Beruflich Dokumente
Kultur Dokumente
( please tick )
Employee's Name
Employee ID
GR172
Designation
SHE ENGINEER
Department
Month
Year
May
2015
PC or PV No.
To be
Entertainment
Date
Receipt No.
Paid To
Purpose
Attendees
Amount
Total
Others/ Miscellaneous
Date
4/16/2015
Receipt No
81919420
Paid To
Purpose
Acct. Code
Amount
To be completed by FAD
52.75
Total
52.75
Summary of Claims
Item
Description
Total (RM)
(page 2 / 4 )
378.00
(page 3 / 4 )
(page 4 / 4 )
Entertainment
Others/Miscellaneous
52.75
GRAND TOTAL
Employee's Signature:
Attested by HOD
Date:
Date :
430.75
Validated by Accountant
Approved by FC / DOP / MD
Date:
Date:
Page 1 / 4
Notes:
(i) Itemized original receipts must be attached to support the above expenditures.
(ii) All claims must be on a calendar month basis and to be submitted on or before 5th working day of the following month.
GN/AC/F-01
Rev. 0 (01/10/2011)
GN/AC/F-01
Rev. 0 (01/10/2011)
FORM
EMPLOYEE'S EXPENSES CLAIM
Important : Please submit mileage log book
Example
1. Atten
2. Atten
3. Atten
4. Couri
5. Trans
6. Carry
7. Perfor
8. Site v
( please tick )
Employee Name
Month
May
Employee ID
GR172
Year
2014
Designation
SHE ENGINEER
Department
Please s
(A) nam
(B) locat
(C) e.g.
(D) proje
(E) spec
demobil
Vehicle Reg. No
Make / Model
Date
From
Destination
To
Fuel
Toll
Ensure c
this mon
odomete
Parking
KM
Total
Total
Other Travelling Expenses e.g. bus fare, taxi fare, repairs of vehicles, upkeep of vehicles
Date
Receipt No
Paid To
Purpose
Amount
Total
Fuel Claim
Total Mileage
Entitled Fuel Claim
GRAND TOTAL
Employee's Signature
Attested by HOD
Date:
Date :
Re-check Mileage
(transferred to page 1)
Validated by Accountant
Approved by FC / DOP / MD
Date:
Date:
Page 2 / 4
Notes:
(i) Itemized original receipts must be attached to support the above expenditures.
(ii) All claims must be on a calendar month basis and to be submitted on or before 5th working day of the following month.
(iii) Please fill up all the fields unless stated otherwise.
GN/AC/F-01
Ensure co
month's c
Rev. 0 (01/10/2011)
FORM
EMPLOYEE'S EXPENSES CLAIM
TRANSPORT EXPENSES AND MILEAGE CLAIM (Own Car)
Company
( please tick )
Employee Name
Employee ID
GR172
Designation
SHE ENGINEER
Department
QSHE
Vehicle Reg. No
BMD3002
Make / Model
PERODUA / MYVI
Month
May
Year
2015
Exam
1. At
2. At
3. At
4. Co
5. Tr
6. Ca
7. Pe
8. Si
Pleas
(A) n
(B) lo
(C) e
(D) p
(E) s
dem
Destination
Toll
Parking
From
To
4/1/2015
Balakong Office
SUBD
12.10
4/2/2015
Balakong Office
SUBD
12.30
4/3/2015
Balakong Office
Kajang Depot
4/4/2015
Balakong Office
Kajang Depot
1.00
4/6/2015
Balakong Office
Kajang Depot
4/7/2015
Balakong Office
Kajang Depot
4/8/2015
Balakong Office
SUBD
5.20
4/8/2015
SUBD
Kajang Depot
6.80
4/13/2015
Balakong Office
Kajang Depot
Balakong Office
Kajang Depot
4/15/2015
Balakong Office
Salak South
4/16/2015
Balakong Office
Kajang Depot
4/17/2015
Balakong Office
Kajang Depot
4/20/2015
Balakong Office
Kajang Depot
4/21/2015
Balakong Office
Kajang Depot
KM
4/15/2015
Total
720
Total
2.60
40.00
Other Travelling Expenses e.g. bus fare, taxi fare, repairs of vehicles, upkeep of vehicles
Date
Receipt No
Paid To
Purpose
Amount
Total
First 500 km
500
@ RM0.50 per km
250.00
Balance
220
@ RM0.40 per km
88.00
Total
720
338.00
40.00
378.00
GRAND TOTAL
Employee's Signature
Attested by HOD
Date:
Date :
(transferred to page 1)
Validated by Accountant
Approved by FC / DOP / MD
Date:
Date:
Page 3 / 4
Notes:
(i) Itemized original receipts must be attached to support the above expenditures.
(ii) All claims must be on a calendar month basis and to be submitted on or before 5th working day of the following month.
(iii) Please fill up all the fields unless stated otherwise.
GN/AC/F-01
Rev. 0 (01/10/2011)
FORM
EMPLOYEE'S EXPENSES CLAIM
TRANSPORT EXPENSES AND MILEAGE CLAIM (Own Motorcycle)
Company
( please tick )
Employee Name
Employee ID
GR172
Designation
SHE ENGINEER
Department
Month
May
Year
2015
Ex
1.
2.
3.
4.
5.
6.
7.
8.
Ple
(A)
(B)
(C)
(D
(E)
de
Vehicle Reg. No
Make / Model
DETAILS OF JOURNEY MADE
Date
Destination
From
To
Toll
Parking
KM
Total
Total
Other Travelling Expenses e.g. bus fare, taxi fare, repairs of vehicles, upkeep of vehicles
Date
Receipt No
Paid To
Purpose
Amount
Total
First 300 km
@ RM0.30 per km
Balance
@ RM0.20 per km
Total
GRAND TOTAL
Employee's Signature
(transferred to page 1)
Attested by HOD
Validated by Accountant
Approved by FC / DOP / MD
Date :
Date:
Date:
Notes:
(i) Itemized original receipts must be attached to support the above expenditures.
(ii) All claims must be on a calendar month basis and to be submitted on or before 5th working day of the following month.
(iii) Please fill up all the fields unless stated otherwise.
GN/AC/F-01
Page 4 / 4
Rev. 0 (01/10/2011)