EXPENSE CLAIM
Employee Name: KAMRAN Branch: Riyadh Riyadh PT-NO.
1 2 3 4 5 6 7 8 9 10 11 12
Date City City Departure Arrival Bus Hotel/Room Per Taxi Local Other Total
D/M/Y Fro To Time Time Ticket Rent Diem Purchases Expenses Daily
m IN
25-6-2025 110.50
26-6-2025 115.75
28-6-2025 110.00
29-6-2025 110.00
30-6-2025 110
1-7-2025 105.00
2-7-2025 105.0
3-7-2025 105.00
6-7-2025 60
7-7-2025 105.0
0 0 1036.25 0 1036.25
Advance/s (If any) Date: PCV# Amount:
Travel Advance 1.
Travel Advance 2.
Travel Advance 3.
Final Settlement Total SAR: 1036.25 0 0 0 0 0