Congratulations on Your Success!

Please fill out this form, to claim reimbursement for your study, course-related and/or conference fees.

Name

First Name

Last Name

STUDY DETAILS

Name of Study

Please tell us the name of the paper, course or conference you completed

Completion Date

Tell us about this study and how does this relate to your role in church/ life

EXPENSES INCURRED

Please send any receipts relating to this paper

Course Paper Amount $

Conference Fees Amount $

Travel Expenses Amount $ (if applicable)

List the travel related costs

Total Expenses to Claim $

BANK INFORMATION FOR REIMBURSEMENT

Please provide the bank details you want the reimbursement to be deposited into.

Bank Account Name

Bank Account Number

DECLARATION

I, declare that the information provided in this reimbursement form is accurate and the expenses were incurred during the completion of this paper/course/conference. I have attached all necessary receipts and documentation as proof of expenditure.

I agree

I would like to discuss this request please

APPROVAL

Please submit this form along with all receipts (email or print copies) to our Finance team for approval and processing