Version:2
Date of Implementation: 01.12.14
Tempindia Staffing Services Pvt. Ltd.
Reimbursement Claim Form
Deputee Name
(MANDATORY):
Deputee Code
(MANDATORY): Authorized Reporting Manager Details (MANDATORY) :
Designation: Name:
Location: Designation :
Circle/ZONE: Based At :
Your Mobile No: Email ID:
Date Of Joining: Mobile:
Reimbursement for the Month
(MANDATORY): ( PLEASE NOTE YOU HAVE TO GIVE YOUR REIMBURSEMENT CLAIM FOR ONLY ONE MONTH)
.
Expenses Details
Expense Sheet
Attached (Tick in
Expense No of days boxes) Amount (Rs.)
(A) Hotel :
(B) Food Exp :
(C) Transp :
(D) Mobile :
(E) Local Conv :
(F) Misc :
GRAND
TOTAL(INR)
YOU ARE REQUESTED TO MAKE BELOW DECLARATION IN ORDER TO GET YOUR CLAIM PROCESSED AND APPROVED BY YOUR MANAGER AND FURTHER PROCESSED FOR PAYMENT BY TISS[ TICK IN
THE BOX] DO NOT LEAVE BLANK
MANAGER REMARKS( IN CASE OF
PARTICULARS YES NO MANAGER SIGNATURE (MANDATORY) EXCEEDING POLICY LIMIT)
[A] THE ABOVE REIMBURSEMENT CLAIM IS WITHIN THE POLICY
[B] THE ABOVE REIMBURSEMENT CLAIM IS EXCEEDING THE POLICY [IF YES THEN
YOUR MANAGER HAS TO SIGN IN THE BOX AND MENTION REASON TO APPROVE
THIS CLAIM
NOTE- 1) YOUR SIGNATURES WILL BE TREATED AS CORRECT CLAIM AND APPROVED FOR PROCESSING WITHOUT ANY DEDUCTION.
2 ) ANY INFORMATION PROVIDED BY YOU IN THIS FORM IS FOUND INCORRECT AT ANY STAGE TEMPINDIA SHALL NOT BE HELD RESPONSIBLE AN APPOPRIATE ACTION CAN BE TAKEN BY TISS OR OUR
CUSTOMER WHERE YOU ARE DEPUTEED
Deputee’s Signature Auth. Manager Signature [ Mandatory]
[ Mandatory]
Auth Manager Name [ Mandatory]:
DATED :
COMPANY SEAL [ Mandatory]:
TO BE FILLED BY REPORTING MANAGER (MANDATORY)
TOTAL AMOUNT CLAIMED (INR) -
TOTAL AMOUNT APPROVED BY
MANAGER AFTER OR NO DEDUCTION
(INR) -
MANAGER SIGNATURE :
IMPORTANT INSTRUCTIONS: (PLEASE READ CAREFULLY)
1.) YOU HAVE TO NOW FIRST SCAN [IN PDF FORMAT ONLY] AND THEN UPLOAD THIS FORM FROM YOUR TISSNET WEB ACCOUNT(UPLOAD REIMBURSEMENT CLAIM) AFTER FILLING ALL DETAILS AND
SIGNED BY YOUR MANAGER AND WAIT FOR ONLINE APPROVAL MAIL FROM YOUR RESPECTIVE MANAGER BEFORE SENDING TO TEMPINDIA
2.) YOUR TOTAL EXPENSES AMOUNT MUST TALLY WITH BILLS AND DETAIL EXPENSE SHEET.
3.) YOU HAVE TO SEND TO TISS WITH ONE ORIGINAL SET OF ALL BILLS AND ONE PHOTOCOPY OF THE SAME BILLS ALONG WITH THIS FORM .
4.) YOU MUST GET THIS FORM SIGNED AND APPROVED BY ONLY YOUR AUTHORISED MANAGER, IN CASE NOT SIGNED THEN THE CLAIM WILL BE REJECTED.
5.) CLAIM MUST BE AS PER REIMB POLICY UPLOADED ON YOUR TISSNET WEB A/C.
6.) THE PAYMENT SHALL BE MADE IN THE NEAREST PAYOUT DATE AFTER RECEIVING FUNDS FROM THE TEMPINDIA CLIENT.
7.) DO NOT LEAVE ANY COLUMN BLANK ALL FIELDS ARE MANDATORY
Important Note :
Any above Information is found missing or incomplete , your claim will be rejected.
