Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri. Aijaz Tobaccowalla 2 (i) Designation MD Industries (ii) Organisation Pfizer Limited Member of Health Care Sector Skill Council (iii) Pay/Pay Band (in case of Govt. Official) Pfizer Limited, Pfizer Centre, 3 Address with District/State Patel Estate, S V Road, Jogeshwari (West), Mumbai - 400 102, India 4 Phone Number 022-66932346 5 E-mail Address jazz.tobaccowalla@pfizer.com 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 Healthcare sector (130 -135) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri. Aijaz Tobaccowalla 2 (i) Designation MD (ii) Organisation Industries Pfizer Limited Member of Health Care Sector Skill Council (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Pfizer Limited, Pfizer Centre, Patel Estate, S V Road, Jogeshwari (West), Mumbai - 400 102, India 4 Phone Number 022-66932346 5 E-mail Address jazz.tobaccowalla@pfizer.com 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 Healthcare sector (130 -135) / 279 (Signature of claimant) (27.01.2014)
262inviteesdetails-25sectorsAgritoTravel-TADAform-draft.docx