(To be filled up by applicant)

1) Name of user of the vehicle…………………………………………………

Along with (if any) 1)…………………………………………

2)…………………………………………..

3)…………………………………………

2) Purpose: ………………………………............................................................

3) Destination……………………………………………………………………......

4) Date & Time of start (proposed by applicant)……………………………………

5) Preference of vehicle (if any)………………………………………………….....

Signature of Applicant with Date & Time

------------------------------------------------------------------------------------------------------------ (To be filled up by authorized person)

1) Reg. no. of vehicle allotted for applicant……………………………………….

2) Permitted along with 1)………………………………………… 2)…………………………………………. 3)………………………………………….

3) Permitted time for starting of journey…………………………..

----------------------------------- -----------------------------------Signature of authorized person Approved by----------------------------------------------------------------------------------------------------------- (To be filled up by Security)

Vehicle No ________________ Vehicle Type __________________

Opening Mileage ________________ Closing Mileage __________________

----------------------------------- -----------------------------------Signature of Security Seal

BMW - Vehicle movement requisition Form