Interviewee Expense Claim Form

Human Capital Management

For Goldman Sachs use only:

Candidate Details: (please print all details clearly)
Name:

Yufei (Jenny) Wang

Coder:

Address:

38 Brookshire Drive, Richmond Hill, GA 31324

(print name)

Reviewer:
(print name)

Approver:
(print name)

Phone:

(912) 433-0078

E-Mail:

University:

Washington University in St. Louis

Division and Position Interviewing For:

jenny.wang@wustl.edu

Location:

0001

IMD Summer Analyst

SUMMARY OF EXPENSES FOR WHICH YOU ARE SEEKING REIMBURSEMENT

Date

Expense Category (Taxi, Meal, Etc.)

Description (brief description of expense)

Transaction Amount

7-Jan-15

Meal

Breakfast (Freshens)

5.57

7-Jan-15

Meal

Breakfast (Z-Market A26)

2.84

7-Jan-15

Meal

Lunch (UFood Grill #32)

7.65

7-Jan-15

Meal

Lunch (Paradies Shops)

2.05

7-Jan-15

Taxi

From airport to hotel

22.26

7-Jan-15

Meal

Dinner (255 South West Temple)

15.97

8-Jan-15

Taxi

From hotel to Goldman Sachs

17.54

8-Jan-15

Taxi

From Goldman Sachs to airport

32.26

8-Jan-15

Meal

Lunch (UFood Grill #32)

7.64

8-Jan-15

Meal

Dinner (Atlanta Bread Co)

5.83

8-Jan-15

Meal

Dinner (Five Guys)

3.37

TOTAL OF EXPENSES

Please Provide Direct Deposit Information

122.98

Bank Details: (please print clearly)

Bank Name:

Bank of America

Bank Location:

Pooler, USA

Candidate Signature

(Country & City)

Acct. Number:

003285186575

Routing Number:

061000052

(9 digit # found on bottom of check)

Name on Acct:

Wei Wang

Please return the completed form with receipts to: campuscoordination@ny.email.gs.com

Signature:

Date:
To the best of my knowledge, all information detailed on this report is true and factual.

10-Jan-2015

Bank Details: (please print

clearly)
ONLY
REQUIRED IF NOT RECEIVING PAYMENT ON TH
Bank Name:
Bank Location:
(Country & City)

IBAN #
(if applicable)

or

Account # :
(21 digits for Spanish a/c, 23 for French a/c)

and

Bank code
(ie. sort code, SWIFT, ABA, BLZ number etc.)

RECEIVING PAYMENT ON THE DAY