Travel Memo

Your name

Your email address (You will receive a confirmation once this form is submitted.)

Last day and time here

First day and time back

Destination and Business Reason for travelling

Please provide a detailed reason for this trip.

Will you miss any lectures?

Date(s) of missed lecture(s) and name of substitute lecturer

In the event we need to reach you, how do we do that (or whom should we contact)?

CAPTCHA

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