Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.A. Shripurwal 2 (i) Designation ED Industries (ii) Organisation Manufacturers Association for Information Technology (iii) Pay/Pay Band (in case of Govt. Official) Association for Information Technology, PHD Manufacturers’ 3 Address with District/State House, 4th Floor, Opp. Asian Games Village, New Delhi 110 016 4 Phone Number 011-2685 5487 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 Electronics & Hardware sector (67 -77) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.A. Shripurwal 2 (i) Designation ED (ii) Organisation Industries Manufacturers Association for Information Technology (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Manufacturers’ Association for Information Technology, PHD House, 4th Floor, Opp. Asian Games Village, New Delhi 110 016 4 Phone Number 011-2685 5487 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 Electronics & Hardware sector (67 -77) / 279 (Signature of claimant) (27.01.2014)
262inviteesdetails-25sectorsAgritoTravel-TADAform-draft.docx