FRACTAL ANALYTICS PVT LTD

7th Floor, Silver Metropolis, Western Express Highway, Goregoan East , Mumbai 400063 www.fractalanalytics.com

Travel Expenses Reimbursement Form

Project ID 17-ACL1832
Employee Code F02039

Employee Name Shinjini Bhattacharyya

Designation Senior Consultant (6)

Client Billable McKesson

A statement of expenses incurred by me on my official visit to ___US_____ during _13TH March 2017_____ -
___09/04/2017______, for on-site assignment with ___McKesson_______, is given below.

Kindly mention Foreign Currency in Foreign Currency Column in which you have been incurred the travel expenses.

Reimbursement Expenses - ( Exps other than Per Diems )

Date Sr. No. Reimbursement Expense Description Amount Currency Attachment No.
10/3/2017 1 Attitre 3695 INR 1
5/3/2017 2 Attitre 11075 INR 2
24/3/2017 3 Laundry 83 USD 3
13/03/2017 4 Charger converter (India to US) 26.74 USD 4
9/4/2017 5 Sheraton piitsburgh airport hotel 3832 USD 5

SubTotal

Per- Deim Expenses

Date Sr. No. Per-Diem Expenses Description Amount Currency Attachment No.
7/4/2017 1 Food 41.18 USD 1
26/3/2017 2 Food 26.75 USD 2
18/3/2017 3 Food 7.49 USD 3
14/3/2017 4 Food 22.9 USD 4
23/3/2017 5 Food 15.25 USD 5
16/3/2017 6 Food 36.4 USD 6
14/03/2017 7 Food 7.48 USD 7
22/03/2017 8 Food 18.75 USD 8
21/03/2017 9 Food 14 USD 9
1/4/2017 10 Food 21.02 USD 10
24/3/2017 11 Food 15.25 USD 11
27/03/2017 12 Food 7.73 USD 12
31/03/2017 13 Food 9.56 USD 13
8/4/2017 14 Food 12.04 USD 14
7/4/2017 15 fOOD 12.17 USD 15
26/3/2017 16 Food 10.63 USD 16
7/4/2017 17 Food 46.18 USD 17
27/03/2017 18 Food 27.8 USD 18
25/03/2017 19 Food 33 USD 19
15/03/2017 20 Food 19.17 USD 20
4/4/2017 21 Food 119.83 USD 21
SubTotal
I certify that the above information is complete and true and in compliance with Company policy.

Employee Signature: