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TRAVEL ACCOMODATION REQUEST FORM
New personnel mobilisation: [email protected] Domestic & International flight bookings: [email protected]
NOTE: FIFO Site Based Personnel Must Forward Completed Forms To The Relevant Site Administrator
HAVE YOU TRAVELLED OVERSEAS DURING THE LAST 14 DAYS? (This section must be completed)
No Yes (please speak with your Manager/Supervisor before submitting this form)
REQUEST TYPE EMPLOYMENT TYPE
SITE SUBSIDIARY DEPARTMENT
PERSONAL DETAILS (Complete in full)
TITLE D.O.B
FIRST NAME SURNAME
ADDRESS MOBILE NUMBER
EMAIL ROLE/POSITION
ROSTER ROLL SETUP (Rostered Site staff only - Leave blank if short term visit)
SET UP TYPE ROSTER TYPE SHIFT TYPE
TRAVEL TO AND FROM SITE FREQUENT FLYER# VA: QF:
DIDO - Driving to site? You must complete a (JMP) - Journey Management Plan.dotx
FLY DRIVE IN OUT DATE FROM TO TIME NOTES
REASON FOR TRAVEL
MRL SITES ACCOMMODATION (Complete EXTERNAL Section if Non MRL Sites)
CAMP CRIB MEAL ON ARRIVAL - Dietary requirements (if any)
ISSUE DATE: 14/10/2021 MRL-SS-FRM-0001_05 1
Printed copies of this document are not controlled. Please ensure that this is the latest available version before use.
EXTERNAL NON MRL CAMP ACCOMODATION ONLY (Leave blank if this is NOT required)
LOCATION/HOTEL DATE IN DATE OUT
LOCATION/HOTEL DATE IN DATE OUT
VEHICLE HIRE (Please refer to the Asset Management Department for all bookings over 5 days)
PICKUP LOCATION/TIME DROP OFF LOCATION/TIME
TYPE
ADDITIONAL COMMENTS
Mine Spec 4WD Tray Dual Cab Sedan Medium Small
APPROVED BY MANAGER SIGNATURE DATE
No Yes
EMERGENCY CONTACT DETAILS
NAME
MOBILE NUMBER
RELATIONSHIP
COMPANY DETAILS
CONTRACT COMPANY
CONTACT NUMBER
MRL CONTACT JOB NUMBER
TRAVEL DETAILS (Complete in full)
