CONFIDENTIAL
SPECIMEN FORM K29
M
(UNDERTAKING TO REPAY)
ANNEX D TO
JTP 1
(9TH REVISE)
GROUP TRAVEL
UNDERTAKING TO REPAY
To be filled in before departure
This form must be completed in full before embarkation by each head of family, or person travelling separately, and return to the issuing office or officer before embarkation will be permitted.
PART A.
1.
Surname (Block letters)
Sex
Forenames
Date of Birth
Nationality/citizenship
Place of Birth
2. Accompanied by:
Name | Sex | Date of Birth Place of Birth Relationship
3.
Address in the UK and/or future address to which correspondence can be sent
4.
Last address in country from which departing
5.
Name and address of next of kin
6.
Name and address of employer (1)
Note:
1. If two or more employees of the same employer are being evacuated at the same time the employer is required to complete a 'Group Undertaking to Repay' covering all employees, and their dependants, being evacuated.
D-1
CONFIDENTIAL