TRAVEL REQUEST FORM

Please tick where appropriate:

Domestic
International Domestic

NOTE: Please attach travel justification memo

Business/Leave Business

Name of Person Travelling:

Name Position Department
Marky Sinehanue Rigger Technical
Alex Field Engineer Technical
Dudley Davis Field Engineer Technical

Destination:
From Departure Date: To: Return to Total Cost
Office Date: (SBD)

Rest-House Check In/Out Nights Rate Total Cost

(SBD)
1x (Marky S) $100.00 $100.00
1x(Alex) $100.00 $100.00
1x(Dudley Davis) $100.00 $100.00

Others - Carriers Rate Total Cost

(SBD)
2x Carriers at MAL205 (RRUs,ropes,tool bags and others) $70.00 $140.00
2x Casuals for hoisting work(1x each at MAL202 & $50.00 $100.00
MAL205),2x @$50

Travel Allowance (IF APPLICABLE)

# DAYS RATE @ SBD Total SDB Total Cost
Allowance (SBD)
1 150.00 (Marky S) 150.00 150.00

1 150.00 (Alex) 150.00 150.00

Total Cost of Travel $840.00

Requestor: Michael Rohoia

Manager Approval: ________________________ Finance Approval:

________________

CM Approval: _____________ GROUP CEO Approval: _______________

REQUESTS NEED TO BE COMPLETED FOR SUBMISSION:

DOMESTIC: 3 DAYS BEFORE TRAVEL
INTERNATIONAL: 7 DAYS BEFORE TRAVEL