Office of International Relations IIT Kharagpur Shri Gopal Rajgarhia International Programme (SGRIP) Scheme: _____________________________________ Application No:________________________________ Visitor(s) Details*: Name(s) and affiliation Visit duration Activities undertaken: Check List: Claim Form One page report Form no 10F Tax residency certificate Travel tickets Boarding passes All other bills duly signed CLAIM FORM Table 1: Overall Expenses Approved Final Name and Actual Amount Approval Remarks A/C # of Expense (INR) (INR) (INR) By Host payee Sl No. Head To be filled up To be filled For IR Faculty/Dean To be filled by Host up by Host Office Use IR up by Host Faculty Faculty Faculty Air Fare and 1 visa fees 2 Local Travel Local 3 Hospitality 4 Honorarium
Office of International Relations IIT Kharagpur Shri Gopal Rajgarhia International Programme (SGRIP) Scheme: _____________________________________ Application No:________________________________ Visitor(s) Details*: Name(s) and affiliation Visit duration Activities undertaken: Check List: Claim Form One page report Form no 10F Tax residency certificate Travel tickets Boarding passes All other bills duly signed CLAIM FORM Table 1: Overall Expenses Sl No. Head Approved Amount (INR) To be filled up by Host Faculty Actual Expense (INR) To be filled up by Host Faculty Final Approval (INR) For IR Office Use Remarks By Host Faculty/Dean IR Name and A/C # of payee To be filled up by Host Faculty 1 Air Fare and visa fees 2 Local Travel 3 Local Hospitality 4 Honorarium
SGRIP%20Claim%20Form%20Schemes%201%20and%202.docx