European Judicial Training Network Réseau Européen de Formation Judiciaire Demande de remboursement des frais de transports (en voiture privée) Claim for reimbursement of travel expenses (by private car) Date: Demande adressée à / Claim addressed to: Hélène Cambron Objet de la demande / Object of the claim: Claim for reimbursement of travel expenses for the Linguistic seminar LI/2016/05 “Language training on the vocabulary of Competition Law” Description de la demande / Description of the claim: Address of departure: km x 0,22€ / km = € Travel by private car: cost of 0,22 EUR per kilometre for a round trip up to a maximum of 1.200 km calculated on the basis of the shortest route (itinerary mapping in support – Michelin/Google Internet Maps), using the following formula: Kilometre claim km x 2 (in-out) x 0,22 € / km = Participants who choose to use their own car remain fully liable for any accidents to their car or to third parties. Nom et adresse / Name and address: Amount : € Date and signature: Réseau Européen de Formation Judiciaire / European Judicial Training Network (Association Internationale Sans But Lucratif / Non-profit making international organization) Rue du Commerce 123, B- 1000 Bruxelles ; Tel: +32.2.280.22.42, E-mail: [email protected]