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Ims Ship Management PVT - LTD: (Vikas Anton Sajan Roustabout Sagar Bhushan CET

This document is a crew reimbursement claim form submitted by Vikas Anton Sajan, a roustabout on the vessel Sagar Bhushan. It details expenses incurred on four separate dates in 2016-2017 for travel between Vasai and Rajmanduri for which supporting documentation is provided. The total expense claim is listed for approval along with Vikas' resident bank account details for reimbursement processing.

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67 views2 pages

Ims Ship Management PVT - LTD: (Vikas Anton Sajan Roustabout Sagar Bhushan CET

This document is a crew reimbursement claim form submitted by Vikas Anton Sajan, a roustabout on the vessel Sagar Bhushan. It details expenses incurred on four separate dates in 2016-2017 for travel between Vasai and Rajmanduri for which supporting documentation is provided. The total expense claim is listed for approval along with Vikas' resident bank account details for reimbursement processing.

Uploaded by

lucas
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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IMS SHIP MANAGEMENT PVT.

LTD
FLEET PERSONNEL MANAGEMENT DIVISION

(Crew Reimbursement Claim form)


NAME: RANK:
VIKAS ANTON SAJAN ROUSTABOUT
VESSEL LAST
SAGAR BHUSHAN CET
NAME: VESSEL:
RESIDENT
VASAI PACHUBANDAR , VASAI, PIN 401201 DIST-
ADDRESS:
PALGHAR MAHARASHTRA , INDIA
DATE IN RELATION TO SUPPORTI AMOUNT APPROV
OF NG ED
EXPENSE ATTACHED Y/N
S Y/N INR

18/08 LTT TO RAJMANDURI Y 1600


/2016
10/11 LTT TO RAJMANDURI Y 1830
/2016
12/02 LTT TO RAJMANDURI Y 2590
/2017
11/08 MEDICAL Y 1400
/2016

Officers
Sign
FOR OFFICE TOTAL EXPENSE
USE ONLY CLAIM
SIGN NAME TOTAL EXPENSE
APPROVED
RECEIVED DATE APPLIED
DATE:
CHECKED DATE PROCESSED
BY:
APPROVED (TO A/C DEPT)
BY:
Note: Claims to be submitted at the time of joining duly approved by Fleet Personnel Managers
Mumbai / Delhi. Reimbursement to be done on base of approval.
Remark:
RESIDENT BANK ACCOUNT DETAILS:(SAVING BANK DETAILS ONLY)
BENEFICIARYS NAME AS IN THE
VIKAS ANTON SAJAN
BANK A/C:
THE BANK ACCOUNT NO:
SB7631294
NAME OF THE BANK:
BASSEIN CATHOLIC CO-
OPERATIVE BANK LTD
BRANCH NAME:
ZENDA BAZAR
BANK ADDRESS:
ZENDA BAZAR VASAI WEST PIN
401201 DIST PALGHAR PIN
401201 MAHARASHTRA, INDIA

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