Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.Prof. Jeemol Unni 2 (i) Designation Director Industries (ii) Organisation Institute of Rural Management Anand (IRMA) Member of Agriculture Sector Skill Council (iii) Pay/Pay Band (in case of Govt. Official) Institute of Rural Management Anand (IRMA), Amul Dairy Rd, 3 Address with District/State Anand, Gujarat 388001, Institute of Rural Management, Anand, Gujarat 388110 4 Phone Number 02692-260391 / 9979891277 5 E-mail Address Jeemol@irma.ac.in 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 Agriculture, Horticulture and Floriculture sector (5-11) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.Prof. Jeemol Unni 2 (i) Designation Director (ii) Organisation Industries Institute of Rural Management Anand (IRMA) Member of Agriculture Sector Skill Council (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Institute of Rural Management Anand (IRMA), Amul Dairy Rd, Anand, Gujarat 388001, Institute of Rural Management, Anand, Gujarat 388110 4 Phone Number 02692-260391 / 9979891277 5 E-mail Address Jeemol@irma.ac.in 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 Agriculture, Horticulture and Floriculture sector (5-11) / 279 (Signature of claimant) (27.01.2014)