Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri. Avinsh Vashishta 2 (i) Designation Chairman & GU Managing Director Industries Accenture Services Pvt. Ltd (ii) Organisation Nominated by Federation of Indian Chambers of Commerce and Industry (FICCI) (iii) Pay/Pay Band (in case of Govt. Official) Accenture Services Pvt. Ltd.,71, Cunningham Road, Bangalore – 3 Address with District/State 560052 4 Phone Number 080-41060124 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 IT & ITES sector (152 -159) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri. Avinsh Vashishta 2 (i) Designation Chairman & GU Managing Director (ii) Organisation Industries Accenture Services Pvt. Ltd Nominated by Federation of Indian Chambers of Commerce and Industry (FICCI) (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Accenture Services Pvt. Ltd.,71, Cunningham Road, Bangalore – 560052 4 Phone Number 080-41060124 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 IT & ITES sector (152 -159) / 279 (Signature of claimant) (27.01.2014)