Department/Laboratory stamp	Warsaw, dated

ANNEX TO TRAVEL APPLICATION SPECIFYING THE TERMS OF FOREING TRAVEL OF MMRI, PAS EMPLOYEE LASTING MORE THAN 4 WEEKS

1.	Full name of the traveling employee

2.	Place of work (Department/Laboratory)

3.	Country of departure, duration of stay

4.	Type of leave: holiday, unpaid. (to be completed by the HR Department)
holiday	(from–to)
unpaid	(from–to)

5.	Benefits to which the employee is entitled

6.	Benefits to which the family staying in the country is entitled

7.	HR Department confirmation of holiday leave to which the employee is entitled

signature of the employee		signature of the Director