Leighton Asia

Travel Authority Request Form

Business/Project: PT. Leighton Contractors Indonesia/TEP Train 3 Project No.: ID246

Location/Vessel: Tangguh - West Papua Travel Authority Request Form No.:

Employee: Department:

Date of Departure: 27 July 2020 For Finance Use Only

Date of Return: 10 August 2020 Cost Code:

Reason of Travel: Field Break

AIR TRAVEL / FERRY TRAVEL / TRAIN TRAVEL

Flight / Ferry / Train Est cost (E)
Routing Class
Number Actual cost (A)
1. LNG - Babo - Sorong - Jakarta
2. Jakarta - Sorong - Babo - LNG
3.
4.
5.
Total 0.00

ACCOMMODATION
Expense Coverage Payment A/C
Hotel Check In/Out Room Est cost (E)
(e.g. Breakfast, (Leighton /
(City) Date Rate Actual cost (A)
Transport, etc…) Personal)
1. -
2. -
3. -
4. -
Total 0.00

SIGNATURE & APPROVAL

Requested By:

Name: Date (DD/MM/YY)

Approved By Direct Superior/Manager:

Name: Date (DD/MM/YY)

Approved By Project Leader/Department Head/Executive General Manager/Managing Director:

Name: Date (DD/MM/YY)

LAL-FIN-FRM-002 Rev 04
29 August 2014
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