REQUEST FOR TICKET BOOKING FORM

PART ONE
(Please reply to all the Questions Carefully)

Ticket needs to be issued for:

Employee Spouse Child

PLEASE ATTACH A SOFT COPY OF THE PASSPORT’S 1ST PAGE WITH NAME FOR ALL PASSENGERS.

1) Name of Employee :
(As per passport)

First name:-
Middle name:-
Last name (surname):-

Passport Number (Mandatory):

Date of Issue and Expiry of Passport:-
Date of Birth (mm-dd-yyyy):-
(Mandatory)

2) NAME OF SPOUSE & CHILD: (Only if require spouse & child’s ticket to be booked)

Spouse’s Name:
(As per passport)

First name:-
Middle name:-
Last name (surname):-

Passport Number:-
Date of Birth for Spouse (mm-dd-yyyy):-
Date of Issue & Expiry of Passport:-

Name of Child:-
(As per the passport)

First name:-
Middle name:-
Last name (surname):-

Passport Number:-
Date of Birth for child (mm-dd-yyyy):-
Date of Issue & Expiry of Passport:-

3) DATE of DEPARTURE (DD/MM/YY) Month Name Must :

4) DATE OF RETURN (DD/MM/YY) Month Name Must :

(If applicable)

5) DEPARTURE & DESTINATION of the ticket -

 What is your Base Location (in India)? (Mandatory) -

6) DO YOU HAVE VALID US VISA STAMPED ON YOUR PASSPORT ON YOUR DEPARTURE DATE? - YES
or NO

(Please send the scanned copy of valid visa stamped passport Page for all
passengers as this is mandatory)

IF YOU DON’T HAVE VALID US VISA STAMPED ON YOUR PASSPORT THEN ARE YOU HOLDING ANY
EXTENSION PAPERS WITH NEW I-94 DATE? - YES or NO

7) YOUR ADDRESS IN USA WHERE TKTS CAN BE MAILED IN CASE OF PAPER TKTS:-

Contact ADDRESS & phone in India (in case of return Journey- IT IS MUST):

PART TWO

8) Name of Employee and PS. No. :

9) DEPT CODE / SBU :

10) DEBIT CODE / SBU :

11) INITIAL Date of DEPARTURE FROM INDIA :

12) INITIAL DURATION OF DEPUTATION :

13) INITIAL TICKET ISSUED FROM INDIA WHETHER ONE WAY OR RETURN:

14) NAME OF THE CLIENT :

15) LOCATION :

16) REASONS FOR NEW TICKET BOOKING : Project Completed

(If Vacation: This form should be accompanied by the holiday request form)

17) NAME OF THE PROJECT MANAGER :

18) HAS PERMISSION BEEN GRANTED

BY THE PM/MKTG INCHARGE :
(Enclose permission / Signature of PM /Mktg in charge)

ANY OTHER DETAILS :

*Incase of EOA/Vacation, this form should be accompanied with an approved copy of EOA/Onsite Vacation form
*Travel/Admin, NJ will initiate booking only after they receive a go ahead from L&T HR-US