Form expense sheet Netherlands / foreign country *
Name faculty / service Company code SAP Boekjaar general information name address zip code place social security number reference letter giro- or bank number Full bankname Full addres of the bank Bankcode Swiftcode IBAN BIC code
expenes (add also original receipts, specifications on sheet specifications) expenses concerns: costs: (1) transport by train, boat, bus or taxi (fill in details on sheet specifications) (2) transport by own car (fill in details on sheet specifications) (3) accommodation costs (fill in details on sheet specifications) (4) registration fees (fill in details on sheet specifications) (5) other expenses (fill in details on sheet specifications) financial support: (a) from other organisations (b) own contribution total to expense received advance to receive / to pay back N.B. Expense sheets have to be filled in completely! for approval date name: signature expensed by: 0 date name budget holder: signature budget holder: € 0.00 € 0.00 (-) (-) € 0.00 € 0.00 € 0.00 € 0.00 € 0.00
After approval budget holder hand in expense sheet at financial dept faculty/ financiële administratie faculteit/dienst. to be filled in by financial dept of own faculty or service Grootboekrekening Crediteurnummer: Datum Naam Handtekening WBS / Ordernummers: Bedrag:
afwijking met totaalbedrag decl:
€ 0.00
After filling in above, please forward it to ASC, Postbus 80011, 3508 TA Utrecht
Expense sheet - cover page
Versie 2.12.2008/mp/ba
Specifications regarding: Name: 0 Company code SAP: 0 Date: 1/0/1900
Receipts send to ASC Number send pages with receipts
yes/no
Specification costs (Receipts should be around attached to A4 paper using adhesive tape for scanning reasons. Staples must be removed.) (1) Specification transport costs by train, boat, bus or taxi from to date means of transport amount in Euro
total
€ 0.00
(2) Specification transport costs by own car from to date kilometres rate (e.g. 0,19) amount in Euro
total
0.00
€ 0.00
(3) Specification accommodation costs. Amount in Euros please. country date to/from type of costs foreign currency rate in Euro amount in Euro
total
€ 0.00
(4) Specification registration fees. Amount in Euros please. country date to/from type of costs foreign currency rate in Euro amount in Euro
total
€ 0.00
(5) Specification other expenses. Amount in Euros please. date type of costs foreign currency rate in Euro amount in Euro
total Expense sheet - specifications
€ 0.00