Business Trip Request / Dienstreiseantrag

Family name:	Name:	Department:
Address (PSI):	Phone (PSI):	Private Phone
Debit/Charge:	PSP- Element	KST
Cost estimate by secretariat
Notes:

Destination:	Countr.
Institution/Reason:
Purpose:
Business period:	Departure date:	Return date:
Private extension from/to:
Please attach complete set of invitation and/or conference documents, etc.

Means of transportation:
Train	departure station	arrival station	Plane
PSI-vehicle	Mobility	Hired vehicle (abroad)	Private vehicle license plate.:
Justification for private vehicle:
Please reserve PSI-vehicles at the group Transport + Garage immediately!

Pre-financing:
1. Registration:	incl.	excl. meals:	Visum Financial Serv.
2. Travel expense advance : (Europe: CHF 100.-/day, others: CHF 120.-/day)	CHF	Visum Financial Serv.

Signature	Date
Approval for private vehicle
Applicant:
Supervisor/Project manager:
yes	no
Lab-/Division Head:
Department Head (abroad):

December 2012	Dienstreiseantrag_English.dot

PSIUser

2013-05-13

fueglister_m

Paul Scherrer Institut