01 06 2014Dodsal Engineering and Construction Pte. Ltd.EXPENDITURE REIMBURSEMENT FORMProject No. : AE 82Project Name : NEB III Project (RUMAITHA-SHANAYEL FACILITIES PHASE III)Tender Review Record No. :Department Name:

Name of Employee :Emp. No. 24/2/2015Sr. No.Bill/CM No.DateNature of expenditureAmount 123456789101112131415

Sub-total0.00

Less : Advance taken0.00

Payment due to/from employee0.00

_____________________________ _____________________ ____________________ ___________Prepared byVerified & Approved Verified & Approved Approved Received byHR & A. Manager Finance Head PM/ PD Jayakumar Valiyaveettil

&9Format No.: DOD/FM/HRD/047, Rev. 0&9Page &P of &N