Reimbursement Form for

“Watch your Carbon Footprint!”

2022-3-BG01-KA152-YOU-000094794
Youth Exchange

between

Сдружение Д.Г.Т България (Association DGT Bulgaria)

NGO
Official registration No: 206955510
Official address: гр. Русе 7002, Област Русе; Община Русе; ул. Богдан войвода, No 1
Represented by Bogdan DRAGOMIR as President of the Association DGT Bulgaria
(hereinafter referred to as “the coordinator” or “the hosting organization”)

And

D.G.T. POLSKA
Association
Official registration No: 0000953455
Official address: Witomińska 8/11, Gdynia, Poland
Represented by Horia Dragusinoiu as Coordinator of D.G.T. POLSKA,
(hereinafter referred to as "the partner organisation" or "the sending organisation").

I, the undersigned, Horia Dragusinoiu as Coordinator of D.G.T. POLSKA, I confirm that

the hosting organization has to reimburse an amount of XX,XX EUR to the sending
organisation, that represents reimbursement for the travel costs (according to the Erasmus+
rules) and organizational costs for participating in the “Watch your Carbon Footprint!”
Youth Exchange, reference nr. 2022-3-BG01-KA152-YOU-000094794, project funded
through the “Erasmus+” Program: KA152-YOU.
 The amount of money for each participant is as following:

Amount
(max) /
participant TRANSPO
(from RT TOTAL
Name
TOTA home to amount to
and Ticket Reimbursement Observation
Route L Ruse, TOTAL be
Surnam Price amount s
Price Bulgaria amount to reimburse
e
and back) be d
reimbursed
according
E+ Guide
OTP -
VIE - 276,0
Anna KRK 2 PLN
275,00
Tokarsk (flight)
EUR
a Ruse -
34,99
Buchares
PLN
t (bus)
GDN -
WAW -
1186,
OTP -
Horia 96
WAW - 275,00
Dragusi PLN
GDN EUR
noiu
(flight)

GDN -
WAW -
SOF - 575,5
WAW - 0 PLN
GDN
(flight)
Union
Ivkoni 6,00
National PLN
fee
Sofia -
14,85
Ksenia Ruse
EUR 275,00
iwanow (bus)
EUR
ska Ruse -
34,99
Buchares
PLN
t (bus)
Gdynia -
Laskowi
75,96
ce -
PLN
Grudziąd
z (train)
Grudziąd
z - 43,99
Gdańsk PLN
(bus)
 GDN -
WAW -
SOF - 575,4
WAW - 9 PLN
GDN
(flight)
Grudziąd
Szymon
z - 43,99 275,00
Kurzyns
Gdańsk PLN EUR
ki
(bus)
Sofia -
14,85
Ruse
EUR
(bus)
Ruse -
34,99
Buchares
PLN
t (bus)
MISS
KTW - ING
VAR DOC
(flight) UME
NTS
MISS
Milena 275,00
BOJ - ING
Farys EUR
KTW DOC
(flight) UME
NTS
Varna -
12.90
Ruse
BGN
(train)
KAT -
353,7
VAR
3 PLN
(flight)
Varna -
6,70
Ruse
BGN
(train)
Warsaw
Oliwia - 59,98
275,00
Kornack Katowic PLN
EUR
a e (train)
Ruse -
30,00
Buchares
BGN
t (bus)
OTP -
WAW - 548,6
KRK 8 PLN
(flight)
Tymon MISS 275,00
Wroble KTW - ING EUR
wski VAR DOC
(flight) UME
NTS
Ruse - 30,00
Buchares BGN
t (bus)
 Varna -
6,70
Ruse
BGN
(train)
KTW -
WAW -
1244,
OTP -
43
WAW -
Zuzanna PLN
KTW 275,00
Kozlow
(flight) EUR
ska
MISSIN
G
RETUR
N BP

The entire amount of money that represents the travel and organisational costs reimbursement will
be paid by bank transfer to the sending organisation account:

Owner: Horia Dragusinoiu (group leader)

Bank account number (IBAN): PL37114020040000301205333143
Bank name: MBANK SPOLKA AKCYJNA
BIC / SWIFT code: BREXPLPWXXX

and then, the sending organisation (D.G.T. POLSKA from Poland) will pay the corresponding
amount to each participant, as above (if applicable).

SENDING ORGANISATION:
D.G.T. POLSKA HOSTING ORGANISATION:
(stamp and signature) DGT Bulgaria
(stamp and signature)