DECLARATION FORM

Please use this form to submit your expenses. Make sure to complete all required fields under “Your Details”. If certain sections don’t apply to your claim, you can leave them blank. Once submitted, you will receive a confirmation email with a copy of your declaration for your records.

Your Details

Firstname:

Lastname:

Phonenumber:

E-mailadress:

Bank details (IBAN):

BIC/SWIFT:

Address (street, city, postal code, country):

Department:

Travel expenses

Other expenses

Upload receipts for all expenses. You can add multiple files at once:

Remarks:

I hereby confirm that all information provided is true and accurate to the best of my knowledge.

MASTERNET

DECLARATION FORM

Your Details

Travel expenses

Other expenses

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