Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.D.S. Balachandra Babu 2 (i) Designation (ii) Organisation Industries Farm Implements (India) Pvt. Ltd. Nominated by Agricultural Machinery Manufacturers Association, Pune (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State 13, Kumarappa Steet, Nungambakkam,Chennai-600034 4 Phone Number 044-28261676 / 9840062049 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Agriculture, Horticulture and Floriculture sector (1-11) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.Dr. P.B.S Bhadoria 2 (i) Designation Professor (ii) Organisation Academic/Professional Institutions IIT Nominated by Indian Institute of Technology, Kharagpur (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Indian Institute of Technology Kharagpur, Kharagpur India - 721302 4 Phone Number 9474721469 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Agriculture, Horticulture and Floriculture sector (10-11) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri. Vishnu Mathur 2 (i) Designation Director General (ii) Organisation Industries Society of Indian Automobile Manufacturers (SIAM), Member of Automobile Sector Skill Council (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Society of Indian Automobile Manufacturers (SIAM), Core 4-B, 5th Floor, India Habitat Centre, Lodhi Road, New Delhi – 110 003 4 Phone Number 011-24647810 5 E-mail Address vishnu.mathur@siam.in 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Automobile sector (14 - 19) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.Dr.C.S. Shankar Ram 2 (i) Designation Assistant Professor (ii) Organisation Academic/Professional Institutions IIT Nominated by Indian Institute of Technology, Madras (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State D/o Engineering Design, IIT Madras, Indian Institute of Technology Madras, IIT P.O., Chennai 600 036 4 Phone Number 044-22574705 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Automobile sector (19 - 19) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri. Kishan Agrawal 2 (i) Designation Director (ii) Organisation Industries Worldwide Insurance Brokers Ltd Nominated by Insurance Brokers Association of India (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Worldwide Insurance Brokers Ltd, Chokhani Square, Sector 18, Noida-201301 4 Phone Number 9891524246 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Banking Financial Services & Insurance (BFSI) sector (20 - 29) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.M.R. Kumar 2 (i) Designation ED (Personnel) (ii) Organisation Industries Life Insurance Corporation of India Proposed DGET nomination (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Life Insurance Corporation of India, “Yogakshema“, Jeevan Bima Marg, Mumbai – 400021 4 Phone Number 022-22028325 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Banking Financial Services & Insurance (BFSI) sector (21 -29) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri. Sandip Ghose 2 (i) Designation Director (ii) Organisation Academic/Professional Institutions National Institute of Securities Markets Nominated by National Institute of Securities Markets, Mumbai (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State National Institute of Securities Markets, NISM Bhavan, Plot No. 82, Sector - 17, Vashi, Navi Mumbai - 400 703 4 Phone Number 022-66735111 / 9167922220 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Banking Financial Services & Insurance (BFSI) sector (28 -29) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.R. Ravi 2 (i) Designation Head - Content Development (ii) Organisation Academic/Professional Institutions Institute of Finance, Banking and Insurance Proposed DGET nomination (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Institute of Finance, Banking and Insurance, A-1,Hamilton House 1st Floor Above Starbucks coffee Connaught Place Delhi 110001 4 Phone Number 011-46527603 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Banking Financial Services & Insurance (BFSI) sector (29 -29) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Smt. Asha Kumar 2 (i) Designation HOD (ii) Organisation Academic/Professional Institutions Meera Bai Institute of Technology Nominated by Meerabai Institute of Technology, Delhi (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Incharge of Cosmetology and Health Department, Meera Bai Institute of Technology, New Delhi-110065 4 Phone Number 9312273555 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Beauty and Wellness sector (36 -36) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.Dr. Mahendra Singh 2 (i) Designation Professor (ii) Organisation Academic/Professional Institutions IIT Nominated by Indian Institute of Technology, Roorkee (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Indian Institute of Technology Roorkee, Roorkee, Uttarakhand India - 247667 4 Phone Number 0133-2285651 / 09412070268 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Construction, Construction Material and Real Estate sector (43 -48) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.Pr.S.C. Dutta 2 (i) Designation Professor (ii) Organisation Academic/Professional Institutions IIT Nominated by Indian Institute of Technology, Bhubaneswar (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Indian Institute of Technology Bhubaneswar, Bhubaneswar-751 013 4 Phone Number 0674-2301324 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Construction, Construction Material and Real Estate sector (44 -48) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.D. Chandran 2 (i) Designation MD (ii) Organisation Industries Nila Seafood Pvt. Ltd Nominated by The Marine Products Export Development Authority (MPEDA) (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Nila Seafood Pvt. Ltd., 137-Pudurpandiapuram, Tuticorin, Tamil Nadu-628008 4 Phone Number 0461-2345707 / 9894645707 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Dairy, Meat, Poultry, Fisheries sector (51 -66) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.N.R. Bhasin 2 (i) Designation (ii) Organisation Industries Indian Dairy Association Nominated by Federation of Indian Micro and Small & Medium Enterprises (FISME) (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Indian Dairy Association, IDA House, Sector 4, R.K. Puram, New Delhi-110 022 4 Phone Number 011-26170781 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Dairy, Meat, Poultry, Fisheries sector (53 -66) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.Dr. Ashish Kumar Singh 2 (i) Designation Senior scientist (ii) Organisation Academic/Professional Institutions National Dairy Research Institute Nominated by National Dairy Research Institute, Karnal (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Business Planning & Development Unit, National Dairy Research Institute, Karnal, SH 9, Nyaypuri, Karnal, Haryana 132001 4 Phone Number 0184-2259291 / 9416292406 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Dairy, Meat, Poultry, Fisheries sector (57 -66) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.Dr.S.K. Chakroborty 2 (i) Designation HOD (ii) Organisation Academic/Professional Institutions FRHPHM, Central Institute of Fisheries Education Nominated by Central Institute of Fisheries Education, Mumbai (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State FRHPHM, Central Institute of Fisheries Education, Panch Marg,Off Yari Road, Versova, Andheri (W), Mumbai 400 061 4 Phone Number 022-26365198 / 989286182 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Dairy, Meat, Poultry, Fisheries sector (59 -66) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.Dr.K.V. Rajendran 2 (i) Designation Principal Scientist (ii) Organisation Academic/Professional Institutions AHME, Central Institute of Fisheries Education Nominated by Central Institute of Fisheries Education, Mumbai (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State AHME, Central Institute of Fisheries Education, Panch Marg,Off Yari Road, Versova, Andheri (W), Mumbai 400 061 4 Phone Number 022-2636446 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Dairy, Meat, Poultry, Fisheries sector (61 -66) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.Dr.S.N. Ojha 2 (i) Designation Principal Scientist (ii) Organisation Academic/Professional Institutions FEESD, Central Institute of Fisheries Education Nominated by Central Institute of Fisheries Education, Mumbai (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State FEESD, Central Institute of Fisheries Education, Panch Marg,Off Yari Road, Versova, Andheri (W), Mumbai 400 061 4 Phone Number 9869637930 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Dairy, Meat, Poultry, Fisheries sector (66 - 66) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.A. Shripurwal 2 (i) Designation ED (ii) Organisation Industries Manufacturers Association for Information Technology (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Manufacturers’ Association for Information Technology, PHD House, 4th Floor, Opp. Asian Games Village, New Delhi 110 016 4 Phone Number 011-2685 5487 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Electronics & Hardware sector (67 -77) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.Dr.M.J. Nigam 2 (i) Designation Professor (ii) Organisation Academic/Professional Institutions IIT Nominated by Indian Institute of Technology, Roorkee (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Indian Institute of Technology Roorkee, Roorkee, Uttarakhand India - 247667 4 Phone Number 948159053 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Electronics & Hardware sector (75 - 77) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.Dr. Anil Sao. 2 (i) Designation Asstt. Professor (ii) Organisation Academic/Professional Institutions IIT Nominated by Indian Institute of Technology, Mandi (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Academic Block, Indian Institute of Technology Mandi PWD Rest House, Near Bus Stand Mandi - 175 001, Himachal Pradesh 4 Phone Number 0190-5237918 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Electronics & Hardware sector (76 - 77) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.M.A. Tejani 2 (i) Designation (ii) Organisation Industries Gits Food Products Private Limited Nominated by Agricultural and Processed Food Products Export Development Authority (APEDA) (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Gits Food Products Private Limited 18 / 3, Gits House, Hadapsar Industrial Estate Pune - 411013, Maharashtra 4 Phone Number 020-26870008 / 9822978803 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Food Processing & Preservation sector (93 -98) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri. Sadhu Gandhi 2 (i) Designation (ii) Organisation Industries Machilipatnam Imitation Jewelery Nominated by Federation of Indian Micro and Small & Medium Enterprises (FISME) (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Machilipatnam Imitation Jewelery, Park Members Welfare Association, CFC Complex, Jewelery Park, Pothepalli. (Village), Machilipatnam, Distt. Krishna, Pin-. 521002 4 Phone Number 0867-25060691 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Gems and Jewelery sector (99 -112) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri. Ramesh Narang 2 (i) Designation Director - GJF (ii) Organisation Industries Hazoorilal & Sons Jewellers Pvt. Ltd Nominated by ALL INDIA GEMS & JEWELLERY TRADE FEDERATION, Mumbai (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Hazoorilal & Sons Jewellers Pvt. Ltd., M-44, M. Block Market, Greater Kailash-1, New Delhi – 110048. India 4 Phone Number 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Gems and Jewelery sector (101 -112) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri. Hitesh Shah 2 (i) Designation Partner (ii) Organisation Industries M/S. Venus Jewel Ventechs Estate Nominated by Indian Diamond Institute, Surat (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Member, Academic Advisory Board (AAB), IDI Partner, M/S. Venus Jewel Ventechs Estate, Sumul Dairy Road Surat-395008 4 Phone Number 9824101070 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Gems and Jewelery sector (109 - 112) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri. Anish Kapil 2 (i) Designation Assistant Professor (ii) Organisation Academic/Professional Institutions Indian Institute of Gems and Jewellery Proposed DGET nomination (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Indian Institute of Gems and Jewellery, Jaipur, RK Derewala Tower, KGK Campus SP-111A, EPIP Near SEZ Phase-1 Sitapura Industrial Area, Jaipur 302022(Raj) INDIA 4 Phone Number 0141-2771577 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Gems and Jewelery sector (111 -112) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri. Lalit Johari 2 (i) Designation (ii) Organisation Industries M/s Shekhawati Arts Exports Nominated by Export Promotion Council for Handicarfts (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State M/s Shekhawati Arts Exports, 65-B, Bank Colony, Raika-Bagh, Jodhpur-342 001 4 Phone Number 9829024928 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Handicrafts sector (115 -124) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri. Ricky Osatwal 2 (i) Designation (ii) Organisation Industries M/s Ganges Jute Pvt. Ltd Nominated by Export Promotion Council for Handicarfts (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State M/s Ganges Jute Pvt. Ltd. Chatterjee Intl. Centre, 33A Jawaharlal Nehru Road, 6th Floor, Flat-5, Kolkata-700071 4 Phone Number 033-40123123 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Handicrafts sector (118 -124) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri. Brijesh Kumar Gutgutia 2 (i) Designation (ii) Organisation Industries M/s Deco De Trend Nominated by Export Promotion Council for Handicarfts (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State M/s Deco De Trend, 4/371, Vandalur Wallajabad Road, David Nagar, Chennai-600 034 4 Phone Number 044-27142222 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Handicrafts sector (119 -124) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri. Tafsir Ahmed 2 (i) Designation (ii) Organisation Industries M/s The Kings Nominated by Export Promotion Council for Handicarfts (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State M/s The Kings, A-9, Sector 16, Noida-201301 4 Phone Number 9810277878 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Handicrafts sector (122 -124) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri. Rakesh Kumar 2 (i) Designation ED (ii) Organisation Industries Export Promotion Council for Handicrafts Nominated by Export Promotion Council for Handicarfts (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Export Promotion Council for Handicrafts, EPCH House Pocket 6&7, Sector C, Vasant Kunj, Delhi-110070 4 Phone Number 9818272171 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Handicrafts sector (123 -124) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri. Daljit Singh 2 (i) Designation President (ii) Organisation Industries Fortis Healthcare Ltd Member of Health Care Sector Skill Council (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Fortis Healthcare Ltd, Tower A, Unitech Business Park, Block – F, South City 1, Sector – 41, Gurgaon, Haryana - 122001 4 Phone Number 0124-4962243 5 E-mail Address daljit.singh@fortishealthcare.com 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Healthcare sector (129 -135) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri. Aijaz Tobaccowalla 2 (i) Designation MD (ii) Organisation Industries Pfizer Limited Member of Health Care Sector Skill Council (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Pfizer Limited, Pfizer Centre, Patel Estate, S V Road, Jogeshwari (West), Mumbai - 400 102, India 4 Phone Number 022-66932346 5 E-mail Address jazz.tobaccowalla@pfizer.com 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Healthcare sector (130 -135) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.Dr. Vinod Kumar 2 (i) Designation Professor (ii) Organisation Academic/Professional Institutions IIT Nominated by Indian Institute of Technology, Roorkee (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State D/o Elect Engg., Indian Institute of Technology Roorkee Roorkee, Uttarakhand, India - 247667 4 Phone Number 9412074172 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Healthcare sector (131 -135) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.Dr. Shailendra Saraf 2 (i) Designation Professor and Director (ii) Organisation Academic/Professional Institutions Institute of Pharmacy Nominated by Pharmacy Council of India, Delhi (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Faculty of Technology, Institute of Pharmacy, Pt. Ravishankar Shukla University Raipur-492 010 (Chhattisgarh) 4 Phone Number 0771-2262832 / 9826150327 5 E-mail Address shailendrasaraf@rediffmail.com 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Healthcare sector (132 -135) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.Dr.R.C. Deka 2 (i) Designation Director (ii) Organisation Academic/Professional Institutions AIIMS Member of Health Care Sector Skill Council (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State All India Institute of Medical Sciences, Ansari Nagar, New Delhi-110 029 4 Phone Number 011-26594800 5 E-mail Address director.aiims@gmail.com 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Healthcare sector (133 -135) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Smt. Avanti Satam 2 (i) Designation (ii) Organisation Industries Siemens Ltd Proposed DGET nomination (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State SITRAIN, Siemens India,Siemens Ltd. Thane-Belapur Road Maharashtra, Thane-400061 4 Phone Number 022-27623208 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Industrial Automation & Instrumentation sector (138 -147) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.Dr. Vinod Kumar 2 (i) Designation Professor (ii) Organisation Academic/Professional Institutions IIT Nominated by Indian Institute of Technology, Roorkee (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State D/o Elect Engg., Indian Institute of Technology Roorkee Roorkee, Uttarakhand India - 247667 4 Phone Number 9412074172 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Industrial Automation & Instrumentation sector (142 -147) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.Dr.T. Asokan 2 (i) Designation Associate Professor (ii) Organisation Academic/Professional Institutions IIT Nominated by Indian Institute of Technology, Madras (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State D/o Engineering Design, Indian Institute of Technology Madras IIT P.O., Chennai 600 036 4 Phone Number 044-22574707 / 9940031066 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Industrial Automation & Instrumentation sector (143 -147) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.B. Ravi Shankar 2 (i) Designation (ii) Organisation Industries Mindtree Ltd Nominated by The National Association of Software and Services Companies (NASSCOM) (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Mindtree Ltd, Global Village, RCVE Post, Mysore Road,Bangalore 59 4 Phone Number 9916173449 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector IT & ITES sector (153 -159) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri. Umesh Gupta 2 (i) Designation President (ii) Organisation Industries Network of ICT Entrepreneurs and Enterprises Nominated by Federation of Indian Micro and Small & Medium Enterprises (FISME) (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Network of ICT Entrepreneurs and Enterprises, USO House, USO Road, 6 Special Institutional Area, New Delhi-110067 4 Phone Number 011-26602885 / 9810009918 5 E-mail Address president@nitee.org / ugupta@open-soft.net 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector IT & ITES sector (154 -159) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.Prof.S.C. De Sarkar 2 (i) Designation (ii) Organisation Academic/Professional Institutions IIT Nominated by Indian Institute of Technology, Bhubaneswar (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Indian Institute of Technology Bhubaneswar, Bhubaneswar-751 013 4 Phone Number 0674-2306249 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector IT & ITES sector (155 -159)/ 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.Dr. Arti Kashyup 2 (i) Designation Associate Professor (ii) Organisation Academic/Professional Institutions IIT Nominated by Indian Institute of Technology, Mandi (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Academic Block, Indian Institute of Technology Mandi PWD Rest House, Near Bus Stand Mandi - 175 001, Himachal Pradesh 4 Phone Number 0190-5237907 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector IT & ITES sector (156 -159) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.Dr. Sanjeev Kumar Gupta 2 (i) Designation Head, Technical Wing (ii) Organisation Academic/Professional Institutions National Institute of Electronics and Information Technology Nominated by National Institute of Electronics & Information Technology (NIELIT) (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State National Institute of Electronics and Information Technology, Electronics Niketan, 6, CGO Complex New Delhi 110 003 4 Phone Number 011-24363733 / 8527624545 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector IT & ITES sector (157 -159) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.Dr.N.S. Narayanaswamy 2 (i) Designation Associate Professor (ii) Organisation Academic/Professional Institutions IIT Nominated by Indian Institute of Technology, Madras (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State D/o Computer Science and Engg, Indian Institute of Technology Madras, IIT P.O., Chennai 600 036 4 Phone Number 044-22574369 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector IT & ITES sector (159 - 159) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.K. Murali 2 (i) Designation Director (ii) Organisation Academic/Professional Institutions CFTI Proposed DGET nomination (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Central Footware Training Institute (CFTI), 65/1, GST Road, Guindy, Chennai 600032 4 Phone Number 9840291804 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Leather & Leather Goods sector (167 -167) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri. Ravi Kr. Aggarwal 2 (i) Designation (ii) Organisation Industries Mamman Chand Ramji Dass Nominated by All India Plastic Industries Association, Delhi (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Mamman Chand Ramji Dass, 4436, Vishnu Bazaar, 2nd Floor, Cloth Market, Delhi-110 006 4 Phone Number 9810028517 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Plastics sector (186 -194) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.R.K. R.K. Agarwal 2 (i) Designation (ii) Organisation Industries The All India Plastics Manufacturers' Association Nominated by Federation of Indian Micro and Small & Medium Enterprises (FISME) (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State The All India Plastics Manufacturers' Association, 2e/23, Jhandewalan Extension, R.No. 301, New Delhi-110055 4 Phone Number 011-43215658 / 9891689952 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Plastics sector (189 -194) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri. Sanjay Kumar Chowdhary 2 (i) Designation Manager (Projects) (ii) Organisation Academic/Professional Institutions Advanced Plastic Processing Technology Centre Nominated by Government of Odisha (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Advanced Plastic Processing Technology Centre, S-1/25, Industrial Estate, O.T.Road, Balasore -756001 (ORISSA) 4 Phone Number 06782-653213 / 9437124606 5 E-mail Address apptcbls@gmail.com 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Plastics sector (193 -194) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.Prof.N.C. Sahoo 2 (i) Designation Professor (ii) Organisation Academic/Professional Institutions IIT Nominated by Indian Institute of Technology, Bhubaneswar (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Indian Institute of Technology Bhubaneswar, Bhubaneswar-751013 4 Phone Number 0674- 2306250 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Power Generation, Transmission, Distribution, Wiring and Electrical Equipment sector (198 -204) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.Prof.A.K. Gohshal 2 (i) Designation Professor (ii) Organisation Academic/Professional Institutions IIT Nominated by Indian Institute of Technology, Guwahati (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Dept. Of Chemical Engg. Indian Institute of Technology Guwahati Guwahati 781039, Assam, India 4 Phone Number 0361-2582252 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Power Generation, Transmission, Distribution, Wiring and Electrical Equipment sector (200 -204) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.Dr.S.P. Gupta 2 (i) Designation Professor (ii) Organisation Academic/Professional Institutions IIT Nominated by Indian Institute of Technology, Roorkee (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Indian Institute of Technology Roorkee, Roorkee, Uttarakhand India - 247667 4 Phone Number 9837074284 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Power Generation, Transmission, Distribution, Wiring and Electrical Equipment sector (202 -204) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.S.S. Maity 2 (i) Designation GM (ii) Organisation Industries Central Tool Room & Training Centre Nominated by Government of Odisha (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Central Tool Room & Training Centre (CTTC), B-36,Chandaka Industrial Area, Bhubaneswar-751024 4 Phone Number 0674-2304200 / 9861086070 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Production & Manufacturing sector (208 -221) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.Dr.S.K. Choudary 2 (i) Designation Professor (ii) Organisation Academic/Professional Institutions IIT Nominated by Indian Institute of Technology, Kanpur (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Indian Institute of Technology Kanpur KANPUR-208016 (UP) 4 Phone Number 0512-2597270 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Production & Manufacturing sector (211 -221) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.Prof. Rajeev Kumar 2 (i) Designation Asst. Professor (ii) Organisation Academic/Professional Institutions IIT Nominated by Indian Institute of Technology, Mandi (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Indian Institute of Technology Mandi, PWD Rest House Near Bus Stand, Mandi - 175 001, Himachal Pradesh 4 Phone Number 0190-5237920 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Production & Manufacturing sector (212 -221) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.Dr. Anil Kr. Singh 2 (i) Designation Professor (ii) Organisation Academic/Professional Institutions NIFFT Nominated by National Institute of Foundry & Forge Technology (NIFFT), Ranchi (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State D/o Foundry Technology, NIFFT, Hatia, Ranchi - 834003 4 Phone Number 94315 84551 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Production & Manufacturing sector (217 -221) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.R.M. Hasetri 2 (i) Designation Director (R&D) (ii) Organisation Industries JK Tyre & Industries Ltd Member of Rubber Sector Skill Council (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State JK Tyre & Industries Ltd, 'Link House’ 3, Bahadur Shah Zafar Marg, New Delhi - 110 002. 4 Phone Number 5 E-mail Address rm.hasetri@gmail.com, 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Rubber sector (225 -229) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri. Commodore J. Jena 2 (i) Designation CEO (ii) Organisation Industries Telecom Sector Skill Council Nominated by Cellular Operators Association of India, Delhi (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Telecom Sector Skill Council, C-Dot Campus, Mehrauli, New Delhi - 110030 4 Phone Number 011-26598681 / 9899150066 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Telecommunications sector (233 -244) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.D.N Sahay 2 (i) Designation AGM (EB) (ii) Organisation Industries Advanced Level Telecom Training Centre Nominated by Bharat Sanchar Nigam Limited (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Advanced Level Telecom Training Centre Ghaziabad-201002 4 Phone Number 0120-2728259 / 9412739215 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Telecommunications sector (235 -244) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.Dr. Samar Agnihotra 2 (i) Designation Asstt. Professor (ii) Organisation Academic/Professional Institutions IIT Nominated by Indian Institute of Technology, Mandi (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Indian Institute of Technology Mandi PWD Rest House, Near Bus Stand Mandi - 175 001, Himachal Pradesh 4 Phone Number 0190-5237907 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Telecommunications sector (240 -244) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.Dr. Anil Sao 2 (i) Designation Asstt. Professor (ii) Organisation Academic/Professional Institutions IIT Nominated by Indian Institute of Technology, Mandi (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Indian Institute of Technology Mandi PWD Rest House, Near Bus Stand Mandi - 175 001, Himachal Pradesh 4 Phone Number 0190-5237918 5 E-mail Address anil@iitmandi.ac.in 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Telecommunications sector (241 -244) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.Dr. Darlie Koshy 2 (i) Designation Director General and CEO (ii) Organisation Academic/Professional Institutions Apparel Export Promotion Council Proposed DGET nomination (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State IAM & ATDC, Apparel Export Promotion Council, 7th Floor, Apparel House, Sector-44, Gurgaon-122003 Haryana 4 Phone Number 9971888908 5 E-mail Address koshy@aepcindia.com 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Textiles and Apparel sector (252 -252) / 279 (Signature of claimant) (27.01.2014)
Form for claiming reimbursement for travel, boarding, lodging related to meeting with Mentor Councils 1 Name Shri.Dr. Riyaz Qureshi 2 (i) Designation Cordinator (ii) Organisation Academic/Professional Institutions University of Kashmir (iii) Pay/Pay Band (in case of Govt. Official) 3 Address with District/State Tourism Studies, University of Kashmir,Hazratbal, Srinagar-190006, J&K, India 4 Phone Number 9419071552 5 E-mail Address 6 Details regarding travel Departure Arrival Amount claimed/ Fare Paid Mode of Travel Distance in Kms. (for travel by road) Receipt/ Ticket attached (Yes/No) Date/Time From Date/Time To 7 Details regarding boarding/lodging Period of Stay Name of Hotel Amount paid/to be paid Receipt attached (Yes/No) From To Boarding Lodging Total Sector Travel Tourism and Hospitality sector (260 -262) / 279 (Signature of claimant) (27.01.2014)