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Tour Expenses Settlement Form

TO BE FILLED BY EMPLOYEE
Employee Name: Designation
Employee Code: Department

Tour Location: PR Ref. (If Applicable)

Tour Period :
Tour Purpose: PR-4075/QP FEED
From : To:
Expense Statement
Currency
S No. Bill no. Exp. Date. Expense Description Amount Remarks Contribution
Rs.
1 QR With Bill
2 QR With Bill
3 QR With Bill
4 QR With Bill
5 QR With Bill
6 QR With Bill
7 QR With Bill
8 QR With Bill
9 QR With Bill
10 QR With Bill
11 QR With Bill
12 QR With Bill
13 QR With Bill
14 QR With Bill
15 QR With Bill
16 QR With Bill
17
18 INR With Bill
19 INR With Bill

SETTLEMENT SUMMARY
Description Currency Amount Exchange Rate Amount in QR
Total Expense A INR - 1.000 0
(Currency Wise) B QR - 19.030 0
Total Expense (in INR) -
Total Expense (in QR) 720.06
Total Advance (in QR) 450.00
Balance In Hand (in QR) -
Balance Receivable From iFluids 270.06

Employee Signature Reporting Manager Accounts Department


14.11.2018 to 06.12.2018

22 Days. 50 1100

71.88

79068

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