Employee Declaration

To,Americas Inc

I hereby declare that the claim statement & receipts / supporting attached are true and original and no fraudulent bills are attached. I am aware that the above information can be used for tax purpose. Any Tax / Other liability to the Company arising out of improper / fraudulent bills will be borne by me. I am aware that HR can initiate disciplinary action for any false claims / bills submitted by me.

EMP No. :

Emp Name : Travel Id ( if applicable):

Travel Dates ( From & To ) :

Country of Travel ( if applicable) :

Employee Signature