Travel Authorization

TRAVEL EXPENSE CLAIM TA Nº: TAHQ365126

INSTRUCTIONS: Before completing this set please read “GUIDELINES” last

page.

TRAVELLER Index No. 3 0 5 6 6 1 8 BANK DETAILS

Surname Bank: Commercial Bank of Ethiopia

Name Nega Tewolde Bank code:
Branch:
Street & No.
Address:
or Division
Account: 1000006286732
City & Country Beneficiary/Payee: Nega Tewolde
or Room No.
Currency of payment:
1. SUBSISTENCE ALLOWANCE (first travel day pay at full rate, last day disregarded)
ARRIVAL DEPARTURE Mode FLIGHT Class FOR ACCOUNTING PURPOSES
A-Air
Hour F Total Daily
ITINERARY Hour (00.01 B-Boat
Date (00.01 – Date Carrier Nº B Days Subs. US $ Amount
– 24.00) C-Car
24.00) Y Travel $ Rate
R-Rail
Addis Ababa 18 Sep 2023 10:45 AM Air ET318 Y
Nairobi 18 Sep 2023 12:55 PM 21 Sep 2023 6:00 PM Air ET319 Y
Addis Ababa 21 Sep 2023 8:00 PM

To insert new lines in the itinerary section go to the last cell on the right on the bottom line of the section above and press TAB

Air Ticket Nº Currency Amount Sub-Total (1)

TKT: 0719360748739
2. AUTHORIZED EXPENSES INCURRED (Attach original receipts) C’cy and Amount $ Rate
Terminals – not via official car Nº x $-
Terminals – via official car Nº - x $-

To insert new lines in the expenses section go to the last cell on the right on the bottom line of the section above and press TAB
Sub-Total (2)

ADVANCES RECEIVED REMARKS: If the traveller has received official free board
or lodging detail must be given (M.S. 401.415) Total
Paying $ Entitlement
Date C’cy Amount
office Equivalent
ADM 27 – 296 - T1782 – G.

14 Less
FAO Advance(s)
Sept USD 311.74
Ethiopia received
23

NET
TOTAL US $ 311.74
I certify that the amount claimed is correct and that Satisfactory travel report received (where Approving officer
payment thereof has not been nor will be made by applicable).
any other source.

3 Oct 2023 Nega Tewolde

…………… ………………………………………… …………… …………………………………… …………… …………………………………………
Date Traveller Date Name and Signature Date Name and Signature
GUIDELINES FOR THE PREPARATION OF TRAVEL EXPENSE CLAIM (TEC) - ADM 27 (Manual Section 450
refers)

General information

A Travel Expense Claim is to be submitted whenever a Travel Authorization (TA) is raised.

After completing the form in all its parts, please retain a copy for your records, forward the claim and supporting
documentation to the authorizing office for review and input in Atlas. The claim will then be onforwarded to the
responsible Travel Unit for processing and file.
Claims must be submitted within one month of completion of journey, or every 60 days for long trips.
Please attach all receipt and/or used and unused ticket stubs to the claim form, preferably in an envelope.
Any information, detail, clarification should be indicated in the box "Remarks" or in a covering letter.

Section 1. - Subsistence Allowance

Days and hours of departure/arrival are to be indicated for a correct payment of the Daily Subsistence Allowance
(DSA or “per diem”) according to the purpose of travel (see TA).
DSA covers the hotel accommodation (board and lodging) as well as miscellaneous expenses, i.e. intra-urban
transportation, tipping, etc. Entitled dependents receive 50% of the DSA.
Stop-overs for rest (if the entitlement exists) are to be specifically claimed on this form.

Section 2. - Claimable Expenses

The Organization reimburses a flat amount to entitled traveller's for transportation between city/airport and vice-
versa. Entitled dependents receive a reduced amount. Similarly when official transportation is provided the terminal
allowance is reduced.

Some example of authorized expenses:

- Air, rail or bus tickets - NB: purchase of airtickets (except for not prepayable internal
sectors) MUST be authorized by FAO
- Airport taxes
- Authorized accompanied excess baggage
- Passport photos (up to 12)
- Passport fee for issuance or renewal
- Cost of official mail cables or telexes, provided that full details and receipt are submitted
- Cost of vaccination and inoculation
- Cost of medical examination to Staff Members (if requested by FAO)
- Reimbursement of mileage for legs of journey performed by private car (if covered by third
party insurance)