TRAVEL EXPENSES DECLARATION
Rev1.0 - November 2020
Employee Name
First Name
Last Name
E-mail
Your E-mail Address
Claim Submission Date
-
Year
-
Month
Day
Date
Hour Minutes
AM
PM
AM/PM Option
Expenses on Behalf of:
Mangosat BV
Mangosat Nordic
Green A&E Holding BV
NWNS
Other
Expenses are Billable
*
No
Partly
Yes
Project Code
Purpose of Expense
*
Please Select
Site Survey
Installation
Service Call
Customer Meeting
Service Partner Meeting
Exhibition / Fair
Training
Business Development
General Operational Costs
Customer Project Expenses
R&D Project Expenses
Strijen Facility Maintenance
Oud Beijerland Facility Maintenance
Skillinge Facility Maintenance
Km Declaration
Other
Period Covered
*
Locations Visited
People Met / Company Visited
TRAVEL EXPENSES 1
Transport - Parking & Tolls
Car Travel Summary
Rows
Travel Date / Period [dd/mm/yy]
Route
Total Km
1
2
3
4
5
Total Km Driven This Period
Total Claim "Car Millage"
Public Transport Summary
Rows
Travel Date / Period [dd/mm/yy]
Route / Location
By
Charges (Euro)
1
Air
Train
Tram/Metro/Bus
Taxi
Other
2
Air
Train
Tram/Metro/Bus
Taxi
Other
3
Air
Train
Tram/Metro/Bus
Taxi
Other
4
Air
Train
Tram/Metro/Bus
Taxi
Other
5
Air
Train
Tram/Metro/Bus
Taxi
Other
Total Claim "Public Transport"
Parking & Tolls
Rows
Travel Date / Period [dd/mm/yy]
Route / Location
Subject
Charges (Euro)
1
Parking Garage
Parking Meter
Tolls
Other
2
Parking Garage
Parking Meter
Tolls
Other
3
Parking Garage
Parking Meter
Tolls
Other
Total Claim "Parking & Tolls"
TRAVEL EXPENSES 2
Living and Other Travel Cost
Living Expenses
Rows
Date / Period [dd/mm/yy]
Location
Accommodation
F&B
Other
1
2
3
4
5
6
7
8
9
10
Total Claim "Living Expenses"
Other Expenses
Rows
Description
Cost incl. VAT
VAT
1
2
3
4
5
Total Claim "Other Expenses"
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EXPENSE CLAIM SUMMARY
Total Amount Due from Transport Related Expenses
Total Amount Due from Living and Other Expenses
Total Reclaimable VAT
Total Claim - NET DUE - EURO
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