Olympus Medical Systems India

Pvt. Ltd.
Title : Policy on Business Travel

Date :
17th December
2012
Doc No:
OMSI-POL-005

Page 1 of 1
Revision :
02

Business Travel Authorization Form

Date: 9-3-2015
Personal Details
Employee Name: Bharat Taneja

Employee Code: MES/SAL/000288

CC code:

Department/BU Name: Surgical Marketing

Travel Period: 4 Days

From Day/Date: 1/4/2015

Till Day/Date: 5/4/2015

Travel Details

(1) Departure City: Delhi

(2) Departure City: Kolkata

Destination City: Kolkata

Destination City: Lucknow

Departure Date/Time: 1/4/15

Departure Date/Time: 2/4/15

(3) Departure City: Lucknow

(4) Departure City: Kolkata

Destination City: Kolkata

Destination City: Delhi

Departure Date/Time: 3/4/15

Departure Date/Time:5/4/15

Purpose of visit:
For RIRS workshop at Fortis hospital, Kolkata and SGPGI lucknow

Signature:
Travel Advance (If Required for Travel*):
Please Note:

Hotel Requirement : Yes

No

Kindly Specify the Check-in & Check out details :

Authorization by Functional Head:

Comments:
Name:

Signature:

Date:
* All entitlements are as per company policy.

Confidential
Olympus Medical System Pvt Ltd.

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