3/2/22, 10:17 AM InfopathFormsBusinessTrip - Form-20220228235807

 NALOG ZA SLUŽBENO POTOVANJE / TRAVEL ORDER FORM

 
Datum / Date: 28.2.2022                       Status / Status:  Expense report approved Št. / No. : 1-2022-89

     
Odrejam, da odpotuje
/ Traveller's name: Roman Zorman      
         
Podjetje / Company Studio Moderna d.o.o. Department / Local Warehousing & Distribution Delovno mesto / Regional Logistic Specialist
Oddelek: Employment
position:
Stanujoč-a / Street Blejska Dobrava 60 Kraj / Postcode 4273, Blejska Dobrava  
and house no.: and city:
                                                
Namen potovanja / Sluzbena pot/Business trip Po nalogu:  
Purpose of trip: odredbodajalca    
Država / Country: Croatia Kraj potovanja / Zagreb  Z nalogo / With the
Destination:  task of: Sestanek/Meeting
Datum odhoda /Date of 1.3.2022 Datum prihoda / Date of 1.3.2022  
departure: arrival:
Ura odhoda /Departure 10:00 Ura prihoda / Arrival time: 19:00  
time:
Kraj odhoda / Place of služba/workplace Kraj prihoda / služba/workplace  
departure: Place of destination:
Odobravam uporabo / I sluzbeni avto/company car        
Approve the use of:
      
V primeru uporabe službenega vozila izpolnite spodnje/ If a company vehicle was used, please fill in:
Datum prevzema 1.3.2022 Ura prevzema 10:00 Datum vračila 1.3.2022 Ura vračila vozila / 20:00
vozila / Vehicle pick vozila / Vehicle vozila / Vehicle Vehicle return time:
up date:  pick up time: return date:
Službeni avto /        
A0074
Company  car:
Višina 40,00 EUR
informativne dnevnice /
Amount of per diem:
Navi Dimensions
CC: Roman Zorman CC Code: 3010711002
CCR: IN00, Other, International CCR Code: IN00
Chanel: UNKNOWN-UNKNOWN Channel Code: 990013
CH: GENERAL + UNKNOWN + UNKNOWN + UN CH Code: 94371810840
Brand/Client: General + General + General Brand/Client Code: 9599979997
 
 
Obračun potnih stroškov službenega potovanja / Business travel expense report:
 
Obračun dnevnic / Per diem calculation:
% znižanja
Zajtrk / Večerja / Brez obrokov / Pripadajoča Znižana dnevnica /
Za Datum / For Date Kosilo / Lunch dnevnice / % of
Breakfast Dinner No meals dnevnica / Per diem Reduced per diem
per diem decrease
1.3.2022 30 0 30,00
 
Odsotnost / Absence: Dni / Days: Ur_min / Št.dnevnic / No. of per diems:
H_min:
      Skupaj dnevnice v EUR /
0 9:0 0.75 Total per diems in EUR: 30,00
Ostali stroški / Other expenses:  
Datum plačila /Date Strošek / Vrsta plačila / Type of Skupaj poslovna Skupaj osebni
Vrsta / Type Valuta / Currency Eur /Eur
of payment Cost payment kartica / Business stroški / Personal
Gorivo/Fuel 1.3.2022 33,21 Euro Personal Expenses 33,21 card expenses Expenses
  0,00 33,21
  Skupaj ostali stroški za 63,21
vračilo / Total other costs
for refund
Predujem v znesku
/Advance payment in the
Predujem prejet dne / Advance payment recieved on: amount of 0,00
OSTANE za izplačilo -
vračilo  EUR / TOTAL
   
REMAINING for payment -
reimbursement  EUR 63,21
Račun Petrol: 2323-3-7859
Priloge /Enclosures:

Kraj / Place: Datum / Date Predlagatelj / Submitter:

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3/2/22, 10:17 AM InfopathFormsBusinessTrip - Form-20220228235807
Ljubljana 1.3.2022 Roman Zorman

 Podpis odredbodajalca / Order issue

     
signature:   
          Duško Kos
 

Predlagatelj se z izpolnitvijo in oddajo tega elektronskega obrazca zavezuje, da so vsi zgoraj navedeni podatki točni in pravilni in da je, skladno z določbami vsakokrat
veljavnega Pravilnika o povračilu stroškov na službeni poti, izpolnitev ter oddaja tega elektronskega obrazca zavezujoča in ima enake pravne posledice kot oddaja zahteve
z lastnoročnim podpisom predlagatelja v pisni obliki.
 
By completing and submitting of this electronic form the Submitter vouches for the accuracy and correctness of the above in formation. The Submitter acknowledges that in
accordance with provisions of applicable Policy for refunding of business trip expenses submitting of this electronic form is binding and has the same legal effect as if it
were in writing with handwritten signature by the Submitter.
 

 
 
 
 
 

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