Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.S.S. Maity 2 (i) Designation GM Industries (ii) Organisation Central Tool Room & Training Centre Nominated by Government of Odisha (iii) Pay/Pay Band (in case of Govt. Official) Central Tool Room & Training Centre (CTTC), B-36,Chandaka 3 Address with District/State Industrial Area, Bhubaneswar-751024 4 Phone Number 0674-2304200 / 9861086070 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 (208 -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.S.S. Maity 2 (i) Designation GM (ii) Organisation Industries Central Tool Room & Training Centre Nominated by Government of Odisha (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Central Tool Room & Training Centre (CTTC), B-36,Chandaka Industrial Area, Bhubaneswar-751024 4 Phone Number 0674-2304200 / 9861086070 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 (208 -221) / 279 (Signature of claimant) (27.01.2014)
262inviteesdetails-25sectorsAgritoTravel-TADAform-draft.docx