Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri. Sanjeev Mohanty 2 (i) Designation Managing Director Industries (ii) Organisation Bennetton India Pvt. Ltd Proposed DGET nomination (iii) Pay/Pay Band (in case of Govt. Official) Bennetton India Pvt. Ltd., B-25, Infocity 3 Address with District/State Sector 34, Gurgaon 122 001 Haryana India 4 Phone Number 9818674249 5 E-mail Address s.mohanty@benetton.co.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 Textiles and Apparel sector (246 -252) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri. Sanjeev Mohanty 2 (i) Designation Managing Director (ii) Organisation Industries Bennetton India Pvt. Ltd Proposed DGET nomination (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Bennetton India Pvt. Ltd., B-25, Infocity Sector 34, Gurgaon 122 001 Haryana India 4 Phone Number 9818674249 5 E-mail Address s.mohanty@benetton.co.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 Textiles and Apparel sector (246 -252) / 279 (Signature of claimant) (27.01.2014)