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  • F-FGA-109 Formular Decont Conf - Premii

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    MARINELA SIMIONESCU
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    This document is a declaration of expenses form for reimbursement of costs related to attending a national eTwinning conference in Bucharest, Romania from November 24-26, 2023. [The form requests information like the participant's name, institution, address, bank account details, and a breakdown of travel expenses from their home location to the conference location.] [It totals the claimed expenses and requires the participant's signature certifying the accuracy and completeness of the information as well as that the expenses will not be claimed from other sources.]

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    F-FGA-109 Formular decont Conf_Premii

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    This document is a declaration of expenses form for reimbursement of costs related to attending a national eTwinning conference in Bucharest, Romania from November 24-26, 2023. [The form requests information like the participant's name, institution, address, bank account details, and a breakdown of travel expenses from their home location to the conference location.] [It totals the claimed expenses and requires the participant's signature certifying the accuracy and completeness of the information as well as that the expenses will not be claimed from other sources.]

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    4 views1 page

    F-FGA-109 Formular Decont Conf - Premii

    Uploaded by

    MARINELA SIMIONESCU
    This document is a declaration of expenses form for reimbursement of costs related to attending a national eTwinning conference in Bucharest, Romania from November 24-26, 2023. [The form requests information like the participant's name, institution, address, bank account details, and a breakdown of travel expenses from their home location to the conference location.] [It totals the claimed expenses and requires the participant's signature certifying the accuracy and completeness of the information as well as that the expenses will not be claimed from other sources.]

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    © All Rights Reserved
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    F-FGA-109/09.

    2023
    NU COMPLETAŢI !
    Propun plata/rambursarea DECLARAŢIE DE CHELTUIELI
    Eveniment: Conferinta națională eTwinning 2023
    Locul si data: București, 24-26 noiembrie 2023

    NUME SI PRENUME PARTICIPANT: TITULAR CONT:


    CNP TITULAR CONT:
    CUI (UNDE ESTE CAZUL):
    INSTITUŢIE:
    NUMELE BĂNCII:
    SUCURSALA:
    ADRESA DE CORESPONDENŢĂ: ADRESA SUCURSALEI/BĂNCII:
    COD IBAN (LEI):
    TEL:
    E-MAIL: SWIFT OR BIC:

    CHELTUIELI DE CĂLĂTORIE (includeţi TOATE cheltuielile de transport intern din localitatea de


    domiciliu până în localitatea de destinaţie)

    MIJLOC DE DUS sau CHITANŢA/ Se completează


    Participant DE LA LA COST (LEI)
    TRANSPORT DUS-INTORS BILET NR. de ANPCDEFP

    Total cheltuieli efectuate

    Se completează de ANPCDEFP

    TOTAL LICHIDARE SOLICITATĂ

    Certific corectitutinea informaţiilor menţionate mai sus şi declar că acestea sunt complete şi sincere.
    Declar pe proprie răspundere că toate documentele atașate prezentului decont nu se vor deconta din alte
    surse.
    NUME SI PRENUME PARTICIPANT
    SEMNĂTURA ……………………………………………………………………………. DATA ………………………

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