Reimbursement Merged

DSV AIR & SEA PRIVATE LIMITED
The Qube B-201, B-204, M.V. Road,

Off International Airport Approach Road, Marol,
Andheri East, Mumbai - 400059,
EXPENSE CLAIM FORM
Name of claimant Employee No. Branch Department Date
Sandeep Kumar Dubey X00210 Nehru Place CA&I 15.Sep.23
Details of entertainment only Currency Currency details

Account Code * Name of in which
(For Finance organization / * Name of person/s * Position / Title of expense is Amount (in expense Rate of
Date of expense Full Description of Expense Bill/Cash Memo No. only) company entertained person entertained incurred currency) Exchange** Amount (in INR)
28/05/2023 to 27/07/2023 Data Expense INR 885.00
14/11/2023 to 13/12/2023 Mobile Expense INR 1101.17
TOTAL 1,986.17
Amount to be booked by DSV India
Amount to be billed back to client/Group Company Client/Group Company Name: Code:

Total
Prepared by: Reviewed by: Approved by (Immediate Superior / CFO/ MD): Received by:
Name : Sandeep Kumar Dubey Name : Zehra Nagi Name : Deepti Negi
Signature: Signature: Signature: Payable Accountant:
* To be filled in for Entertainment/ Representation Expenses
** Exchange rate will be provided by Finance Department
Toll fees/parking fees/ taxi fare, indicate destinations & clients visited by way of a note.
UT WORLDWIDE (INDIA) PVT. LTD.
Unit Nos.1171 & 1172, 7th Floor, Building No.11
Solitaire Corporate Park, Andheri - Ghatkopar Link Road,
Chakala, Andheri (East), Mumbai - 400093.
EXPENSE CLAIM FORM

Name of claimant Employee No. Branch Department Date
Details of entertainment only Currency details

Currency
Account Code * Name of in which Rate of
Date of Bill/Cash (For Finance organization / * Name of person/s * Position / Title of expense is Amount (in expense Exchange*
expense Full Description of Expense Memo No. only) company entertained person entertained incurred curency) * Amount (in INR)
TOTAL
Amount to be booked by UTi India

Amount to be billed back to client/Group Company Client/Group Company Name: Code:
Total
Prepared by: Reviewed by: Approved by (Immediate Superior / CFO/ MD): Received by:
Name : Name : Name :
Signature: Signature: Signature: Payable Accountant:
* To be filled in for Entertainment/ Representation Expenses
** Exchange rate will be provided by Finance Department
Toll fees/parking fees/ taxi fare, indicate destinations & clients visited by way of a note.
CYBER CITY EXTREME BROADBAND PVT LTD INVOICE
H-49C , SHAKARPUR
DELHI - 110092
GSTIN: 07AAGCC0470M1ZL BILL DATE INVOICE #
Phone: 7838307243 2-Jan-24 2023-24
FROM TERMS
01-Dec-23 1 Month
TO
31-Dec-23
BILL TO SHIP TO
Sandeep Kumar Dubey Sandeep Kumar Dubey
A - 771 , Buddha Marg A - 771 , Buddha Marg
Mandawali Mandawali
Delhi - 110092 Delhi - 110092
CONTACT NO. 9889678910 CONTACT NO. 9889678910
GSTIN: GSTIN:
DESCRIPTION HSN TAX RATE AMOUNT

INTERNET SERVICE 998422 18% 750.00
750.00
CGST 9% 67.50
SGST 9% 67.50
ROUND OFF -
Thank you for your business! TOTAL 885.00
This is a Computer Generated Invoice.

CYBERCITY EXTREME BROADBAND PVT LTD @ 9911119081
Jio Mobile Number : 9889678910
Hi Mr. Sandeep Kumar Dubey, Statement Number : 344509893677
Here is your Invoice Summary. Current Plan : Rental 699+Prime
Rs0
Amount (Rs.) Credit Limit : Rs 1763.00

Security Deposit : Rs 0.00
i. Previous Balance Due 941.64 Statement Date : 15-Dec-23
ii. Payment Received 941.64 : 14-Nov-23
iii. Current Months Charges 1,102.12 Bill Period to
13-Dec-23
Connectivity Services 799.00 Due Date : 23-Dec-23
Monthly Plan Charges 564.00
Other Charges 235.00 NOV-23
Due Amount : 940.69
Adjustments / Discounts 0.00 Payment : 941.64
Platform Services 135.00
Monthly Plan Charges 135.00 OCT-23
Due Amount : 940.69
Other Charges 0.00 Payment : 942.00
Adjustments / Discounts 0.00
Other Credits 0.00 SEP-23
Due Amount : 941.05
Taxes 168.12 Payment : 946.00
iv. Previous Balance with RRL -0.95
v. Current Balance (i - ii + iii + iv) 1,101.17 Scan & Pay
vi. Total Payable 1,101.17
Invoice Plan Details Period

Connectivity Services:
Rental 699+Prime Rs0 14-NOV-2023 to 13-DEC-2023
Platform Services:
Rental 135 14-Nov-2023 to 13-Dec-2023
Other Services:
UL_5GData_Postpaid 14-NOV-2023 to 13-DEC-2023 or pay via
You can download your detailed tax invoices on MyJio app / jio.com in the invoice history section.
Jio.com MyJio App
Reach Us: Call 199 from your Jio number | 1800-889-9999 from other networks | [email protected]
Manage your world of Jio with MyJio app or visit www.jio.com.
Page 1 of 1
Important Information:
Payments
l In
the event of non-payment, part payment or late payment of the outstanding amount by the due date,
Reliance Jio Infocomm Limited (RJIL) and Jio Platforms Limited (JPL) reserves the right to disconnect
services.
Complaints & Service Requests

l You can call 199 (toll-free) from your Jio number or 1800-889-9999 from other networks to
register your service request / complaint.
l You can also visit www.jio.com, login with your Jio ID and password; click on "Service
Request" option under Profile menu to raise a complaint. To track the status of your existing
complaint, use your unique Service Request Number.
Other
l No charge will be levied for any service without your explicit consent.
l No migration fee is chargeable for changing tariff plan.
l In case you are on an unlimited data plan, post consumption of your allocated data limit,
you will experience a downgrade in speed as per Fair Usage Policy.
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DSV AIR & SEA PRIVATE LIMITED

The Qube B-201, B-204, M.V. Road,

Details of entertainment only Currency Currency details

28/05/2023 to 27/07/2023 Data Expense INR 885.00

14/11/2023 to 13/12/2023 Mobile Expense INR 1101.17

Amount to be booked by DSV India

Amount to be billed back to client/Group Company Client/Group Company Name: Code:

EXPENSE CLAIM FORM

Details of entertainment only Currency details

Amount to be booked by UTi India

DESCRIPTION HSN TAX RATE AMOUNT

Thank you for your business! TOTAL 885.00

This is a Computer Generated Invoice.

Amount (Rs.) Credit Limit : Rs 1763.00

vi. Total Payable 1,101.17

Invoice Plan Details Period

Rental 135 14-Nov-2023 to 13-Dec-2023

UL_5GData_Postpaid 14-NOV-2023 to 13-DEC-2023 or pay via

Complaints & Service Requests

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