Form Rec.

/01 PT
KARYAMEGAH ADIJAYA

Business Trip Assignment Letter

Staff Details

Name :
Job Title :
ID No. :
Travel Justification :

PROPOSED TRAVEL SCHEDULE TRIP 1 TRIP 2

NAME OF DESTINATION
Duration of Business Trip - From:
(Date) - To :
Flight Required
Flight No/Class
Date/Hour of Departure
Date/Hour of Arrival
Return Flight
Flight No/Class
Date/Hour of Departure
Date/Hour of Arrival
Flight Routing (eg. JKT-KL-LA-KL-JKT)*
Ticket Price*
Taxes (estimates)
Total Ticket Price
HOTEL ACCOMMODATION*
Hotel Name
Telephone Number
Facsimile Number
Room Type
Room Rate/Night
Check-in Date
Check-out Date
Estimated Total Hotel Cost
Reservation Arranged By
OTHER ESTIMATED EXPENSES
Meal
Tranportation
Others
TOTAL COST
MODE OF TRANSPORTATION (Tick whichever is
ADVANCE DETAILS
applicable)
REQUESTED:
GRANTED : Air Company vehicle Other(pls state):

Proposed by: Verified by: Approved by:

Dept./Div. Head
Employee (Direct Superior HR Dept./Div. Head SVP/EVP/Excomm