ANNEX 5 - DRAFT SERVICE CONTRACT - European GNSS Agency

Contract N°Name of the traveller :Destination & Reason :Form to be used for reimbursement of travel and subsistence costsDeparture* Date : Distance Km:(return trip)Return* Date : Number of days:*: from/to the principal place of performance of the contractDaily subsistence allowances (please include original hotel bills)Length of the mission :DaysAllowance per full day : € aRate of allowances due : Number of days bTotal allowances due : € c=axbTransport costsPlease include the original transport tickets (airplane tickets & boarding cards, train tickets,…), invoices paid to the travel agencies or airline companies, etc.N° Date Currency Amount Exchange-rate(To be completedby GSA)12345Total transport costs :dAmount in €(To be completedby GSA)Other costsPlease specify and include the original invoices.N° Date Currency Amount Exchange-rate Amount in €12345Total other costs :eTOTAL:= c +d+eFor journeys of less than 200 km (return trip) no subsistence allowance is payable.26