Office of International Studies & Programs Form OISP-152,Travel Passenger List

Travel Passenger List

Complete One Form for the Entire Group

Dates of travel: Click here to enter text. / Group: Click here to enter text.
Destination/Place: Click here to enter text.

In status column indicate if traveler is Faculty, Staff, Advisor, Driver or Other

Legal
FIRST
Name / Legal
LAST
Name / Passport Number / Status
“F”= Faculty
“S”= Staff
“A” = Advisor
“D” = Driver
“O” = Other
1 / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text.
2 / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
3 / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
4 / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text.
5 / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text.
6 / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
7 / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text.
8 / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
9 / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
10 / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text.
11 / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text.
12 / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text.
13 / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text.
14 / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text.
15 / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
16 / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text.
17 / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
18 / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text.

With few exceptions, you have the right to request, receive, review and correct information about yourself collected using this form.

Your nameClick here to enter text. / Your phone number:
Your Signature / Today’s Date:

Adapted from Form 2 of the Dean of Student’s office

(361) 593-3558 Rev. (PBL) Aug.17, 2017

Page 1 of 1