Decont

Subsemnatul – nume/prenume; The undersigned:(Required)

CNP; Personal identification NR(Required)

CI Serie/NR; ID Serial/NR(Required)

Domiciliul complet; Address(Required)

Telefon

Eveniment; Event(Required)

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Valută decont (GF currency)

Valută plăți / Payment currency(Required)

Transport

Decontez transport? / Refund for transport?(Required)

Da / Yes

Nu / No

Deplasare cu; Travel with:(Required)

Inceputul deplasării; Beginning of travel(Required)

Finalul deplasării; End of travel(Required)

Localitate plecare(Required)

Localitate Destinație(Required)

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Geocoder

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Geocoder

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Distance & Duration

Alte destinații din călătorie

Călătorie(Required)

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Distanta estimată calculată (dus)(Required)

Distanta estimată calculată(Required)

Documente transport

Nr document / Document nr	Data document / Document date	Litri combustibil / Fuel liters	Valoare doc. / Doc. value	Actions

There are no Documents.

Documente transport

Nr document / Document nr	Data document / Document date	Valoare doc. / Doc. value	Actions

There are no Documents.

Copie talon

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 256 MB.

Total val. documente transport / total cost for transport(Required)

Total combustibil (l) / Fuel total (l)(Required)

Total Km reali parcurși(Required)

Consum est l/100km / Est consump. l/100km

Cost mediu per l /Avg price per. l

Valoare decontabila (7.5lper100) / Refundable value (7.5lper100)(Required)

Cazare

Decontez cazare? / Refund for accomodation?(Required)

Da / Yes

Nu / No

Documente cazare

Serie, nr document / Document nr, series	Data document / Document date	Valoare doc. / Doc. value	Nopti	Actions

There are no Entries.

Valoare totală cazare / Housing total value(Required)

Sumar

Valoare totală calculată pentru decont / Calculated refund total value(Required)

Valoare totală solicitată / Requested refund total value(Required)

IBAN(Required)

Data decont; request date

Signature

Decont

Transport

Cazare

Sumar

Contact

ACTIVITATE