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Rev Date (Fecha) Submitted for Charge Code

01 27/11/2021
CAJAHUAMAN ERMITAÑO PAUL ☐

Traveller Information (Información del Viajero)

Name (as per passport): CAJAHUAMAN ERMITAÑO PAUL Pasaporte/DNI: 42964337

Mobile # & Email: 966256001 -

Current Travel Information (Información de Viaje Actual)

Date Travel Company Name From To Hour Arrive Class

09/12/2021 LATAM CUZCO LIMA 18:50 HRS 20:10 TURISTA


HRS

Change to (Cambio a):

Date Travel Company Name From To Hour Arrive Class

30/11/2021 LATAM CUZCO LIMA 20:00 HRS 21:20 TURISTA


HRS

Justification for Change (please explain in detail) – Justificación del Cambio:

COMPLETION OF CONTRACT

Requisition and Approvals:

Requestor / Solicitante Discipline/Title Signature Date

Chief / Jefe directo Discipline/Title Signature Date


Functional Manager / Discipline/Title Signature Date
Gerente Directo

………………………...…………….………. ………………………...…………….……….
VB° Gerencia Administracion Consorcio VB° RRHH de Consorcio Chinchero
Chinchero

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