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  • Reimbursement Form

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    ManikiranSai
    10 views1 page
    The document is a reimbursement form for a faculty or staff member at the Indian Institute of Technology Hyderabad. It includes fields for the claimant's name, department, net amount claimed, expenditure details including date, vendor, purpose and amount. The form requires certification that expenses are logged, and includes signatures for approval and sanction of reimbursement for the amount claimed.

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    dsfa

    Original Title

    Reimbursement Form (3)

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    The document is a reimbursement form for a faculty or staff member at the Indian Institute of Technology Hyderabad. It includes fields for the claimant's name, department, net amount claimed, expenditure details including date, vendor, purpose and amount. The form requires certification that expenses are logged, and includes signatures for approval and sanction of reimbursement for the amount claimed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    10 views1 page

    Reimbursement Form

    Uploaded by

    ManikiranSai
    The document is a reimbursement form for a faculty or staff member at the Indian Institute of Technology Hyderabad. It includes fields for the claimant's name, department, net amount claimed, expenditure details including date, vendor, purpose and amount. The form requires certification that expenses are logged, and includes signatures for approval and sanction of reimbursement for the amount claimed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Indian Institute of Technology Hyderabad

    Kandi -502285 , Telangana, India,


    Phone: 7060

    Reimbursement of Expenditure

    Name of the Faculty/Staff:_________________________.


    Department :_________________________.
    Net Claimed :__________________________
    Details of expenditure
    Cash
    S.No. Date Name of the Firm Purpose Amount (Rs.)
    Memo No.

    Total Amount of Settlement


    (Rupees ___________________________________________________________________only)
    I certify that:
    (a)The expenditure details are entered in the Stock Register.
    Signature

    Expenditure approved and sanction accorded for reimbursement of an amount of Rs.____________________

    Dealing Assistant Deputy Registrar Registrar

    Bank Name & Branch :


    Bank Account Number :
    IFSC Code :

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