Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri. Pankaj Mohindroo 2 (i) Designation National President Industries (ii) Organisation Indian Cellular Association Member of Telecom Sector Skill Council (iii) Pay/Pay Band (in case of Govt. Official) Indian Cellular Association, 1107, Ansal Bhawan, 16, Kasturba 3 Address with District/State Gandhi Marg, New Delhi-110 001 4 Phone Number 011-41520586 / 98100 22022 5 E-mail Address 6 Details regarding travel Departure Arrival Receipt/ Distance Amount Ticket Mode of in Kms. claimed/ attached Travel (for travel Date/Time From Date/Time To Fare Paid by road) (Yes/No) 7 Details regarding boarding/lodging Period of Stay Amount paid/to be paid Receipt Name of Hotel attached From To Boarding Lodging Total (Yes/No) Sector Telecommunications sector (231 -244) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri. Pankaj Mohindroo 2 (i) Designation National President (ii) Organisation Industries Indian Cellular Association Member of Telecom Sector Skill Council (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Indian Cellular Association, 1107, Ansal Bhawan, 16, Kasturba Gandhi Marg, New Delhi-110 001 4 Phone Number 011-41520586 / 98100 22022 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Telecommunications sector (231 -244) / 279 (Signature of claimant) (27.01.2014)