BTS014 THE NATIONAL UNIVERSITY OF SINGAPORE BACHELOR OF TECHNOLOGY PROGRAMME MECHANICAL/MANUFACTURING ENGINEERING COURSE To: BTech Office Date of Submission: Attn: Judy Chu -----------------------------------------------------------------------------------------------------------------------------------------------Reimbursement to Student: Matric No.: Project Code: Payee's Name (as in bank account) : Name of Bank/Bank’s Account No : Contact No. : Email address : Postal Address : Reimbursement to Supervisor: Payee's Name (as in bank account) : Name of Bank/Bank’s Account No : Staff No: Contact No. : Email address : Postal Address : Student/s information: Name of Student 1 : Project code : Name of Student 2 : Project code : Name of Student 3 : Project code : Name of Student 4 : Project code : **NOTE: Please attach the original receipt/s and submit together with this form. Total amount to be reimbursed : S$ __________________________ Name of Supervisor (maximum amount to be reimbursed is $1100 per student) ___________________________ Signature/Date Approved By: _________________________ Professor Poo Aun Neow Director Bachelor of Technology Programme ______________________________________________________________________________ FOR DEPARTMENT USE CO 01 DT RE PK VENDOR/GL A/C 31 40 40 40 710221 710221 710221 Updated on Aug 07/T AMOUNT GST CODE WBS IE IV I7 C-275-000-011-001 C-275-000-011-001 C-275-000-011-001