/ ITS Travel, Chancelry 10C
Enquiries:(02)6125 8646

The following form MUST be completed by ALL staff undertaking travel on behalf of the ANU.

Domestic Travel / International Travel
DFAT Risk Category: / I certify that I have registered my
travel with DFAT Smart Traveller
______
Personal Particulars:
Last Name / First Name
Uni ID / E-mail
Department / Position / Phone
Purpose of Travel: ______
Conference / Business meeting / Staff Training / Other
______
Travel Dates – Travel Diarymust be completed for all travel exceeding 5 nights.
Is the total trip greater than 5 nights? / Yes / No
Departure date / Return date
Destination/s
Private Travel
Estimated number of private days
Leave application submitted (via HORUS) / Yes / No
I have read the University’sPrivate Travel Procedures
I agree to pay the amount as calculated by the FBT Travel Calculator in order to reduce the FBT liability to zero within 30 days of my return
OR
The delegate has approved my payment of a reduced contribution and the remaining FBT in the attached calculation will be paid by the relevant School/Centre/Faculty (Prior approval required from Director HR)
Mode of Travel
ANU Vehicle / Hire Vehicle / Other ______
Air travel
Date/Flt Dep Times Required: / Private Vehicle
Additional form required: Application to use private vehicle for University Business
Summary of Anticipated Expenses
Transport / Accommodation
Hotel Details Required / Registration / Meals Per Diem
(not issued to purchase card holders)
Date/s & Meal Required / Other
No. of Cab Charge Vouchers Required
$ / $ / $ / $ / $
BUDGET CODE:
Travel Payments
Do you hold an ANU purchase card? / Yes / No
Do you require a Travel Advance?
Travel advances require further approval & full acquittal upon return. / Yes
Amount:$______/ No
(recommended)
Travelling With University Equipment
Do you intend to travel with University equipment / Yes / No
List item/s over $1000
Reservations and Other Responsibilities
Upon Delegate endorsement, I ‘the traveller’ will research and provide my flight and accommodation preferences to the travel team for allregistrations and reservations relating to this journey (with the exception of private travel). I understand these arrangements will be carried out inline with ANU policy and guidelines and Divisional requirements.
I am aware that I remain responsible for pursuing visa requirements and lodgements.
Traveller’s Signature / Date:
Authorisation by Delegate
Authorised by an appropriate officer with delegation 000199 (approval of domestic travel),000198 (approval of international travel) and 000220 or 000221 (approval of expenditure).
Name (print) / Signature / Date
Supervisor:
Division Leader:
Director / Executive Director:
(where required)
* Director approval required for all international travel (excluding trans-Tasman)

All original approved travel forms and associated supporting documentation must be forwarded to DoI Travel for action (where necessary),audit and record purposes.

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