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Reimbursement Claim Form
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To be completed and submitted no later than the 26th of April 2024. Please return with ALL necessary supporting documents (read sheet 'How to fill') to the EASPD office at the address given below. An electronic version of this file to be sent to EASPD staff contact
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Your details
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Name of person submittingEvangelos Kamoudis
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OrganisationTheotokos Foundation
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Project name if applicable
HELPDESK (SESK - 101052902)
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Event name, place & dateHelpdesk Final Conference, 16 April 2024, Brussels
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Date Submitted26/4/2024
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Bank nameNATIONAL BANK OF GREECE
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IBAN numberGR9201101120000011248000447
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SWIFT or BIC numberETHNGRAA
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Account holder nameIPAP I THEOTOKOS
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Address of account holderSPYROU THEOLOGOU 2, ILION, 13122, GREECE
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TRAVEL COSTS
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Item No.
Name Person travelling
City of departureCity of activity/arrivalCity of return
(if different from departure)
Distance Calculator
(Flight or rail)
Unit cost travel (Sheet 'Travel Costs')Total
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T1
Evangelos Kamoudis
AthensBrusselsAthens2057429429
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T2Brussels
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T3Brussels
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Total
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Analytical code (filled by EASPD staff only)
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ACCOMMODATION
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Item No.NameCheck in date
(dd/mm/yyyy)
Check out date
(dd/mm/yyyy)
Number of nights (Maximum 2)Host CountryHost Country Accommodation Unit Total Accommodation
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A1
Evangelos Kamoudis
15/04/202417/04/20242Belgium274274
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A2Belgium0
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A3Belgium0
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Total274
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Analytical code (filled by EASPD staff only)
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SUBSISTENCE COSTS
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Item No.NameArrival date
(dd/mm/yyyy)
Departure date
(dd/mm/yyyy)
Number of nights in Belgium (Maximum 1)Host CountryHost Country Subsistence Unit
(Sheet 'Unit Costs')
Total Subsistence
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S1
Evangelos Kamoudis
Belgium102102
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S2Belgium0
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S3Belgium0
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Total102
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Analytical code (filled by EASPD staff only)
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TOTAL COSTS805
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Remarks (if any) and signature of claimant
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Remarks (if any) and signature of EASPD Staff
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EASPD, Handelsstraat / Rue du Commerce 72, B-1040 Brussels (Belgium)
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Tel:+32(0) 2 233 77 20 - Email: info@easpd.eu
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