No.

00-xxxxxxx

BUSINESS TRAVEL REQUISITION FORM

1. GENERAL DATA
# Employee ID Number :
# Employee Name : I Made Ngurah Wahyu avandana
# Section / Department : Project Site Kendari

2. DETAILS OF BUSINESS TRAVEL

# Travel Destination : Kendari - Makassar
# Purpose of Travel : Meeting bersama PLN terkait TRIP Unit 2 pd tnggl 22 Agustus 2019
# Type of Travel : ☐ Inner area (Domestic, between 100 km – 200 km from workplace)
 Remote area (Domestic, more than 200 km from workplace)
☐
☐ Overseas
Verivied by HR
# Departure date & time : Planned Date & Time Actual Date & Time 23/8/2019
# Arrival date & time : Planned Date & Time Actual Date & Time 24/8/2019
# Substitution Person in Charge :

Remark

3. EXPENDITURES ESTIMATE
# Airline Ticket :
Batik Air (purchased by company / by emloyee) Verivied by HR
# Hotel : Hotel Claro (purchased by company / by emloyee)
# Meal :
# Incidental Allowance :
# Airport Tax :
# Transport : Verivied by Acc
# Other :
Total :

Cash Advance Ammount : (TP Number : )

Remark

4. AUTHORIZATION

Requested by Acknowledged by Approved by

______________________ ____________________ ____________________

Date :_________________ Date :_________________ Date :_________________
Employee Direct Supervisor Manager / Director(s)

* Inner area business travel shall be approved by relevant manager, while remote area and overseas business travel shall be approved by Director (s)
* This copy shall be forwarded to HR Department for attendance record and Accounting & Finance Department for claim of travel expenses (if any)