Annual Air Ticket Allowance Form

Employee Name Sajith Kottila Veettil Department Internal Audit

Employee ID 2278 Project Director Manish Laligam

Name Relation to employee

Date of Birth From Date To Date

Sajith Kottila Veettil Self 12-02-1987 23 Dec 2015 23 Jan 2016

Signature of Employee: Date: 27th July 2015

FOR OFFICE USE ONLY (To be filled by HR)

Date of Joining Destination City

Date of last availed Ticket Balance

Criteria Actual Cost of

Ticket Cheapest Quote

Amount payable to Employee

Amount deductible from

Employee

Ticket booked by company

Employee booked & due for reimbursement

Encashment of ticket cost

Amount Payable to Vendor:

LPO Number Amount Payable to Vendor

Signature of HR Manager: _____________ Date: ___________________