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WORLD WIDE FUND for NATURE

WWF Indonesia

TRAVEL AUTHORIZATION REQUEST FORM

NO. TA409-2305-0043 Page 1 of 1

OFFICE LOCATION Bali STARTING DATE


TRAVELERS NAME DANDY EKO PRASETIYO ENDING DATE
PROJECT ID ID0PM080
PROJECT NAME Sunda Banda Seascape Program Phase IV by MACP
PURPOSE OF TRAVEL AIP PT DGS_Kunjungan Costco Wholesale

TRAVEL AUTHORIZATION - PROPOSED ITINERARY


No. Date Name Description Time Remarks
From Destination

OTHER

No. Name Description Remarks

1 Dandy Eko Prasetiyo AIP PT DGS_Kunjungan Costco Wholesale_Kereta Api dari


Brebes/Tegal ke Surabaya dan Lanjut ke Jember (14 November
2022_Kondisional)
2 Dandy Eko Prasetiyo AIP PT DGS_Kunjungan Costco Wholesale_Hotel di Jember (15
- 17 November 2022)
3 Dandy Eko Prasetiyo AIP PT DGS_Kunjungan Costco Wholesale_Kereta Api dari
Jember ke Brebes/Tegal_Kondisonal via Surabaya atau
langsung Via Cirebon (16 atau 17 November 2022_Kondisional)

Applicant : Date of advance report/settlement


(Name, Sign, Date) DANDY EKO PRASETIYO (max 10 days after accomplishment
of travel/activities) (filled by applicant)
Reviewed and authorized by :
(Name, Sign, Date) Latest outstanding advance
Supervisor (Travel and Advance up to Rp. 50 mio (filled by accounting)
Approved by Budget reviewed and approved by tes
(Name, Sign, Date) (Name, Sign, Date)
Director (Overseas Travel and Advance > Rp. 50 Grant Officer
mio to Rp. 100 mio. Above Rp. 100 mio CEO/OIC)

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