F-HRM-033

Rev. 0
VEHICLE TRIP TICKET FORM Effective on 02/02/22

Date Requested:
12/12/12
Requestor:
Department: SHANEN RAZON

GOVERNMENT

Date Needed:
12/13/22 Date to Returned:
Time Needed: 8AM DTC TIME TO BE RETURNED: 1 PM

GAS LEVEL OUT: KM READING START:

GAS LEVEL IN: KM. READING END:

GAS LEVEL USED: TOTAL MILEAGE:
TIME OUT: TIME IN:

DRIVER:
NO SHUTTLE PLEASE/ PICK UP IN JRU
VEHICLE:

DESTINATION: 29F CyberOne Building, 11 Eastwood Avenue,

Bagumbayan, Quezon City, Philippines 1800
PURPOSE: BIDDING

PREPARED BY APPROVED BY AUTHORIZED SIGNATORY

Note: This form should be attached in cash voucher when requesting for gas
allowance.
Reminders: The driver should check the external and internal parts and condition of
the
vehicle including its tire wrench, tools, jack, spare, tire and its Fleet Card, if any. If he
noticed something unusual, he should report it immediately to OIC before driving it
out
from the company premises or from the place where the VIP reside. Failure to
report
the problem found in vehicle will be his responsibility.

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 F-HRM-033
Rev. 0
VEHICLE TRIP TICKET FORM Effective on 02/02/22

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