VEHICLE USE REQUEST FORM

In order to reserve use of the vehicle, please return this form to the Executive Assistant’s desk 10 days prior to
date of event.

Should your event date and venue change, please contact the Executive Assistant as soon as
Possible.

Request Date: 21/11/22 Date of Activity from: 23/11/22

Venue of Program: - Navunikabi Village Name of Program: Navunikabi Awareness Program

Time of Pick-Up – 06.00am Return: 6.00.pm

Requesting Officer: Nimilote

It is your responsibility to:

1. Return the vehicle clean
2. Empty the trash
3. Inform management if there is a problem with the vehicle
4. Report any accident that may take place

Please list:
Vehicle Requested Name of Approved Driver(s)

MD 180 Elesi Ikanidrodro

For Office Use Only

Date Received: _______________ Approved: ____Yes _____No

Reason Denied: ___________________________________________________________________________

________________________________________________________________________________________

Modifications & Comments: _________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

Signature: ______________________________________ Date: ________________________

Does your program require the assistance of the Part Time Sports Trainers who will be travelling with you in the Commission
Vehicle?

Names of Part Time Sports Trainers & sport represented.

Della Shaw – Weightlifting President