BRAC UNIVERSITY
DOMESTIC TRAVELLING AUTHORISATION FORM
Details of Person:
Name: Designation:
PIN:
Program: Place of Work:
Details of Traveling Program:
Purpose of Traveling : On Duty : Yes / No (give tick mark)
Venue: Address:
City:
Country:
Date: From To:
Place of Stay at the time of Traveling:
Address: Telephone:
Fax:
Email:
Date of Departure from Dhaka:
Date of Arrival at Dhaka: Tentative date of Joining the Office:
Actual date of Joining the Office:
Signature:
On Duty : Yes / No (give tick mark) Details of Leave
(if Required)
From: To:
Details of Organizer/s:
Name:
Address:
Telephone:
Fax:
Email:
Details of Sponsorship:
Name:
Address:
Telephone:
Fax:
Email:
Signature of Applicant Chairperson of Dept./
Head of Office
Registrar Pro-Vice Chancellor
Note: Please attach supporting papers. For example letter of invitation / sponsorship etc.
