MUHIMBILI UNIVERSITY OF HEALTH AND ALLIED SCIENCES

STAFF TRAVEL REPORT

A. PRELIMINARIES:

1. A staff who is travelling or a team of staff who shall travel in one trip for the same
purpose and place shall provide a report which will outline the objectives of the trip and
outcomes or accomplishment after the travel. This report shall be completed immediately
and sent to the Director, Human Resource Management and Administration (DHRMA)
within two (20) days upon return from the trip abroad within the

2. Date of writing the report:________________________________________

3. Name(s) of Individual who travelled: i. ___________________________

ii. ___________________________
iii. ___________________________
iv. ___________________________

4. i. Institution/Company visited:_______________________________________

ii. Country (if abroad):______________________________________________

iii. Region (if within the Country):_____________________________________

5. Date of the Trip:___________________________________________________

 B. DESCRIPTION

1. Objectives of the trip (Please list specific objectives of the trip)

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2. Activity description:
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3. Key Persons contacted:

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4. Outcomes and accomplishments:

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5. Briefly describe how the outcome will make impact to the institution and the
nation:
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6. Recommendation. If any
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Name (1) :_________________________ Signature:___________ Date:___________

Name (2) (if applicable):_______________Signature:___________ Date:___________
Name (3) (if applicable):_______________Signature:___________ Date:___________
Name (4) (if applicable): ______________Signature:___________ Date:___________