Application for NBC Travel Expenses

based on NBC's Financial and Travel Expense Regulations in Version 5.01, valid from 01.07.2014

Comment

Other:

Purpose of Travel^(*):

City^(*):

The beginning of the journey^(*):

Hours

Minutes

At the end of the journey^(*):

Hours

Minutes

Absence 4-8 hours (days.) :

Costs ( Days x 10,00 €):

Absence 8-24 hours (days.) :

Costs (Days x 17,00 €) :

Absence 24 hours (days.) :

Expense allowance

costs a days x € 10.00, B-days x € 25.00, ( c-days x € 40.00) :

A public transport costs (pieces of evidence have to be submitted.) :

Pieces of evidence have to be submitted overnight stay costs (.) :

Motor vehicle, kilometres driven altogether:

Motor vehicle costs (driven kilometres x € 0.42) :

Pieces of evidence have to be submitted other costs:

Other costs in €:

The correctness of the services is confirmed ^(*)

Payment

Name of the bench:

Amount of the payment:

Date^(*):

Latest modification: 14.02.2018