTD

HYDERABAD

Statement of Telephone & Fax Expenses (1)

S.No. DateTelephone

Number

Amount in

Rs.Called Party Particulars of Calls Remarks

Grand Total

Name of the Employee : Verified by :

Signature : Signature :

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KERNEX MICROSYSTEMS (INDIA) LTD

HYDERABAD

Statement of Labor & Porter Charges (2)

S.No. DateName of the

Labor/ Porter

Amount

in Rs.Type of work

Signature of Project

Coordinator/Authorizing

Person

Remarks

1

2

3

4

5

6

Grand Total

Name of the Employee : Verified by :

Signature : Signature :

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KERNEX MICROSYSTEMS (INDIA) LTD

HYDERABAD

Statement of Hotel Accommodation(3)

S.No. From To Name of the Hotel & Place Room Number(s)&

Type (s)

Stayed Employee(s) Paid Bill,

Receipt No.&Rs.

Remarks

Grand Total

Name of the Employee : Verified by :

Signature : Signature :

KERNEX MICROSYSTEMS (INDIA) LTD

HYDERABAD

Statement of Vehicle Hire Charges (4)

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S.No. From To Name of the Party /Transporter & PAN

Number

Type of Vehicle @Rate & Days

Purpose of ProjectWork

Vehicle LogBook Reference

Number

Remarks

Grand Total

Name of the Employee : Verified by :

Signature : Signature :

KERNEX MICROSYSTEMS (INDIA) LTD

HYDERABAD

Statement of Printing & Stationery (5)

without Log Book Sheets / Xerox Sheets the bills cant be process

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S.No. Date Name of the Party Type of Material Amount in Rs. Purpose of Material

Remarks

Grand Total

Name of the Employee : Verified by :

Signature : Signature :

KERNEX MICROSYSTEMS (INDIA) LTD

HYDERABAD

Statement of Local Purchase (6)

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S.No. Date Name of the Party & Bill Number Type of Material Amount in Rs. Purpose ofMaterial

Remarks

Grand Total

Name of the Employee : Verified by :

Signature : Signature :

KERNEX MICROSYSTEMS (INDIA) LTD

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HYDERABAD

Statement of Local Conveyance (7)

S.No. Date Journey from Journey to Bill Number

& Type ofJourney

Amount in Rs. Assigned Person Name

& Signature

Remarks

Name of the Employee : Verified by :

Signature : Signature :

KERNEX MICROSYSTEMS (INDIA) LTD

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HYDERABAD

Statement of Traveling Expenses (8)

S.No. Date Journey from Journey to Bill Number

& Type ofJourney

Amount in Rs. Assigned Person Remarks

Grand Total

Name of the Employee : Verified by :

Signature : Signature :

KERNEX MICROSYSTEMS (INDIA) LTD

HYDERABAD

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Statement of Miscellaneous Expenses (9)

S.No.Date Type of Expenses

Amount in Rs.

Signature of

Project

Coordinator

Remarks

Name of the Employee : Verified by :

Signature : Signature :