United Nations - Nations Unies TRAVEL …

1 United Nations - Nations Unies TRAVEL authorization 1. ADMIN OFFICER/ASST. Room Ext. _____ This is to authorize the traveller (s) to undertake the TRAVEL described below in accordancewith the itinerary and authorized entitlements2. authorization NO YEAR | TYPE | SERIAL NUMBER 3. NAME AND INDEX NO. 4. TITLE AND GRADE 5. NATIONALITY 6. OFFICIAL DUTY STATION 7. NAME OF ACCOMPANYINGDEPENDANTSRELATIONSHIPBIRTHD ATES OF TRAVEL (If Home Leave, Family Visit or Education Grant, indicatecity of entitlement): 11. ITINERARY, MODE(S) OF TRAVEL AND STANDARDS OFACCOMMODATION (by Air Economy Class unless otherwise indicated) points or rest stopovers, if any, should not be included in 11(a). Itinerary authorized: (Departure Date _____ Return Date _____) b) Itinerary requested by traveller : (Departure Date _____Return Date_____) 12.

2 SPECIAL INSTRUCTIONS 14. TO: TRAVEL AGENCY: It is requested that you procure, fo rthe account of theUnited Nations , tickets and reservations for the above TRAVEL , subject to the following(EXCURSION FARES SHOULD BE USED WHENEVER FEASIBLE). Signature of Authorizing Officer_____ Date _____ IMPORTANT: Upon completion fo the journey all receipts for transportation andexcess baggage, any unused transportation tickets, and stubs of used ticketstogether with original copy of the TRAVEL authorization MUST be returned to theUnited Nations , attached to the TRAVEL Claim ( ). Failure to comply may result indebiting any outstanding charges to the traveller 's account. The cost of anydeviations from the authorized itinerary and standard(s) of accommodation will beborne by the traveller .

3 If the standard(s) of accommodation actually used is lowerthan the standard to which the traveller is entitled, calculation of the cost to theUnited Nations shall be based on the lower standard. 17. FOR USE BY TRAVEL AGENCY SALES RECEIPT NOSTAGES OFJOURNEYCARRIERDATECOSTPLACE OFISSUEFROMTO8. traveller to be contacted at: Room Home Address: Phone 10. AUTHORIZED BAGGAGE & EFFECTS traveller must pay all costs in excess of entitlements given below: ACCOMPANIED EXCESS BAGGAGE Air: _____ UNACCOMPANIED SHIPMENTS Surface-Volume:_____ and/or Weight: _____ OR Air Freight-Weight_____ INSURANCE COVERAGE (Unaccompanied shipments only): Maximumentitlement is: US$ value: _____ The traveller must submit an itemized and valued inventory for this purposeand list articles of special value separately.

4 If inventory includes items ofspecial value or exceeds entitlement, traveller must submit a signedstatement agreeing to pay the extra premium in order to obtain fullcoverage. NOTE: Shipments in connection with home leave, family visits or educationgrant TRAVEL are not insured by the United Nations . 13. TRAVEL ADVANCE AUTHORIZED: $_____ Includes amount requested by travellers for excess baggage: Yes [_] No [_] 15. Certifying Officer: Signature: _____ Name: _____ Title:_____ Date:_____ BAC: _____ FOR USE BY EXECUTIVE OFFICES and ACCOUNTS DIVISION 18. ESTIMATED COSTS TO THE 1. Excess baggage_____2. Household & Terminal_____4. Transit_____5. Subsistence_____6. Miscellaneous_____7. Transportation _____ESTIMATED TOTAL _____NOTE: Estimates are for internal purposes only and do not necessarilyrepresent the amounts to which the traveller is entitled.

5 19. OBLIGATION RECORDING DATE ORIGINAL-TO traveller ; THROUGH TRAVEL UNIT, COUNTRY OFFICE RECORD OF TRAVEL OFFICECUR RENCYAMOUNTEXCHANGE RATETO $ADVANCE IN $VOUCHER NO. AND OF PAYING OFFICERUSE THE FOLLOWING SPACE FOR ANY ADDITIONAL OR EXPLANATORY INFORMATION,INCLUDING FULL INFORMATION AS TO UNUSED TICKETS, REFUNDS, ETC.