CHAITANYA BHARATHI INSTITUTE OF TECHNOLOGY
Gandipet, Hyderabad – 500 075 (Telengana)
TECHNICAL EDUCATION QUALITY IMPROVEMENT PROGRAMME - II
Sub-Component 1.1
Claim for reimbursement of expenses for attending Local FSD Events
Reference No :
Date :
1.
Name of the Applicant : ________________________________ Designation: ___________________________
2.
Department/Branch : ____________________________________Mobile No.____________________________
3.
Basic Pay : ________________________
4.
Nature of Work : Training / Knowledge Event/Paper Presentation – Specify : Conference / Seminar / Workshop
5.
Title of the Event:____________________________________________________________________________
6.
Venue of the Event: __________________________________________________________________________
7.
Date(s) of Training / Knowledge Event : _______________________________
S.No.
1.
2.
3.
e-Mail ID:_______________________________________________
Description
Registration Fees
Conveyance to attending
Approx.. KM of to & fro
Others if any
Amount
No. of Days:
Total
Rs
(in words)______________________________________________________________________)
Total Rs.
I, hereby certify that I have not taken any amount for the above expenses from any source.
Recommended/Forwarded by
Date :__________
(Signature of the Applicant)
Verified
Accountant
Forwarded
Recommended
(Finance Nodal Office)
(TEQIP_II Coordinator )
Signature of Head
Approved
(Principal)________
OFFICE USE
The Expenditure under TEQIP_II Project Activity _________________________________________ ________for
Rs.___________/- is approved. The Balance amount of Rs..
Rupees(in words)_______________________
Is being Sanctioned after Deduction Advance Paid Vide Ch.No. _____________Dated_
Rs.
Rs.______________________________Is being Sanctioned.
EXPENDITURE RECEIPT
Cheque No._______________ Date: _____________ Infavor_______________________________________________
Received today in cash/Cheque, amount of Rs.____________ (Rupees__________________________________________
______________________________________________________only)
Date :_____________
Signature of the Receiver_________________________________