You can always press Enter⏎ to continue
Technician's Expenses Claim Form (V3).
Hi there, kindly fill out and submit this form to initiate your reimbursement claim process.
START
Language
English (US)
Arabic
Tamil
1
Date of Submission
-
Date
Day
Month
Year
1
2
3
4
5
6
7
8
9
10
11
12
7
1
2
3
4
5
6
7
8
9
10
11
12
Hour
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
46
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
Minutes
AM
PM
AM
AM
PM
Previous
Next
Submit
Press
Enter
2
Unique ID
Previous
Next
Submit
Press
Enter
3
Name.
*
This field is required.
Please select your Name and Employee ID from the drop-down.
Previous
Next
Submit
Press
Enter
4
NAME FOR AUTOMATION.
Previous
Next
Submit
Press
Enter
5
Team.
*
This field is required.
Elite - Installation
Elite - Service
NIBAV - Installation
NIBAV - Service
Previous
Next
Submit
Press
Enter
6
Assigned State / UT.
*
This field is required.
Previous
Next
Submit
Press
Enter
7
Nearest EC / Office.
*
This field is required.
Previous
Next
Submit
Press
Enter
8
Email.
*
This field is required.
Enter your official email address. A verification code will be sent to confirm your identity before submission.
example@example.com
Previous
Next
Submit
Press
Enter
9
Would you like to enter General Expense?
General Expenses are costs for things like food, travel, or supplies needed to do your job. Keep receipts to get reimbursed.
YES
NO
Previous
Next
Submit
Press
Enter
10
General Expenses Details.
*
This field is required.
Enter expenses like food, travel, accommodation, materials, or other costs incurred during job execution.
Previous
Next
Submit
Press
Enter
11
Would you like to enter Mileage Expenses?
Mileage Expenses refer to costs reimbursed to employees for using their personal vehicles, such as a personal bike or personal car, for official business travel, calculated based on the distance traveled.
YES
NO
Previous
Next
Submit
Press
Enter
12
Milege Expenses Details.
Log personal vehicle trips related to work. Include travel date, route, distance covered, and claimed amount.
Previous
Next
Submit
Press
Enter
13
Upload Receipts / Tickets / Bills.
Upload clear images or PDFs of your expense receipts, travel tickets, or bills. Ensure all details are visible. Max size: 1.9 GB.
Drag and drop files here
Select files to upload
Max. file size
: 1.9GB
Browse Files
Cancel
of
Previous
Next
Submit
Press
Enter
14
Email for Automation
example@example.com
Previous
Next
Submit
Press
Enter
15
Upload Receipts / Tickets / Bills.
Upload clear images or PDFs of your expense receipts, travel tickets, or bills. Ensure all details are visible. Max size: 1.9 GB.
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
Cancel
of
Previous
Next
Submit
Press
Enter
Should be Empty:
Technician's Expenses Claim Form (V3).
[Edit]
Question Label
1
of
15
See All
Go Back
Submit
