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Expenses Claim Form.
STAG Elevators (INDIA)
Date of Submission
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Personal Info.
Claim Person Emp - ID
*
Claim Person Name
Claim Person Email
example@example.com
Accounts Email
Team
Assigned Work Location
Claim Person Email.
*
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Advance Details
Initial Amount
*
Advance Received
Carry Forward (Previous Advance Balance)
*
Advance Received
*
No. of Expenses in this claim. - READ ONLY.
Total Expense - READ ONLY.
Final Amount (Amount to be Returned) - READ ONLY.
Amount Refunded (if it's a refund)
Amount Refunded Proof.
*
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Expense 1
Expense Date (1)
*
Expense Category (1)
*
Please Select
Accommodation
Courier
Food
Fuel (Petrol / Diesel)
Labor Hire
Material Purchase
Medical
Other Expenses
Pending Claims
Printing and stationery
Ticket Booking
Tool Purchase
Travel - Auto
Travel - Bus
Travel - Flight
Travel - Metro
Travel - Ola/Uber/Rapido
Travel - Pvt. Cab
Travel - Train
Amount (1)
*
Task (1)
*
Please Select
AMC / Service
Complaint
Handover
Installation
Market
Office / EC
Site Visit
Customer Name or Lift Number (1)
*
Customer Location (1)
*
Customer Location (AUTOMATION) (1)
*
Remarks (1)
Proof of Expense? (1)
*
Yes
No
File Upload (1)
*
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*
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No
Expense 2
Expense Date (2)
*
Expense Category (2)
*
Please Select
Accommodation
Courier
Food
Fuel (Petrol / Diesel)
Labor Hire
Material Purchase
Medical
Other Expenses
Pending Claims
Printing and stationery
Ticket Booking
Tool Purchase
Travel - Auto
Travel - Bus
Travel - Flight
Travel - Metro
Travel - Ola/Uber/Rapido
Travel - Pvt. Cab
Travel - Train
Amount (2)
*
Task (2)
*
Please Select
AMC / Service
Complaint
Handover
Installation
Market
Office / EC
Site Visit
Customer Name or Lift Number (2)
*
Customer Location (2)
*
Customer Location (AUTOMATION) (2)
Remarks (2)
Proof of Expense? (2)
*
Yes
No
File Upload (2)
*
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*
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Expense 3
Expense Date (3)
*
Expense Category (3)
*
Please Select
Accommodation
Courier
Food
Fuel (Petrol / Diesel)
Labor Hire
Material Purchase
Medical
Other Expenses
Pending Claims
Printing and stationery
Ticket Booking
Tool Purchase
Travel - Auto
Travel - Bus
Travel - Flight
Travel - Metro
Travel - Ola/Uber/Rapido
Travel - Pvt. Cab
Travel - Train
Amount (3)
*
Task (3)
*
Please Select
AMC / Service
Complaint
Handover
Installation
Market
Office / EC
Site Visit
Customer Name or Lift Number (3)
*
Customer Location (3)
*
Customer Location (AUTOMATION) (3)
Remarks (3)
Proof of Expense? (3)
*
Yes
No
File Upload (3)
*
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*
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No
Expense 4
Expense Date (4)
*
Expense Category (4)
*
Please Select
Accommodation
Courier
Food
Fuel (Petrol / Diesel)
Labor Hire
Material Purchase
Medical
Other Expenses
Pending Claims
Printing and stationery
Ticket Booking
Tool Purchase
Travel - Auto
Travel - Bus
Travel - Flight
Travel - Metro
Travel - Ola/Uber/Rapido
Travel - Pvt. Cab
Travel - Train
Amount (4)
*
Task (4)
*
Please Select
AMC / Service
Complaint
Handover
Installation
Market
Office / EC
Site Visit
Customer Name or Lift Number (4)
*
Customer Location (4)
*
Customer Location (AUTOMATION) (4)
Remarks (4)
Proof of Expense? (4)
*
Yes
No
File Upload (4)
*
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*
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No
Expense 5
Expense Date (5)
*
Expense Category (5)
*
Please Select
Accommodation
Courier
Food
Fuel (Petrol / Diesel)
Labor Hire
Material Purchase
Medical
Other Expenses
Pending Claims
Printing and stationery
Ticket Booking
Tool Purchase
Travel - Auto
Travel - Bus
Travel - Flight
Travel - Metro
Travel - Ola/Uber/Rapido
Travel - Pvt. Cab
Travel - Train
Amount (5)
*
Task (5)
*
Please Select
AMC / Service
Complaint
Handover
Installation
Market
Office / EC
Site Visit
Customer Name or Lift Number (5)
*
Customer Location (5)
*
Customer Location (AUTOMATION) (5)
Remarks (5)
Proof of Expense? (5)
*
Yes
No
File Upload (5)
*
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+ ADD NEW EXPENSE (5)
*
Yes
No
Expense 6
Expense Date (6)
*
Expense Category (6)
*
Please Select
Accommodation
Courier
Food
Fuel (Petrol / Diesel)
Labor Hire
Material Purchase
Medical
Other Expenses
Pending Claims
Printing and stationery
Ticket Booking
Tool Purchase
Travel - Auto
Travel - Bus
Travel - Flight
Travel - Metro
Travel - Ola/Uber/Rapido
Travel - Pvt. Cab
Travel - Train
Amount (6)
*
Task (6)
*
Please Select
AMC / Service
Complaint
Handover
Installation
Market
Office / EC
Site Visit
Customer Name or Lift Number (6)
*
Customer Location (6)
*
Customer Location (AUTOMATION) (6)
Remarks (6)
Proof of Expense? (6)
*
Yes
No
File Upload (6)
*
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+ ADD NEW EXPENSE (6)
*
Yes
No
Expense 7
Expense Date (7)
*
Expense Category (7)
*
Please Select
Accommodation
Courier
Food
Fuel (Petrol / Diesel)
Labor Hire
Material Purchase
Medical
Other Expenses
Pending Claims
Printing and stationery
Ticket Booking
Tool Purchase
Travel - Auto
Travel - Bus
Travel - Flight
Travel - Metro
Travel - Ola/Uber/Rapido
Travel - Pvt. Cab
Travel - Train
Amount (7)
*
Task (7)
*
Please Select
AMC / Service
Complaint
Handover
Installation
Market
Office / EC
Site Visit
Customer Name or Lift Number (7)
*
Customer Location (7)
*
Customer Location (AUTOMATION) (7)
Remarks (7)
Proof of Expense? (7)
*
Yes
No
File Upload (7)
*
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+ ADD NEW EXPENSE (7)
*
Yes
No
Expense 8
Expense Date (8)
*
Expense Category (8)
*
Please Select
Accommodation
Courier
Food
Fuel (Petrol / Diesel)
Labor Hire
Material Purchase
Medical
Other Expenses
Pending Claims
Printing and stationery
Ticket Booking
Tool Purchase
Travel - Auto
Travel - Bus
Travel - Flight
Travel - Metro
Travel - Ola/Uber/Rapido
Travel - Pvt. Cab
Travel - Train
Amount (8)
*
Task (8)
*
Please Select
AMC / Service
Complaint
Handover
Installation
Market
Office / EC
Site Visit
Customer Name or Lift Number (8)
*
Customer Location (8)
*
Customer Location (AUTOMATION) (8)
Remarks (8)
Proof of Expense? (8)
*
Yes
No
File Upload (8)
*
Browse Files
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of
+ ADD NEW EXPENSE (8)
*
Yes
No
Expense 9
Expense Date (9)
*
Expense Category (9)
*
Please Select
Accommodation
Courier
Food
Fuel (Petrol / Diesel)
Labor Hire
Material Purchase
Medical
Other Expenses
Pending Claims
Printing and stationery
Ticket Booking
Tool Purchase
Travel - Auto
Travel - Bus
Travel - Flight
Travel - Metro
Travel - Ola/Uber/Rapido
Travel - Pvt. Cab
Travel - Train
Amount (9)
*
Task (9)
*
Please Select
AMC / Service
Complaint
Handover
Installation
Market
Office / EC
Site Visit
Customer Name or Lift Number (9)
*
Customer Location (9)
*
Customer Location (AUTOMATION) (9)
Remarks (9)
Proof of Expense? (9)
*
Yes
No
File Upload (9)
*
Browse Files
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+ ADD NEW EXPENSE (9)
*
Yes
No
Expense 10
Expense Date (10)
*
Expense Category (10)
*
Please Select
Accommodation
Courier
Food
Fuel (Petrol / Diesel)
Labor Hire
Material Purchase
Medical
Other Expenses
Pending Claims
Printing and stationery
Ticket Booking
Tool Purchase
Travel - Auto
Travel - Bus
Travel - Flight
Travel - Metro
Travel - Ola/Uber/Rapido
Travel - Pvt. Cab
Travel - Train
Amount (10)
*
Task (10)
*
Please Select
AMC / Service
Complaint
Handover
Installation
Market
Office / EC
Site Visit
Customer Name or Lift Number (10)
*
Customer Location (10)
*
Customer Location (AUTOMATION) (10)
Remarks (10)
Proof of Expense? (10)
*
Yes
No
File Upload (10)
*
Browse Files
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of
+ ADD NEW EXPENSE (10)
*
Yes
No
Expense 11
Expense Date (11)
*
Expense Category (11)
*
Please Select
Accommodation
Courier
Food
Fuel (Petrol / Diesel)
Labor Hire
Material Purchase
Medical
Other Expenses
Pending Claims
Printing and stationery
Ticket Booking
Tool Purchase
Travel - Auto
Travel - Bus
Travel - Flight
Travel - Metro
Travel - Ola/Uber/Rapido
Travel - Pvt. Cab
Travel - Train
Amount (11)
*
Task (11)
*
Please Select
AMC / Service
Complaint
Handover
Installation
Market
Office / EC
Site Visit
Customer Name or Lift Number (11)
*
Customer Location (11)
*
Customer Location (AUTOMATION) (11)
Remarks (11)
Proof of Expense? (11)
*
Yes
No
File Upload (11)
*
Browse Files
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of
+ ADD NEW EXPENSE (11)
*
Yes
No
Expense 12
Expense Date (12)
*
Expense Category (12)
*
Please Select
Accommodation
Courier
Food
Fuel (Petrol / Diesel)
Labor Hire
Material Purchase
Medical
Other Expenses
Pending Claims
Printing and stationery
Ticket Booking
Tool Purchase
Travel - Auto
Travel - Bus
Travel - Flight
Travel - Metro
Travel - Ola/Uber/Rapido
Travel - Pvt. Cab
Travel - Train
Amount (12)
*
Task (12)
*
Please Select
AMC / Service
Complaint
Handover
Installation
Market
Office / EC
Site Visit
Customer Name or Lift Number (12)
*
Customer Location (12)
*
Customer Location (AUTOMATION) (12)
Remarks (12)
Proof of Expense? (12)
*
Yes
No
File Upload (12)
*
Browse Files
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+ ADD NEW EXPENSE (12)
*
Yes
No
Expense 13
Expense Date (13)
*
Expense Category (13)
*
Please Select
Accommodation
Courier
Food
Fuel (Petrol / Diesel)
Labor Hire
Material Purchase
Medical
Other Expenses
Pending Claims
Printing and stationery
Ticket Booking
Tool Purchase
Travel - Auto
Travel - Bus
Travel - Flight
Travel - Metro
Travel - Ola/Uber/Rapido
Travel - Pvt. Cab
Travel - Train
Amount (13)
*
Task (13)
*
Please Select
AMC / Service
Complaint
Handover
Installation
Market
Office / EC
Site Visit
Customer Name or Lift Number (13)
*
Customer Location (13)
*
Customer Location (AUTOMATION) (13)
Remarks (13)
Proof of Expense? (13)
*
Yes
No
File Upload (13)
*
Browse Files
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+ ADD NEW EXPENSE (13)
*
Yes
No
Expense 14
Expense Date (14)
*
Expense Category (14)
*
Please Select
Accommodation
Courier
Food
Fuel (Petrol / Diesel)
Labor Hire
Material Purchase
Medical
Other Expenses
Pending Claims
Printing and stationery
Ticket Booking
Tool Purchase
Travel - Auto
Travel - Bus
Travel - Flight
Travel - Metro
Travel - Ola/Uber/Rapido
Travel - Pvt. Cab
Travel - Train
Amount (14)
*
Task (14)
*
Please Select
AMC / Service
Complaint
Handover
Installation
Market
Office / EC
Site Visit
Customer Name or Lift Number (14)
*
Customer Location (14)
*
Customer Location (AUTOMATION) (14)
Remarks (14)
Proof of Expense? (14)
*
Yes
No
File Upload (14)
*
Browse Files
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+ ADD NEW EXPENSE (14)
*
Yes
No
Expense 15
Expense Date (15)
*
-
Year
-
Month
Day
4 digit year, 2 digit month, 2 digit day
Date
Expense Category (15)
*
Please Select
Accommodation
Courier
Food
Fuel (Petrol / Diesel)
Labor Hire
Material Purchase
Medical
Other Expenses
Pending Claims
Printing and stationery
Ticket Booking
Tool Purchase
Travel - Auto
Travel - Bus
Travel - Flight
Travel - Metro
Travel - Ola/Uber/Rapido
Travel - Pvt. Cab
Travel - Train
Amount (15)
*
Task (15)
*
Please Select
AMC / Service
Complaint
Handover
Installation
Market
Office / EC
Site Visit
Customer Name or Lift Number (15)
*
Customer Location (15)
*
Customer Location (AUTOMATION) (15)
Remarks (15)
Proof of Expense? (15)
*
Yes
No
File Upload (15)
*
Browse Files
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+ ADD NEW EXPENSE (15)
*
Yes
No
Expense 16
Expense Date (16)
*
-
Year
-
Month
Day
4 digit year, 2 digit month, 2 digit day
Date
Expense Category (16)
*
Please Select
Accommodation
Courier
Food
Fuel (Petrol / Diesel)
Labor Hire
Material Purchase
Medical
Other Expenses
Pending Claims
Printing and stationery
Ticket Booking
Tool Purchase
Travel - Auto
Travel - Bus
Travel - Flight
Travel - Metro
Travel - Ola/Uber/Rapido
Travel - Pvt. Cab
Travel - Train
Amount (16)
*
Task (16)
*
Please Select
AMC / Service
Complaint
Handover
Installation
Market
Office / EC
Site Visit
Customer Name or Lift Number (16)
*
Customer Location (16)
*
Customer Location (AUTOMATION) (16)
*
Remarks (16)
Proof of Expense? (16)
*
Yes
No
File Upload (16)
*
Browse Files
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+ ADD NEW EXPENSE (16)
*
Yes
No
Expense 17
Expense Date (17)
*
-
Year
-
Month
Day
4 digit year, 2 digit month, 2 digit day
Date
Expense Category (17)
*
Please Select
Accommodation
Courier
Food
Fuel (Petrol / Diesel)
Labor Hire
Material Purchase
Medical
Other Expenses
Pending Claims
Printing and stationery
Ticket Booking
Tool Purchase
Travel - Auto
Travel - Bus
Travel - Flight
Travel - Metro
Travel - Ola/Uber/Rapido
Travel - Pvt. Cab
Travel - Train
Amount (17)
*
Task (17)
*
Please Select
AMC / Service
Complaint
Handover
Installation
Market
Office / EC
Site Visit
Customer Name or Lift Number (17)
*
Customer Location (17)
*
Customer Location (AUTOMATION) (17)
*
Remarks (17)
Proof of Expense? (17)
*
Yes
No
File Upload (17)
*
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*
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Expense 18
Expense Date (18)
*
-
Year
-
Month
Day
4 digit year, 2 digit month, 2 digit day
Date
Expense Category (18)
*
Please Select
Accommodation
Courier
Food
Fuel (Petrol / Diesel)
Labor Hire
Material Purchase
Medical
Other Expenses
Pending Claims
Printing and stationery
Ticket Booking
Tool Purchase
Travel - Auto
Travel - Bus
Travel - Flight
Travel - Metro
Travel - Ola/Uber/Rapido
Travel - Pvt. Cab
Travel - Train
Amount (18)
*
Task (18)
*
Please Select
AMC / Service
Complaint
Handover
Installation
Market
Office / EC
Site Visit
Customer Name or Lift Number (18)
*
Customer Location (18)
*
Customer Location (AUTOMATION) (18)
*
Remarks (18)
Proof of Expense? (18)
*
Yes
No
File Upload (18)
*
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*
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Expense 19
Expense Date (19)
*
-
Year
-
Month
Day
4 digit year, 2 digit month, 2 digit day
Date
Expense Category (19)
*
Please Select
Accommodation
Courier
Food
Fuel (Petrol / Diesel)
Labor Hire
Material Purchase
Medical
Other Expenses
Pending Claims
Printing and stationery
Ticket Booking
Tool Purchase
Travel - Auto
Travel - Bus
Travel - Flight
Travel - Metro
Travel - Ola/Uber/Rapido
Travel - Pvt. Cab
Travel - Train
Amount (19)
*
Task (19)
*
Please Select
AMC / Service
Complaint
Handover
Installation
Market
Office / EC
Site Visit
Customer Name or Lift Number (19)
*
Customer Location (19)
*
Customer Location (AUTOMATION) (19)
*
Remarks (19)
Proof of Expense? (19)
*
Yes
No
File Upload (19)
*
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*
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Expense 20
Expense Date (20)
*
-
Year
-
Month
Day
4 digit year, 2 digit month, 2 digit day
Date
Expense Category (20)
*
Please Select
Accommodation
Courier
Food
Fuel (Petrol / Diesel)
Labor Hire
Material Purchase
Medical
Other Expenses
Pending Claims
Printing and stationery
Ticket Booking
Tool Purchase
Travel - Auto
Travel - Bus
Travel - Flight
Travel - Metro
Travel - Ola/Uber/Rapido
Travel - Pvt. Cab
Travel - Train
Amount (20)
*
Task (20)
*
Please Select
AMC / Service
Complaint
Handover
Installation
Market
Office / EC
Site Visit
Customer Name or Lift Number (20)
*
Customer Location (20)
*
Customer Location (AUTOMATION) (20)
*
Remarks (20)
Proof of Expense? (20)
*
Yes
No
File Upload (20)
*
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AUTOMATION 1
AUTOMATION 2
AUTOMATION 3
AUTOMATION 4
AUTOMATION 5
AUTOMATION 6
AUTOMATION 7
AUTOMATION 8
AUTOMATION 9
AUTOMATION 10
AUTOMATION 11
AUTOMATION 12
AUTOMATION 13
AUTOMATION 14
AUTOMATION 15
AUTOMATION 16
AUTOMATION 17
AUTOMATION 18
AUTOMATION 19
AUTOMATION 20
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C. Mileage Expenses Details
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Additional Supporting Documents
Upload Receipts / Tickets / Bills.
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Do you have written approval from your manager?
YES
NO
Upload Manager Approval
*
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Expense Over-view (READ-ONLY)
Carry Forward (Previous Advance Balance)*
*
Advance Received*
*
No. of Expenses in this claim.*
Total Expense*
Final Amount*
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Submit
Should be Empty: