Civil Aviation Authority of the Philippines Form No.

DT-F-HRA-19
PCAR Part 6 – AMO Approval Revision No. 00
Certificate No. 32-97 Revision Date: 09 May 2017

VEHICLE TRIP PASS No.___________

REQUISITIONER: DRIVER ASSIGNED: DEPARTMENT: DATE:

ITINERARY: DURATION: (estimated no. of hours/days)

PURPOSE:

VEHICLE
To be filled-out by the Guard-on-duty
Type of vehicle requested and approved: PLATE NO.:

SPEEDOMETER
AT START AT FINISH TOTAL MILEAGE

REMARKS: FUEL QUANTITY:

FULL LOW

HALF EMPTY

APPROVING AUTHORITY
Recommending Approval by: Approved by:

Department Head Date HRA Section Head Date

VEHICLE ACCEPTANCE
(please process vehicle inspection checklist for every trip pass)
I hereby accepted that the above vehicle is in good condition.

Signature over printed name

Dornier Technology, Inc.
Hangar 7224, Clark International Airport,
Clark Freeport Zone, Pampanga, Philippines 2023
Tel. No. +63 (45) 599-2384 Ext. 119/124

Civil Aviation Authority of the Philippines Form No. DT-F-HRA-19

PCAR Part 6 – AMO Approval Revision No. 00
Certificate No. 32-97 Revision Date: 09 May 2017

VEHICLE TRIP PASS No.___________

REQUISITIONER: DRIVER ASSIGNED: DEPARTMENT: DATE:

ITINERARY: DURATION: (estimated no. of hours/days)

PURPOSE:

VEHICLE
To be filled-out by the Guard-on-duty
Type of vehicle requested and approved: PLATE NO.:

SPEEDOMETER
AT START AT FINISH TOTAL MILAGE

REMARKS: FUEL QUANTITY:

FULL LOW

HALF EMPTY

APPROVING AUTHORITY
Recommending Approval by: Approved by:

Department Head Date HRA Section Head Date

VEHICLE ACCEPTANCE
(please process vehicle inspection checklist for every trip pass)
I hereby accepted that the above vehicle is in good condition.

Signature over printed name

Dornier Technology, Inc.
Hangar 7224, Clark International Airport,
Clark Freeport Zone, Pampanga, Philippines 2023
Tel. No. +63 (45) 599-2384 Ext. 119/124