Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.Dr. Arti Kashyup 2 (i) Designation Associate Professor Academic/Professional Institutions (ii) Organisation IIT Nominated by Indian Institute of Technology, Mandi (iii) Pay/Pay Band (in case of Govt. Official) Academic Block, Indian Institute of Technology Mandi 3 Address with District/State PWD Rest House, Near Bus Stand Mandi - 175 001, Himachal Pradesh 4 Phone Number 0190-5237907 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 (156 -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.Dr. Arti Kashyup 2 (i) Designation Associate Professor (ii) Organisation Academic/Professional Institutions IIT Nominated by Indian Institute of Technology, Mandi (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Academic Block, Indian Institute of Technology Mandi PWD Rest House, Near Bus Stand Mandi - 175 001, Himachal Pradesh 4 Phone Number 0190-5237907 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 (156 -159) / 279 (Signature of claimant) (27.01.2014)
262inviteesdetails-25sectorsAgritoTravel-TADAform-draft.docx