Vehicle Request Form (Local)

Please fill out this form to request for vehicles domestic travels. The
completed form should be emailed to your Fleet Business Partner.
To be completed by the Employee
1. Date .................02/02/2015....................................................................
2. Name of Requestor Michael Delali Agbo-Klu.
3. Name of Traveller (s)

......................Michael Delali Agbo-klu..............

4. Function HeadAngela Mensah-Poku

5. Department

....................Vodafone Business Solution.................

6. Cost Centre Number

7. Purpose of Trip 1. Negotiate a 10,000 mobile SIM deal with University of
Cape Coast. 2. Pay working visit to Oguaa Hotel DI installation and
Anomaabo Hotel DI installation.
8. Destination....................Cape Coast..and
Takoradi............................................
9. Vehicle Required?
10.

Yes

Driver Required? Yes

No
No

11. Departure Date ......................10/02/2015.............Time; ...8:00

am................................
12.

Return Date............11/02/2015...................Time; .........5:00 pm

13. Function Head

Approval
.(Please attach approval)

To be completed by Fleet
14. Vehicle Used

15. Driver / Cell

..

16. Driver Out of

Station

17. Approval for Payment of OFS (Signature).

Name.
18. Cost of Vehicle Hire (GHs)

19. Cost of Fuel (GHs)

.
Please note that request for Vehicle for official use should be
received 1 week before your intended travel date.