EXPENSE CLAIM FORM

Name: ABDUL RAHIM RAHUJO Emp #: 4778 Designation: Executive Grade: 1.2

From (date): 16-02-2011 To (date): 25-02-2011 Division: Engineering

Date Description Daily Allowance Self Stay Fare Bus/Train/Air POL Tolls Official Entertainment Others Total Expense

Hyd OMU

16-02-2011 POL for Shezore No LES 7231 (Exe: Abdul Rahim Rahujo) 3637 3637

16-02-11 to 25-02-11 POL for Motorbike No KDC 6197 (Cg Kamran) 2064 2064

16-02-11 to 25-02-11 POL for Motorbike No SKL 9833 (Cg Zubair) 2064 2064

16-02-11 to 25-02-11 POL for Motorbike No HDX3235 (cg Noor Mohd) 2064 2064

16-02-11 to 25-02-11 POL for Motorbike No KDC 6082 (Cg Nawaz) 2064 2064

16-02-11 to 25-02-11 POL for Motorbike No KDC 6086 (Cg Rauf) 2064 2064

16-02-11 to 25-02-11 POL for Motorbike No KDM 0773 (Cg Sammad) 2064 2064

USF

16-02-11 to 25-02-11 POL for Motorbike No LEL 2214 (Cg Kamran Qamar) 2064 2064

16-02-11 to 25-02-11 POL for Motorbike No KEC 3041 (Cg Allah Bux) 2128 2128

16-02-11 to 25-02-11 POL for Motorbike No KEC 3042 (Cg Arbab) 2128 2128

16-02-11 to 25-02-11 POL for Motorbike No KEC 3043 (Cg Dadu) 2128 2128

22-02-2011 POL for Shezore No LES 7231 (Exe: Abdul Rahim Rahujo) 4270 4270

28739 28739

Total Rs. 28739

Total Expense in words: Twenty Eight Thousand Seven hundred Thirty Nine Rupees Only

Signature of Employee: Date: 28-02-2011

Line Manager: Date:

General Manager (for exceptional claims): Date:

Validated by HR Date:

Head of Human Resources: Date:

TO BE FILLED BY FINANCE DEPARTMENT

Advance Taken: _____________________________________________

Total Expense: _______________________________________________

To be Paid by Company/(Employee): ____________________________ Verified By: Date:

(Please enclose all the relevant receipts/invoices along with this form)

Version # 1.0 Revision Date: 30-Jun-2007