ࡱ> CFB#bjbj++4.IIOOOOOccc8D$ci777$K!pEO77777OO4#kkk7jOOk7kk8R90i ,m"m"8m"O8l77k77777}777i7777m"777777777+ :............................................................... Adz, dn. ........................... (student s name and surname) ............................................................... (phone number, e-mail address) ............................................................... (name of Faculty at 91ε) TRAVEL COST DECLARATION In connection with my travel expenses to a foreign university under the ERASMUS Program in the academic year 20.... / 20.... I kindly ask for a partial refund of my travel costs to ................................................................. (country) Please find attached the invoice/the bill/the ticket with the amount ................................... (delete as appropriate) (the amount) Below you can find my bank account details: Name and surname of the owner (student) ......................................................... .................... Bank account in PLN: ........................................................................................................ ................................................... Students signature  NOTE OF ACCOUNTING DEPERTAMENT Kwota nale|na do wypBaty: ........................................................................................................ sBownie:.....................................................................................................................|~   F H J     D E j l n z ﺧvhh4OJQJ^JmH sH hhf{OJQJ^J h[MhJOJQJ^JmH sH $h[Mhf{CJOJQJ^JmH sH $h[Mh[MCJOJQJ^JmH sH $h[MhCJOJQJ^JmH sH  h[Mh;UOJQJ^JmH sH  h[Mh[MOJQJ^JmH sH  h[Mhf{OJQJ^JmH sH ! 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(podpis pracownika DRZ)      NOTE OF INTERNATIONAL RELATIONS OFFICE Student/ka rozliczyB/a wyjazd na studia z programu ERASMUS+. .................................................. podpis i piecz pracownika BWZ * please fill in this print on the computer     Z q s !!(!)!,!-!/!0!1!2!4!5!7!8!:!;!=!c!ڿڳڍzrnrnrnrnY)hAUhAU56>*OJQJ^JmH sH hU#jhU#U%jhhAUCJOJQJU^Jhh 7-CJOJQJ^Jhc0;OJQJ^Jhhc0;OJQJ^JhAUCJOJQJ^Jhc0;CJOJQJ^Jhh$)~CJOJQJ^Jhhf{CJOJQJ^Jhhf{OJQJ^Jh$)~OJQJ^J .!/!1!3!4!6!7!9!:!*OJQJ^JmH sH )hAUh56>*OJQJ^JmH sH 6#8#####$a$gdAgdA$a$gdc0; $h^ha$gdA###hhf{CJOJQJ^JhU#21h:pAU. 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