University of Alberta — Travel Request Form

For up to 5 people traveling together on the same itinerary

Fill in all information related to the upcoming trip.

Enter the traveller’s full name exactly as it appears in passport.

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Are you the traveller or travel arranger?

Traveller

Travel Arranger

Both

Already have a flight schedule in mind?

Yes

No

Faculty Name *

• How many travellers? 1 2 3 4 5
• Passenger #1

  • Traveller First Name(s) *
  • Traveller Middle Name(s)
  • Traveller Last Name(s) *
  • Traveller Title (Mr, Ms, Dr, etc...) *
  • Traveller Date of Birth * * January February March April May June July August September October November December * * *
  • Traveller Gender *

    Male

    Female

    Unspecified

    Undisclosed

  • Traveller Cell Number (include area code) *
  • Traveller Email Address *

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  For International Travel Only
  Passport Number
  Passport Nationality
  Passport Expiry Date January February March April May June July August September October November December
• Round Trip One Way Multi-City
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• Flexible? Occasionally a better schedule and/or price is available the day prior to or after your preferred departure and return dates – would you like us to check this option for you?

  Yes

  No

• Fare Type Required (Check a maximum of 2 boxes) Basic – lowest fare with no changes permitted and no refunds (not recommended) Economy fare that allows for changes and a travel credit if cancelled – excludes checked bag and seat selection Economy fare that that allows for changes and a travel credit if cancelled – includes checked bag and seat selection Fully Refundable Economy Fare – includes checked bag and seat selection Business Class – Allowed with Written Approval
• Airline Preference *
• Checking bags?

  Yes

  No

• Advance Seat Selection Required

  Yes

  No

• Via Rail Required

  Yes

  No

• Accomodation Required

  Yes

  No

• Car Rental Required

  Yes

  No

• TAP *
• Speed Code *
• Comments

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Please complete the captcha.