Meals Provided

- Please fill out and mark free meals with "x” -

Project:	sequa-No.:
Name of traveller:
Mission to:
Period of mission:
Start (date):	End (date):

☐	No meals were provided free of charge during the mission.

- Or -

☐	The following meals were provided free of charge, e.g.:

during the flight,

as a non-specifically identifiable part of the hotel bill or

as part of a business invitation.

Date	Break-fast	Lunch	Dinner	Date	Break-fast	Lunch	Dinner
☐	☐	☐	☐	☐	☐
☐	☐	☐	☐	☐	☐
☐	☐	☐	☐	☐	☐
☐	☐	☐	☐	☐	☐
☐	☐	☐	☐	☐	☐
☐	☐	☐	☐	☐	☐
☐	☐	☐	☐	☐	☐
☐	☐	☐	☐	☐	☐
☐	☐	☐	☐	☐	☐
☐	☐	☐	☐	☐	☐
☐	☐	☐	☐	☐	☐
☐	☐	☐	☐	☐	☐
☐	☐	☐	☐	☐	☐
☐	☐	☐	☐	☐	☐
☐	☐	☐	☐	☐	☐
☐	☐	☐	☐	☐	☐
☐	☐	☐	☐	☐	☐
☐	☐	☐	☐	☐	☐
☐	☐	☐	☐	☐	☐
☐	☐	☐	☐	☐	☐
☐	☐	☐	☐	☐	☐
☐	☐	☐	☐	☐	☐
☐	☐	☐	☐	☐	☐
☐	☐	☐	☐	☐	☐

I hereby confirm the correctness of the information.

Place and date	Signature of traveller