EXPENSE STATEMENT
Name Of Company Employee: H.Q.
Designation: FOR THE M/O.
DISTANCE
Date WORKING TOWN IN (K.M.) FARE D.A. OTHER TOTAL PURPOSE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
TOTAL
PREPARED BY………………………………………………… TRAVELLING ALLOWANCE
DAILY ALLOWANCE
PASSED BY…………………………………………………….. MOBILE EXP.
OTHER
SALARY
GRAND TOTAL