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TRAVEL AUTHORISATION
Name Mayom Mabuong Marek
Traveller Title PMTCT Inspector
Information Index No.
ATLAS Vendor No.

To conduct Supportive and Mentoring supervision

Purpose of
To conduct on site verification of data and PMTCT program implementation
Travel

From To Dates of Official Business From To

H (excl. days of travel) -
Attach Attach
Date of Depature from
Harare (Travel date) / /

Authorised Date of Return to Harare

(Arrival date)
/ /
Itinerary
Air
Mode of
Road
Transportation Other (specify ) And Road

The travel advance is subject to review against the travel claim (F.10), to
be prepared by every traveller and submitted to the authorizing office
after completion of the mission, and any necessary adjustments are made Project 96503
at the time the travel claim is settled.
Fund 00327
Travel Number of nights 8 Dept 47130
Chart of
Advance DSA 1,216 Implementing agent 1981
Accounts
Terminal Fees $ (COA) Donor 000327
Total Travel Advance $ 80% of 973 Project 96503
Activty Module 5
Operating unit
Ticket Cost (if any) $ 550

Please attach signed form - tick where appropriate Traveller's Contact No.
Security Clearance
YES NO during mission
0956666445

Signature of Traveller's
Signature of Traveller Superviser

Date Date

Authorised by:
Resident Representative Date