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11
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1
Name and Surname
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First Name
Last Name
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2
Email
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please add an email adress for further communication
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Body
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AEGEE-A Coruña
AEGEE-Aachen
AEGEE-Adana
AEGEE-Alicante
AEGEE-Amsterdam
AEGEE-Angers
AEGEE-Ankara
AEGEE-Antalya
AEGEE-Athina
AEGEE-Baki
AEGEE-Bamberg
AEGEE-Barcelona
AEGEE-Bari
AEGEE-Beograd
AEGEE-Bergamo
AEGEE-Berlin
AEGEE-Białystok
AEGEE-Bilbao
AEGEE-Bologna
AEGEE-Bratislava
AEGEE-Brescia
AEGEE-Brno
AEGEE-Brussels-Bruxelles
AEGEE-București
AEGEE-Budapest
AEGEE-Burgos
AEGEE-Cagliari
AEGEE-Çanakkale
AEGEE-Castelló
AEGEE-Catania
AEGEE-Chișinau
AEGEE-Cluj-Napoca
AEGEE-Cosenza
AEGEE-Darmstadt
AEGEE-Debrecen
AEGEE-Delft
AEGEE-Dresden
AEGEE-Düsseldorf
AEGEE-Eindhoven
AEGEE-Enschede
AEGEE-Erfurt
AEGEE-Eskişehir
AEGEE-Firenze
AEGEE-Frankfurt am Main
AEGEE-Gaziantep
AEGEE-Gdańsk
AEGEE-Genova
AEGEE-Gliwice
AEGEE-Grodno
AEGEE-Groningen
AEGEE-Hamburg
AEGEE-Hatay
AEGEE-Heidelberg
AEGEE-Helsinki
AEGEE-Iași
AEGEE-Ioannina
AEGEE-Isparta
AEGEE-Istanbul
AEGEE-Izmir
AEGEE-Kaiserslautern
AEGEE-Katowice
AEGEE-Kharkiv
AEGEE-København
AEGEE-Köln
AEGEE-Krakow
AEGEE-Kyïv
AEGEE-Las Palmas
AEGEE-Leiden
AEGEE-León
AEGEE-Leuven
AEGEE-Lille
AEGEE-Lisboa
AEGEE-Ljubljana
AEGEE-London
AEGEE-Lublin
AEGEE-Lviv
AEGEE-Lyon
AEGEE-Maastricht
AEGEE-Madrid
AEGEE-Mağusa
AEGEE-Málaga
AEGEE-Manchester
AEGEE-Mannheim
AEGEE-Maribor
AEGEE-Messina
AEGEE-Milano
AEGEE-Minsk
AEGEE-Montpellier
AEGEE-Moskva
AEGEE-Muğla
AEGEE-München
AEGEE-Napoli
AEGEE-Naxçivan
AEGEE-Nijmegen
AEGEE-Niš
AEGEE-Novi Sad
AEGEE-Odessa
AEGEE-Osnabrück
AEGEE-Oviedo
AEGEE-Padova
AEGEE-Palermo
AEGEE-Palma de Mallorca
AEGEE-Paris
AEGEE-Passau
AEGEE-Patra
AEGEE-Pécs
AEGEE-Pisa
AEGEE-Ploiești
AEGEE-Plzen
AEGEE-Poznań
AEGEE-Praha
AEGEE-Reggio Calabria
AEGEE-Roma
AEGEE-Rostov-Na-Donu
AEGEE-Ryazan
AEGEE-Salerno
AEGEE-Samara
AEGEE-Sankt Petersburg
AEGEE-Santander
AEGEE-Sheffield
AEGEE-Siena
AEGEE-Skopje
AEGEE-Sofia
AEGEE-Stockholm
AEGEE-Strasbourg
AEGEE-Stuttgart
AEGEE-Tallinn
AEGEE-Tarragona
AEGEE-Tartu
AEGEE-Tbilisi
AEGEE-Tenerife
AEGEE-Thessaloniki
AEGEE-Tilburg
AEGEE-Tiranë
AEGEE-Torino
AEGEE-Toruń
AEGEE-Toulouse
AEGEE-Treviso
AEGEE-Tyumen
AEGEE-Udine
AEGEE-Utrecht
AEGEE-Valencia
AEGEE-Valladolid
AEGEE-Valletta
AEGEE-Verona
AEGEE-Vigo
AEGEE-Voronezh
AEGEE-Warszawa
AEGEE-Wien
AEGEE-Wrocław
AEGEE-Yerevan
AEGEE-Zagreb
AEGEE-Zaragoza
AEGEE-Zielona-Gora
Comite Directeur
Audit Commission
Network Commission
Mediation Commission
Juridical Commission
Working Group
ACT
CIRC
ITC
HRC
EQAC
Liasson Office
SUCT
Other Projects
Secretariat
Former CD
Externals
Others
AEGEE-A Coruña
AEGEE-Aachen
AEGEE-Adana
AEGEE-Alicante
AEGEE-Amsterdam
AEGEE-Angers
AEGEE-Ankara
AEGEE-Antalya
AEGEE-Athina
AEGEE-Baki
AEGEE-Bamberg
AEGEE-Barcelona
AEGEE-Bari
AEGEE-Beograd
AEGEE-Bergamo
AEGEE-Berlin
AEGEE-Białystok
AEGEE-Bilbao
AEGEE-Bologna
AEGEE-Bratislava
AEGEE-Brescia
AEGEE-Brno
AEGEE-Brussels-Bruxelles
AEGEE-București
AEGEE-Budapest
AEGEE-Burgos
AEGEE-Cagliari
AEGEE-Çanakkale
AEGEE-Castelló
AEGEE-Catania
AEGEE-Chișinau
AEGEE-Cluj-Napoca
AEGEE-Cosenza
AEGEE-Darmstadt
AEGEE-Debrecen
AEGEE-Delft
AEGEE-Dresden
AEGEE-Düsseldorf
AEGEE-Eindhoven
AEGEE-Enschede
AEGEE-Erfurt
AEGEE-Eskişehir
AEGEE-Firenze
AEGEE-Frankfurt am Main
AEGEE-Gaziantep
AEGEE-Gdańsk
AEGEE-Genova
AEGEE-Gliwice
AEGEE-Grodno
AEGEE-Groningen
AEGEE-Hamburg
AEGEE-Hatay
AEGEE-Heidelberg
AEGEE-Helsinki
AEGEE-Iași
AEGEE-Ioannina
AEGEE-Isparta
AEGEE-Istanbul
AEGEE-Izmir
AEGEE-Kaiserslautern
AEGEE-Katowice
AEGEE-Kharkiv
AEGEE-København
AEGEE-Köln
AEGEE-Krakow
AEGEE-Kyïv
AEGEE-Las Palmas
AEGEE-Leiden
AEGEE-León
AEGEE-Leuven
AEGEE-Lille
AEGEE-Lisboa
AEGEE-Ljubljana
AEGEE-London
AEGEE-Lublin
AEGEE-Lviv
AEGEE-Lyon
AEGEE-Maastricht
AEGEE-Madrid
AEGEE-Mağusa
AEGEE-Málaga
AEGEE-Manchester
AEGEE-Mannheim
AEGEE-Maribor
AEGEE-Messina
AEGEE-Milano
AEGEE-Minsk
AEGEE-Montpellier
AEGEE-Moskva
AEGEE-Muğla
AEGEE-München
AEGEE-Napoli
AEGEE-Naxçivan
AEGEE-Nijmegen
AEGEE-Niš
AEGEE-Novi Sad
AEGEE-Odessa
AEGEE-Osnabrück
AEGEE-Oviedo
AEGEE-Padova
AEGEE-Palermo
AEGEE-Palma de Mallorca
AEGEE-Paris
AEGEE-Passau
AEGEE-Patra
AEGEE-Pécs
AEGEE-Pisa
AEGEE-Ploiești
AEGEE-Plzen
AEGEE-Poznań
AEGEE-Praha
AEGEE-Reggio Calabria
AEGEE-Roma
AEGEE-Rostov-Na-Donu
AEGEE-Ryazan
AEGEE-Salerno
AEGEE-Samara
AEGEE-Sankt Petersburg
AEGEE-Santander
AEGEE-Sheffield
AEGEE-Siena
AEGEE-Skopje
AEGEE-Sofia
AEGEE-Stockholm
AEGEE-Strasbourg
AEGEE-Stuttgart
AEGEE-Tallinn
AEGEE-Tarragona
AEGEE-Tartu
AEGEE-Tbilisi
AEGEE-Tenerife
AEGEE-Thessaloniki
AEGEE-Tilburg
AEGEE-Tiranë
AEGEE-Torino
AEGEE-Toruń
AEGEE-Toulouse
AEGEE-Treviso
AEGEE-Tyumen
AEGEE-Udine
AEGEE-Utrecht
AEGEE-Valencia
AEGEE-Valladolid
AEGEE-Valletta
AEGEE-Verona
AEGEE-Vigo
AEGEE-Voronezh
AEGEE-Warszawa
AEGEE-Wien
AEGEE-Wrocław
AEGEE-Yerevan
AEGEE-Zagreb
AEGEE-Zaragoza
AEGEE-Zielona-Gora
Comite Directeur
Audit Commission
Network Commission
Mediation Commission
Juridical Commission
Working Group
ACT
CIRC
ITC
HRC
EQAC
Liasson Office
SUCT
Other Projects
Secretariat
Former CD
Externals
Others
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4
Reason of the reimbursement
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Tell us briefly, why are you asking for reimbursement, please mention if your expense is under specific grants
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5
Bank details
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Please enter your bank details
IBAN
Adress
SWIFT
BANK
Currency
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United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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6
Expense Details and costs
Please indicate your expenses as following; 1-Description/Company/Date of Purchase/Cost 2-Description/Company/Date of Purchase/Cost..
1-Description/Company/Date of Purchase/Cost
2-Description/Company/Date of Purchase/Cost
3-Description/Company/Date of Purchase/Cost
4-Description/Company/Date of Purchase/Cost
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7
Do you have more ?
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NO
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8
Expense Details and costs
Please indicate your expenses as following; 1-Description/Company/Date of Purchase/Cost and all of this for each item you need to submit
5-Description/Company/Date of Purchase/Cost
6-Description/Company/Date of Purchase/Cost
7-Description/Company/Date of Purchase/Cost
8-Description/Company/Date of Purchase/Cost
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9
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10
Expense Details and costs
Indicate the total amount and currency
TOTAL AMOUNT
Currency
TOTAL AMOUNT
Currency
TOTAL AMOUNT
Currency
TOTAL AMOUNT
Currency
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11
Signature
Clear
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12
Unique ID
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13
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[object Object]
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