TA Reimbursement Template

Employee Name: Purpose of Trip

Designation:
Employee ID:
Date Date Date Date Date Date Date
Travel Details
From:
To :
Usage of Personal Car in KMs:
Food and Accommodation Expenses Totals
Room Rent: 0.00
Breakfast: 0.00
Lunch: 0.00
Dinner: 0.00
Travel & Other Expenses
Usage Rate Rs./KM 7 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Air Ticket: 0.00
Taxi : 0.00
Rent A Car: 0.00
Other Transport: 0.00
Telephone: 0.00
Tolls: 0.00
Parking: 0.00
Tips : 0.00
Other: 0.00
Daily Total 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Less: Cash Advance
Date of Submission Approved By: Total Reimbursable Amount 0.00
Amount in Words

Employee Signature Senior Accountant

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