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