Lekha · Reimbursement Voucher

Name

Date

Dept Designation E C No.

Amount = Kms Travelled × Per Km. Car 10, Motorcycle 5. Leave Kms Travelled and Per Km blank to type Amount (notary, mobile, meal, parking).

Travel

Auto (auto-rickshaw) amount optional · goes in the “Auto” row of the Excel

TOTAL₹

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