Expenses not eligible for reimbursement:

1. Mini bar or alcohol with meals
2. Room Service
3. Extension of stay
4. Unauthorized Phone Calls
5. Rebooking Fees

I hereby declare and certify that I have incurred the abovementioned expenses during my travel during the period I have stated in this form and have attached the relevant receipts to this form and affirm that these expenses incurred will not be reimbursed by any third party.

I understand that any claim I manifest in this form shall hold me liable under the law if later found out to be false or untrue. I affirm that all the information I submit through this form is true and correct to the best of my knowledge.