LIFELONG MEDITECH PVT. LTD.

REIMBURSEMENT / ADVANCE FORM

NAME: Paresh Nayak DESIGNATION: Manager DEPTT. : Quality Date: 25-Aug-23

GENERAL / MISC. EXPS.

DATE PARTICULARS AMOUNT

TOTAL 0.00
CONVEYANCE
DATE DEFINE ROUTE PURPOSE MODE OF RATE K.M. AMOUNT
TRANSPORT
Meeting with Doctors and
13-Aug-23 Gurgaon, Sec 58 to lucknow, to and from. technical staff for quality Car 10.92 1084 11837
issues.

TOTAL 11837
PETTY CASH IMPREST / ADVANCE
AMOUNT
Opening Balance
(-) Amount Returned
(-) Exp. Incurred
Balance
(+) More Amount Required as per
estimated slip

Balance as on Today TOTAL 11837

Employee's Signature Approved by HOD Checked By Accounts

NOTE : BILLS OR EXPENSES PROOF SHOULD BE PASTED ON WASTE A4 SHEET.

: IF REQUIRED, PLEASE ATTACH SEPARATE SHEET FOR MORE DETAILS.
 LIFELONG MEDITECH PVT. LTD.
REIMBURSEMENT / ADVANCE FORM

NAME: Paresh Nayak DESIGNATION: Manager DEPTT. : Quality Date: 25-Nov-24

GENERAL / MISC. EXPS.

DATE PARTICULARS AMOUNT

TOTAL 0.00
CONVEYANCE
DATE DEFINE ROUTE PURPOSE MODE OF RATE K.M. AMOUNT
TRANSPORT
Meeting with Doctors and
25-Nov-24 Gurgaon, Sec 58 to Bikaner, to and from. technical staff for quality Car 10.92 1025 11193
issues.

TOTAL 11193
PETTY CASH IMPREST / ADVANCE
AMOUNT
Opening Balance
(-) Amount Returned
(-) Exp. Incurred
Balance
(+) More Amount Required as per
estimated slip

Balance as on Today TOTAL 11193

Employee's Signature Approved by HOD Checked By Accounts

NOTE : BILLS OR EXPENSES PROOF SHOULD BE PASTED ON WASTE A4 SHEET.

: IF REQUIRED, PLEASE ATTACH SEPARATE SHEET FOR MORE DETAILS.
 LIFELONG MEDITECH PVT. LTD.
REIMBURSEMENT / ADVANCE FORM

NAME: Paresh Nayak DESIGNATION: Manager DEPTT. : Quality Date: 26-Oct-24

GENERAL / MISC. EXPS.

DATE PARTICULARS AMOUNT

26-Oct-24 for Panchkula drug office 36000.00

26-Oct-24 for GGN drug office 150000.00

TOTAL 186000.00
CONVEYANCE
MODE OF
DATE DEFINE ROUTE PURPOSE RATE K.M. AMOUNT
TRANSPORT

TOTAL 0
PETTY CASH IMPREST / ADVANCE
AMOUNT
Opening Balance
(-) Amount Returned
(-) Exp. Incurred
Balance
(+) More Amount Required as per
estimated slip

Balance as on Today TOTAL 0

Employee's Signature Approved by HOD Checked By Accounts

NOTE : BILLS OR EXPENSES PROOF SHOULD BE PASTED ON WASTE A4 SHEET.

: IF REQUIRED, PLEASE ATTACH SEPARATE SHEET FOR MORE DETAILS.
 LIFELONG MEDITECH PVT. LTD.
REIMBURSEMENT / ADVANCE FORM

NAME: Paresh Nayak DESIGNATION: Manager DEPTT. : Quality Date: 26-Sep-24

GENERAL / MISC. EXPS.

DATE PARTICULARS AMOUNT

TOTAL 0.00
CONVEYANCE
DATE DEFINE ROUTE PURPOSE MODE OF RATE K.M. AMOUNT
TRANSPORT

Meeting with doctors and

26-Sep-24 Gurgaon, Sec 58 to lucknow, to and from. technical staff of cath lab by car 10.92 1012 11051
reagrding the quality issue.

TOTAL 11051
PETTY CASH IMPREST / ADVANCE
AMOUNT
Opening Balance
(-) Amount Returned
(-) Exp. Incurred
Balance
(+) More Amount Required as per
estimated slip

Balance as on Today TOTAL 11051

Employee's Signature Approved by HOD Checked By Accounts

NOTE : BILLS OR EXPENSES PROOF SHOULD BE PASTED ON WASTE A4 SHEET.

: IF REQUIRED, PLEASE ATTACH SEPARATE SHEET FOR MORE DETAILS.
 LIFELONG MEDITECH PVT. LTD.
REIMBURSEMENT / ADVANCE FORM

NAME: Paresh Nayak DESIGNATION: Manager DEPTT. : Quality Date: 28-Aug-24

GENERAL / MISC. EXPS.

DATE PARTICULARS AMOUNT

TOTAL 0.00
CONVEYANCE
DATE DEFINE ROUTE PURPOSE MODE OF RATE K.M. AMOUNT
TRANSPORT

Meeting with doctors and

28-Aug-24 Gurgaon, Sec 58 to lucknow, to and from. technical staff of cath lab car 10.92 1012 11051
reagrding the quality issue.

TOTAL 11051
PETTY CASH IMPREST / ADVANCE
AMOUNT
Opening Balance
(-) Amount Returned
(-) Exp. Incurred
Balance
(+) More Amount Required as per
estimated slip

Balance as on Today TOTAL 11051

Employee's Signature Approved by HOD Checked By Accounts

NOTE : BILLS OR EXPENSES PROOF SHOULD BE PASTED ON WASTE A4 SHEET.

: IF REQUIRED, PLEASE ATTACH SEPARATE SHEET FOR MORE DETAILS.
 LIFELONG MEDITECH PVT. LTD.
REIMBURSEMENT / ADVANCE FORM

NAME: Inderjeet Singh DESIGNATION: DGM DEPTT. : Quality Date: 23-Jan-24

GENERAL / MISC. EXPS.

DATE PARTICULARS AMOUNT

TOTAL 0.00
CONVEYANCE
MODE OF
DATE DEFINE ROUTE PURPOSE RATE K.M. AMOUNT
TRANSPORT

16-Jan-24 IMT Factory to Savoy Suites, to and from. To drop the auditors car 10.92 8 87

IMT Factory to Savoy Suites, to and from

17-Jan-24 To pick and drop the auditors car 10.92 16 175
(morning & evening)

18-Jan-24 Savoy Suites, to IMT factory To pick the auditors car 10.92 8 87

To drop the auditor Mr.

18-Jan-24 IMT factory to IGI, T-1 car 10.92 70 764
Krishnamoorthy
19-Jan-24 Savoy Suites, to IMT factory To pick the auditors car 10.92 8 87
IMT factory to Pitampura via T1, IGI To drop the auditors Mr.
19-Jan-24 car 10.92 127 1387
airport Amitabh and Mr. Anoop
To drop the auditor Mr.
23-Jan-24 IMT factory to Pitampura car 10.92 127 1387
Amitabh

TOTAL 3975
PETTY CASH IMPREST / ADVANCE
AMOUNT
Opening Balance
(-) Amount Returned
(-) Exp. Incurred
Balance
(+) More Amount Required as per
estimated slip
Balance as on Today TOTAL 3975

Employee's Signature Approved by HOD Checked By Accounts

NOTE : BILLS OR EXPENSES PROOF SHOULD BE PASTED ON WASTE A4 SHEET.

: IF REQUIRED, PLEASE ATTACH SEPARATE SHEET FOR MORE DETAILS.
 LIFELONG MEDITECH PVT. LTD.
REIMBURSEMENT / ADVANCE FORM

NAME: PARESH NAYAK DESIGNATION: MANAGER DEPTT. : Quality Date: 24-Jan-24

GENERAL / MISC. EXPS.

DATE PARTICULARS AMOUNT

TOTAL 0.00
CONVEYANCE
MODE OF
DATE DEFINE ROUTE PURPOSE RATE K.M. AMOUNT
TRANSPORT
Sec-58 to Pitampura and back to IMT
23-Jan-24 To pick auditor Mr. Amitabh car 10.92 151 1649
factory

TOTAL 1649
PETTY CASH IMPREST / ADVANCE
AMOUNT
Opening Balance
(-) Amount Returned
(-) Exp. Incurred
Balance
(+) More Amount Required as per
estimated slip
Balance as on Today TOTAL 1649

Employee's Signature Approved by HOD Checked By Accounts

NOTE : BILLS OR EXPENSES PROOF SHOULD BE PASTED ON WASTE A4 SHEET.

: IF REQUIRED, PLEASE ATTACH SEPARATE SHEET FOR MORE DETAILS.
 LIFELONG MEDITECH PVT. LTD.
REIMBURSEMENT / ADVANCE FORM

NAME: Paresh Nayak DESIGNATION: Manager DEPTT. : Quality Date: 8-Jul-24

GENERAL / MISC. EXPS.

DATE PARTICULARS AMOUNT

TOTAL 0.00
CONVEYANCE
DATE DEFINE ROUTE PURPOSE MODE OF RATE K.M. AMOUNT
TRANSPORT

Meeting with doctors and

25-Jun-24 Gurgaon, Sec 58 to agra, to and from. technical staff of cath lab car 10.92 185 2020
reagrding the quality issue.

TOTAL 2020
PETTY CASH IMPREST / ADVANCE
AMOUNT
Opening Balance
(-) Amount Returned
(-) Exp. Incurred
Balance
(+) More Amount Required as per
estimated slip

Balance as on Today TOTAL 2020

Employee's Signature Approved by HOD Checked By Accounts

NOTE : BILLS OR EXPENSES PROOF SHOULD BE PASTED ON WASTE A4 SHEET.

: IF REQUIRED, PLEASE ATTACH SEPARATE SHEET FOR MORE DETAILS.
 LIFELONG MEDITECH PVT. LTD.
REIMBURSEMENT / ADVANCE FORM

NAME: Jitender Kumar DESIGNATION: Asst. Engineer DEPTT. : Quality Date: 10-Oct-24

GENERAL / MISC. EXPS.

DATE PARTICULARS AMOUNT

10-Oct-24 challan fee for retention of manufacturing license (@12000+TAX as applicable) 12127.00

TOTAL 12127.00
CONVEYANCE
DATE DEFINE ROUTE PURPOSE MODE OF RATE K.M. AMOUNT
TRANSPORT

TOTAL 0
PETTY CASH IMPREST / ADVANCE
AMOUNT
Opening Balance
(-) Amount Returned
(-) Exp. Incurred
Balance
(+) More Amount Required as per
estimated slip

Balance as on Today TOTAL 0

Employee's Signature Approved by HOD Checked By Accounts

NOTE : BILLS OR EXPENSES PROOF SHOULD BE PASTED ON WASTE A4 SHEET.

: IF REQUIRED, PLEASE ATTACH SEPARATE SHEET FOR MORE DETAILS.
Panchkula, remuneration

file no
1 2 3 4
bulk-needle safety MSC License retention McKesson
Bhusan 2500 2500 2500 2500
Sandeep Sharma 1500 1500 1500 1500
Madam 1000 1000 1000 1000
Vinod 500 500 500 500
Kishan + Preeti 3000 3000 3000 3000
Others
Total-
 5 Total
SDSB
Due 10000
Due 6000
Due 4000
Due 2000
Due 12000
2000
36000