REIMBURSEMENT FORM

Project Details and Personal Information

Name(Required)

Expenses

List(Required)
Date
Description
Provider
Amount in Original Currency
Currency
Exchange Rate
Amount in EUR
 
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    Bank Details

    Address of the Account Holder(Required)
    Bank Address(Required)
    The IBAN consists of up to 32 alphanumeric characters, comprising a country code, two check digits and a long and detailed bank account number used in bank wire