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Reimbursement Form

This form is for claiming reimbursement for expenses incurred on behalf of the company. For each new expense, please submit a separate form rather than combining multiple expenses in one submission.

Full Name

Mention your Full Name.

Expense Date

Date on which the expense was incurred.

Expense Category

Item purchased on behalf of the company.

Amount

Amount you paid for the product/service.

Bill/Payment Receipt

Upload screenshots of the payment receipt or bill with the date and amount clearly visible.

Additional Remarks

Provide any relevant details regarding the reimbursement request.