Draft Student Travel Form 24 October 2005

Student Travel Overseas/Australia Please complete this form if traveling during your candidature to ensure you are covered by the University insurance policy

Faculty/ School Building Code: / Unit: Name: Telephone/Email:

SID: Telephone/Email (whilst overseas):

Degree: Supervisor:

I apply for approval to take course-related travel Overseas/ Australia, with supporting documentation attached, from: (Date/Month/Year)

to enable me to travel from to: (Location): (purpose of the travel): to enable me to

1 APPLICATION FOR APPROVAL TO EXPEND TRAVEL FUNDS To be completed if you are seeking financial support from the University

Estimated Cost of the Trip

$ Motor vehicle reimb*. $ * please fill in Motor Vehicle Allowance Form Accommodation $ Conference Fees $ Per Diem Allowance or estimate of actual $ expenses

Other $

The University’s contribution to the cost is to be met from the following account(s):

Account Code Amount HoS or Delegated Authority Initials

1 Any expenses in relation to this travel must be claimed by submitting a P a y m ent Request F o rm with a copy of your approved form to Shared Services Financial Services. The collection of private information is in line with the University of Sydney Privacy Policy & the NSW Privacy and Personal Information Protection Act. DAY-BY-DAY ITINERARY

Date No. of Days Details

Non University Leave Date/s

EMERGENCY CONTACT DETAILS Please complete section A & B

A: Please provide your location and contact details for each of your overseas destinations. The University may use these to contact you during your trip so please ensure the details provided are accurate. For further destinations and contact details please attach further documentation to this form. 1 Departure From: location Destination: accommodation Emergency address To: Phone:

2 Departure From: location Destination: accommodation Emergency address To: Phone:

B: In case of emergency whilst you are overseas please list who you would like us to contact.

Emergency contact 1 Emergency contact 2

Relationship (e.g. aunt)

Mobile number

Work/home number

I note that it is my responsibility to ensure that my emergency contact details (table B) are also entered and kept up to date on the University of Sydney records via MyUni.

I declare that I have checked with the University's Policy on Travel to Restricted Areas or in the absence of such a policy by the travel advisories of D e part m ent o f F o rei g n A f fairs a nd T rade (" D FAT " ) and understand that it is the responsibility of all students to check this policy before booking travel.

Fieldwork (If applicable): I confirm that I will attend the fieldwork excursion in accordance with the itinerary as proposed by the University of Sydney fieldwork Coordinator. Applicant I certify that the above information is correct and that any expenses for which I have sought approval to incur have not been met, and will not be met in whole or in part, by any other party (delete if appropriate).

Signed: Date:

1. Supervisor’s Signature

Signed: Date:

2. Head of Department I certify that authorisation for this travel complies with Clause 5 of the University Travel Policy and Clause 29.2 of the Student Travel Procedures.

Travel Approved Request to incur expenditure from nominated accounts approved

Signed: Date:

The University’s Travel Insurance policy does NOT cover any associated holiday or personal travel. It is the student’s responsibility to arrange insurance for any such associated holiday / personal travel.

Please find travel policy and contact details for University contracted travel agents at: https://intranet.sydney.edu.au/working/travel/