Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri. Vishnu Mathur 2 (i) Designation Director General Industries (ii) Organisation Society of Indian Automobile Manufacturers (SIAM), Member of Automobile Sector Skill Council (iii) Pay/Pay Band (in case of Govt. Official) Society of Indian Automobile Manufacturers (SIAM), Core 4-B, 3 Address with District/State 5th Floor, India Habitat Centre, Lodhi Road, New Delhi 110 003 – 4 Phone Number 011-24647810 5 E-mail Address vishnu.mathur@siam.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 Automobile sector (14 - 19) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri. Vishnu Mathur 2 (i) Designation Director General (ii) Organisation Industries Society of Indian Automobile Manufacturers (SIAM), Member of Automobile Sector Skill Council (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Society of Indian Automobile Manufacturers (SIAM), Core 4-B, 5th Floor, India Habitat Centre, Lodhi Road, New Delhi – 110 003 4 Phone Number 011-24647810 5 E-mail Address vishnu.mathur@siam.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 Automobile sector (14 - 19) / 279 (Signature of claimant) (27.01.2014)
262inviteesdetails-25sectorsAgritoTravel-TADAform-draft.docx