BTS014(Nov12/T)
THE NATIONAL UNIVERSITY OF SINGAPORE
BACHELOR OF TECHNOLOGY PROGRAMME
CHEMICAL 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 :
Mailing Address
:
Reimbursement to Supervisor:
Payee's Name (as in bank account)
:
Name of Bank/Bank’s Account No
:
Staff No:
Contact No. :
Email address :
Mailing 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 $900 per student)
___________________________
Signature/Date
Approved By:
_________________________
Assoc Professor Loh Han Tong
Director
Bachelor of Technology Programme
___________________________________________________________________________________________
FOR DEPARTMENT USE
CO
01
DT
RE
PK
VENDOR/GL A/C
31
40
40
40
710221
710221
710221
AMOUNT
GST
CODE
WBS
IE
IV
I7
C-275-000-022-001
C-275-000-022-001
C-275-000-022-001