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Project/Customer Name:
Work Allowance Claim Form
Employee No:
Employee Name :
Cost Center :
Month :
Sales Order No: (IMP : Please
include the line# with the SO# ::
Example: 90012345/20)
Extended Hour/
Sl.No Date Weekend/Public Amount (INR)
Holidays
10
11
12
13
14
15
Total :
I, _______________, do hereby certify that the above details are true and correct, in accordance with the policy.
_____________________________
Signature of Employee
Date :
I, _______________, do hereby certify that the above details submitted by the employee have been verified and approved
by me.
_____________________________
Signature of Sales Order Owner (responsible to approve expenses)
SO Owner Employee ID# :
Date :
Note : An email approval from the SO owner would also suffice instead of the physical signature. Attach the approval with t
dia
m Form
Remarks