Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.Dr. Debas Roy 2 (i) Designation Asstt. Professor Academic/Professional Institutions National Institute of Foundry & Forge Technology (ii) Organisation Nominated by National Institute of Foundry & Forge Technology (NIFFT), Ranchi (iii) Pay/Pay Band (in case of Govt. Official) Materials & Metallurcial Engg. Deptt., National Institute of 3 Address with District/State Foundry & Forge Technology (NIFFT), Hatia, Ranchi-834003, Jharkhand 4 Phone Number 9470358294 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 Production & Manufacturing sector (216 -221) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.Dr. Debas Roy 2 (i) Designation Asstt. Professor (ii) Organisation Academic/Professional Institutions National Institute of Foundry & Forge Technology Nominated by National Institute of Foundry & Forge Technology (NIFFT), Ranchi (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Materials & Metallurcial Engg. Deptt., National Institute of Foundry & Forge Technology (NIFFT), Hatia, Ranchi-834003, Jharkhand 4 Phone Number 9470358294 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 Production & Manufacturing sector (216 -221) / 279 (Signature of claimant) (27.01.2014)