VGG INDIA PRIVATE LIMITED
Expenses Claim Form
NAME ____________________________________ RANK: ___________________________________
JOINING AND/OR LEAVING MV/MT ____________________________ AT ___________ ___________
AND/OR TRAINING UNDERTAKEN:________________________________ _________________________________________
NAME OF TRAINING COURSE: ____________________________________________________________________________
NAME OF TRAINING INSTITUTE:________________________________________ DATE:
AUTHORISATION REFERENCE:___________________________________________________________________________
CONTACT DETAILS (E-MAIL AND MOBILE DETAILS):_____________________
DETAILS OF EXPENDITURE:
Particulars Amount
Bank Details:
Beneficiary Name (Seafarers Only)
Beneficiary Bank
Beneficiary Account No. (SB A/C or NRO A/C only)
Beneficiary Branch / IFSC Code
NOTES:
1. All claims must be supported with appropriate proof of payment. You are reminded that all alcoholic beverages and
personal telephone calls are to your own account.
2. Expenses claims can only be considered when submitted on this form (one form for each ship/project). Claims should be
submitted as soon as possible and normally will not be considered if received more than 3 months after the expense are
actually incurred.
______________________________
Signature of Officer/Rating
DATE _________________
For office use only:
APPROVED FOR PAYMENT: ________________________________ DATE: _______________________
Signature of Crew Manager
Page 1 of 1 LWI 08- Form CO 11
Revision Number: 0.0