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New Non-CTC Claim
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Organization Unit
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Reimbursement Claim
Claim Id
Sub category
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Eligible Amount (INR)
CUG Number
Vendor
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Bill Number
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Start Date
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End Date
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Bill Date
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Payment Method
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Claim Amount
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Employee Comment
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Excess Comment
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Reimbursement Claim
Claim Id
Sub category
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Conveyance Mode
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Eligible Amount (INR)
Distance (Kms)
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Rate Per (Km)
Claim Amount
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Vendor
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Bill Number
From Destination
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To Destination
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Start Date
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End Date
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Bill Date
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Payment Method
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Cash
Others
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Employee Comment
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Excess Comment
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Reimbursement Claim
Claim Id
Sub category
Select Menu
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Eligible Amount (INR)
Vendor
Please enter valid vendor.
Bill Number
Please enter valid Bill no.
Start Date
Please enter valid Start date.
End Date
Please enter valid End date.
Bill Date
Please enter valid Bill date.
Payment Method
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Cash
Others
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Claim Amount
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Employee Comment
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Customer Name
Premise Address
Meter number
Phone number
Nature of expense
Excess Comment
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Claim Details
Claim Id
Claim Id
Bill Number
Eligible Amount
Claim Amount
Start Date
End Date
Bill Date
Expense Category
Action
Claim Summary
Total Claimed Amount
Date of Claim Submission
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