TRANSPORT REQUISITION FORM

PART ONE

Lakshmee Khadun
Name of Requisitioning Officer………………….….…………
Designation……………..……….….
Administrative Officer
Collection of Bus Pass
Purpose of Trip………………………………………………………………………………….
02.08.2022
Date of Travel ………………………….…… 10:00
Expected time out ………………...
Expected time in ……………………………. van/car
Type of Vehicle……………………..
From Pamplemousses Campus to Cassis -NLTA
Destination(s) …...………………………………………………………………………………
Brief detail of Trip and reasons thereof:
…………………………………………………………………………….........................................
Collection of Bus Pass
…………………………………………………………………………….........................................
…………………………………………………………………………….........................................
Number and Name of Passenger(s) travelling:
1. Krishna Kawol
…………………………………………………………………………….........................................
………………………………………………………………………….........................................
2. Preetam Rampersand
…………………………………………………………………………….........................................
…………………………………………………………………………….........................................

Signature………………….…… Date ……………..…………….

PART TWO (ADMINISTRATIVE AND HR MANAGER APPROVAL)

Approved/ Not approved*

Reason for non approval…………………………….……………………………………………..

Driver assigned: ……………..……………. Vehicle Reg. No ……………..…

Signature………………….…… Date ……………..…………….

Note:

(i) The Transport Requisition Form MUST be received by the Administrative and HR
Manager at least 2 Days in advance for reservation. However, for urgent matter, the
request can be made within short delay not exceeding half working day.
(ii) No Polytechnics Mauritius Vehicle will leave the Reduit Campus without the
Administrative and HR Manager approval

Polytechnics Mauritius Limited, Reduit Triangle, Moka | T: +230 460 0705 | E: contact@poly.ac.mu | W: www.poly.ac.mu