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[null,"TRAVEL REIMBURSEMENT FORM ",{"$nulls":3},"Art","DKK",null,"EUR",null,"USD",null,0,{"$nulls":6},"GBIF Travel Reimbursement Form for visitors invited by GBIF Secretariat"]
[null,"For visitors invited by GBIF Secretariat for participation in GBIF activities",null,null,"Transport",31111,0,null,0,null,0,null,0]
[null,"Download form from http://www.gbif.org/Support/travel/",null,null,"Hotel & meals",31112,0,null,0,null,0,null,0,{"$nulls":6},"Receipt no. 1 - must be filled in and printed if you claim per diem",{"$nulls":7},"Name:",0]
[{"$nulls":4},"Other Expenses",null,0,null,0,null,0,null,0,{"$nulls":14},"Travel to country:",0]
["Name:",{"$nulls":3},"Per Diem",31115,0]
["Address:",{"$nulls":3},"Omkostningssted",null,9,null,0,1,4,0,0]
[{"$nulls":4},"Virksomhedstype",null,9,null,0,{"$nulls":9},"Date","Per diem rate","Claiming per diem","Breakfast included","Lunch included","Dinner included","Per Diem claimed","No",null,"Per diem rate 2008 for all countries except the list below: ",{"$nulls":3},440,"DKK"]
["e-mail:"]
["Birth date:",{"$nulls":3},"Projekt",{"$nulls":20},"Yes",null,"Other Countries","PerDiem           rate","Breakfast","Lunch","Dinner"]
["Purpose of travel (e.g., name of event):",{"$nulls":3},"Analyse",null,9,null,0,1,{"$nulls":9},"DKK",{"$nulls":4},"DKK"]
["Travel to country (or countries):",{"$nulls":3},"Formål",{"$nulls":15},"No","No","No","No",{"v":0,"d":"0.00"},null,null,"Bangladesh",{"v":333,"d":"333.00"},{"v":0.15,"d":"15%"},{"v":0.3,"d":"30%"},{"v":0.3,"d":"30%"}]
["Travel dates:",{"$nulls":3},"Løngruppe",{"$nulls":15},"No","No","No","No",{"v":0,"d":"0.00"},null,null,"Bhutan",{"v":183,"d":"183.00"},{"v":0.15,"d":"15%"},{"v":0.3,"d":"30%"},{"v":0.3,"d":"30%"}]
["Payment to (name of bank): ",{"$nulls":3},"Bygning",null,7,null,7,4,{"$nulls":10},"No","No","No","No",{"v":0,"d":"0.00"},null,null,"Bolivia",{"v":251,"d":"251.00"},{"v":0.15,"d":"15%"},{"v":0.3,"d":"30%"},{"v":0.3,"d":"30%"}]
["BIC code or SWIFT code*:",{"$nulls":3},"Modtaget af:",null,"Efterregnet af:",{"$nulls":3},"Anvist af:",{"$nulls":9},"No","No","No","No",{"v":0,"d":"0.00"},null,null,"Bulgaria",{"v":326,"d":"326.00"},{"v":0.15,"d":"15%"},{"v":0.3,"d":"30%"},{"v":0.3,"d":"30%"}]
["ABA or Routing number (overseas)*:",{"$nulls":19},"No","No","No","No",{"v":0,"d":"0.00"},null,null,"Colombia",{"v":333,"d":"333.00"},{"v":0.15,"d":"15%"},{"v":0.3,"d":"30%"},{"v":0.3,"d":"30%"}]
["IBAN number (Europe)*",{"$nulls":19},"No","No","No","No",{"v":0,"d":"0.00"},null,null,"Cuba",{"v":351,"d":"351.00"},{"v":0.15,"d":"15%"},{"v":0.3,"d":"30%"},{"v":0.3,"d":"30%"}]
["Bank registration no.:",{"$nulls":19},"No","No","No","No",{"v":0,"d":"0.00"},null,null,"Egypt",{"v":336,"d":"336.00"},{"v":0.15,"d":"15%"},{"v":0.3,"d":"30%"},{"v":0.3,"d":"30%"}]
["Bank account no.:",{"$nulls":19},"No","No","No","No",{"v":0,"d":"0.00"},null,null,"India",{"v":242,"d":"242.00"},{"v":0.15,"d":"15%"},{"v":0.3,"d":"30%"},{"v":0.3,"d":"30%"}]
["Name of account holder:",{"$nulls":3},"Fields above restricted for GBIF Secretariat ",{"$nulls":15},"No","No","No","No",{"v":0,"d":"0.00"},null,null,"Iran",{"v":251,"d":"251.00"},{"v":0.15,"d":"15%"},{"v":0.3,"d":"30%"},{"v":0.3,"d":"30%"}]
["* Please fill in the codes relevant for your country for international identification of your bank",{"$nulls":19},"No","No","No","No",{"v":0,"d":"0.00"},null,null,"Malaysia",{"v":247,"d":"247.00"},{"v":0.15,"d":"15%"},{"v":0.3,"d":"30%"},{"v":0.3,"d":"30%"}]
["Kindly note that you must submit this reimbursement form together with original receipts within 1 month, and no later than 3 months, after returning from travel/event",{"$nulls":19},"No","No","No","No",{"v":0,"d":"0.00"},null,null,"Mozambique",{"v":292,"d":"292.00"},{"v":0.15,"d":"15%"},{"v":0.3,"d":"30%"},{"v":0.3,"d":"30%"}]
["Please fill in the form electronically, print out the two sheets (the form and the per diem sheet), sign and return to: GBIF Secretariat, Universitetsparken 15, DK-2100 Copenhagen O, Denmark, with original receipts and copy of the electronic travel authorization confirmation from the Secretariat",{"$nulls":19},"No","No","No","No",{"v":0,"d":"0.00"},null,null,"Nepal",{"v":204,"d":"204.00"},{"v":0.15,"d":"15%"},{"v":0.3,"d":"30%"},{"v":0.3,"d":"30%"}]
["RECEIPT NUMBER:","ITEM \n(please number and attach your receipts) :",null,"Per Diem","Hotel","Transport",null,"Other",null,"CURRENCY",{"$nulls":7},"X",null,null,"No","No","No","No",{"v":0,"d":"0.00"},null,null,"Pakistan",{"v":207,"d":"207.00"},{"v":0.15,"d":"15%"},{"v":0.3,"d":"30%"},{"v":0.3,"d":"30%"}]
[{"$nulls":4},"& meals",null,null,"expenses",null,"DKK",null,"EUR",null,"USD",{"$nulls":6},"No","No","No","No",{"v":0,"d":"0.00"},null,null,"Slovakia",{"v":312,"d":"312.00"},{"v":0.15,"d":"15%"},{"v":0.3,"d":"30%"},{"v":0.3,"d":"30%"}]
[{"$nulls":3},"---------  (Please identify category with X)  ---------",{"$nulls":16},"No","No","No","No",{"v":0,"d":"0.00"},null,null,"South Africa",{"v":242,"d":"242.00"},{"v":0.15,"d":"15%"},{"v":0.3,"d":"30%"},{"v":0.3,"d":"30%"}]
[1,"Total Per Diem (transferred automatically from the table to the right of this form)",null,"X",{"$nulls":5},{"v":0,"d":"0.00"},{"$nulls":10},"No","No","No","No",{"v":0,"d":"0.00"},null,null,"Thailand",{"v":301,"d":"301.00"},{"v":0.15,"d":"15%"},{"v":0.3,"d":"30%"},{"v":0.3,"d":"30%"}]
[{"$nulls":20},"No","No","No","No",{"v":0,"d":"0.00"},null,null,"Tunisia",{"v":345,"d":"345.00"},{"v":0.15,"d":"15%"},{"v":0.3,"d":"30%"},{"v":0.3,"d":"30%"}]
[{"$nulls":20},"No","No","No","No",{"v":0,"d":"0.00"},null,null,"Zambia",{"v":333,"d":"333.00"},{"v":0.15,"d":"15%"},{"v":0.3,"d":"30%"},{"v":0.3,"d":"30%"}]
[{"$nulls":20},"No","No","No","No",{"v":0,"d":"0.00"},null,null,"Zimbabwe",{"v":251,"d":"251.00"},{"v":0.15,"d":"15%"},{"v":0.3,"d":"30%"},{"v":0.3,"d":"30%"}]
[{"$nulls":20},"No","No","No","No",{"v":0,"d":"0.00"}]
[{"$nulls":20},"No","No","No","No",{"v":0,"d":"0.00"}]
[{"$nulls":20},"No","No","No","No",{"v":0,"d":"0.00"}]
[{"$nulls":20},"No","No","No","No",{"v":0,"d":"0.00"}]
[{"$nulls":20},"No","No","No","No",{"v":0,"d":"0.00"}]
[{"$nulls":20},"No","No","No","No",{"v":0,"d":"0.00"}]
["SUBTOTAL:",null,null,0,"Days of Per Diem",{"$nulls":4},{"v":0,"d":"0.00"},null,{"v":0,"d":"0.00"},null,{"v":0,"d":"0.00"},null,{"v":0,"d":"0.00"},{"$nulls":4},"No","No","No","No",{"v":0,"d":"0.00"}]
[]
["Date:",null,"Signature:",{"$nulls":15},"Total",null,0,0,0,0,{"v":0,"d":"0.00"}]
[{"$nulls":18},"Enter 'Yes' in Claiming Per Diem for every day for which you wish to claim per diem (must not exceed the number of nights in the trip)"]
[{"$nulls":18},"Enter 'Yes' in the next three columns for every meal included in the hotel or conference arrangements"]