MIS 2026 - REIMBURSEMENT FORM

MIS 2026 – REIMBURSEMENT FORM

MIS 2026 – REIMBURSEMENT FORM https://form.comnco.net/wp-content/uploads/2025/12/MASTERCLASS_MIS_VIGNETTE_CY.png 1920 1080 Com&Co Form Com&Co Form 3 juillet 2026 3 juillet 2026

MIS 2026 – REIMBURSMENT FORM FOR FACULTY

« * » indique les champs nécessaires

URL

Ce champ n’est utilisé qu’à des fins de validation et devrait rester inchangé.

Personal information

Last name*

First name*

Email address*

Phone number*

Travel documentation

Please indicate how you travelled to the congress:*

I came by car

I came by train / plane

If you travelled by train or plane

Please upload your travel documents (invoices, tickets, e‑tickets).

Supporting document 1*

Taille max. des fichiers : 128 MB.

Supporting document 2

Taille max. des fichiers : 128 MB.

Autres justificatifs (péages, taxi...)

Taille max. des fichiers : 128 MB.

If you travelled by car

Please provide the information related to your vehicle (as shown on your registration certificate) and details of your trip. Mileage reimbursement will be calculated according to the official government mileage scale.

Vehicle information (registration certificate)

Name on the registration certificate (field C.1)*

License plate number*

Fiscal horsepower (field P.6) :*

Trip details

Outbound date*

Return date*

departure address*

Adress City Zip Code Country

Arrival address*

Adress City Zip code Country

Total number of kilometers travelled*

Is your return address different from your outbound address?*

Yes

If yes, please indicate your return arrival address*

Adress City Zip Code Country

Banking information

These details are required to process your reimbursement via bank transfer. Please ensure all information matches exactly what appears on your official banking documents.

Full personnal address*

Adress City Zip Code country

Bank name*

Bank address*

Adress City Zip Code Country

IBAN*

Account number*

Code BIC/SWIFT*

ABA/Routing number (only for USA country)

Sort code (GB)*

Code IFSC (only for India country)

Destination country*

Account currency*