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NAME - DATO' HJ ABDULLAH BIN CHE MAT GRED - POSITION - MANAGING DIRECTOR (JSB) DEPARTMENT - TECHNICAL STAFF NO - VEHICLE - TYPE/MODEL BMW - REG NUMBER MAU II Cat: Grade 1 - T1 to E5 = RM 0.65 X = RM 2 - N1 to N5 = RM 0.50 X = RM a) More than 100 km and 8 hours Motorcycle = RM 0.35 X = RM = Half of Entitlement RM b) More than 100 km and 24 hours = Full Entitlement MEAL ALLOWANCE 2 PETROL, TOL, PARKING 9.00 3 ACCOMMODATION AND LODGING STAFF PARTICULAR SUMMARY OF CLAIM FOR THE MONTH OF OCTOBER 2013 NO PARTICULARS TOTAL (RM) 1 MILEAGE CLAIMS 6 ENTERTAINMENT 7 OTHER CLAIMS 2,680.00 4 TELEPHONE 5 MEDICAL DETAILS OF CLAIM 1 - MILEAGE CLAIMS DATE TIME OF DEPARTURE TIME OF ARRIVAL LOCATION DISTANCE (KM) MEAL ALLOWANCE TOTAL (-) ADVANCE NET TOTAL 2,689.00 TOTAL Meal Allowance Calculation JOHAWAKI HOLDINGS SDN BHD ADMIN & SUPPORT SERVICE MONTHLY CLAIM FORM DOC. REF: JHSB/FORM/ADM/004

New Monthly Claim

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Page 1: New Monthly Claim

NAME - DATO' HJ ABDULLAH BIN CHE MAT GRED -

POSITION - MANAGING DIRECTOR (JSB)DEPARTMENT - TECHNICALSTAFF NO -

VEHICLE - TYPE/MODEL BMW- REG NUMBER MAU II

Cat: Grade

1 - T1 to E5 = RM 0.65 X = RM

2 - N1 to N5 = RM 0.50 X = RM a) More than 100 km and 8 hours

Motorcycle = RM 0.35 X = RM = Half of Entitlement

RM

b) More than 100 km and 24 hours

= Full Entitlement

MEAL ALLOWANCE

2 PETROL, TOL, PARKING 9.00

3 ACCOMMODATION AND LODGING

STAFF PARTICULAR

SUMMARY OF CLAIM FOR THE MONTH OF OCTOBER 2013

NO PARTICULARS TOTAL (RM)

1 MILEAGE CLAIMS

6 ENTERTAINMENT

7 OTHER CLAIMS 2,680.00

4 TELEPHONE

5 MEDICAL

DETAILS OF CLAIM

1 - MILEAGE CLAIMS

DATETIME OF

DEPARTURE

TIME OF

ARRIVALLOCATION

DISTANCE

(KM)

MEAL

ALLOWANCE

TOTAL

(-) ADVANCE

NET TOTAL 2,689.00

TOTAL

Meal Allowance Calculation

JOHAWAKI HOLDINGS SDN BHD

ADMIN & SUPPORT SERVICE

MONTHLY CLAIM FORM

DOC. REF:

JHSB/FORM/ADM/004

Page 2: New Monthly Claim

2 - PETROL, TOL AND PARKING

2

3

DATE RECEIPT/BIL NO LOCATION TOTAL(RM)

1 9847 Seri Pacific Hotel 9.00

67

45

10

11

8

9

14

15

12

13

18

19

16

17

22

23

20

21

26

27

24

25

30

31

28

29

TOTAL 9.00

3 - ACCOMMODATION AND LODGING

DATE RECEIPT/BIL NO DETAILS DAY RATE TOTAL(RM)

D - OTHERS

DATE RECEIPT/BIL NO DETAILS TOTAL(RM)

Cheque No. 144379 and cleared on 1/8/2013

10/8/2013 2934 Glory Car Accessories 180.00 10/8/2013 Payment to Cycle & Carriage - Booking Fee Mercedes E250 2,500.00

JUMLAH 2,680.00

Page 3: New Monthly Claim

Applicant Recommended by Approved by

_____________________________ _____________________________ _____________________________

Name :DATO' ABDULLAH CHE MAT Name :_____________________ Name :_____________________

Position :MANAGING DIRECTOR Position :_____________________ Position :_____________________

Date Date :_____________________ Date :_____________________

* Note :

Checked by Admin Department

_____________________________

Name :_________________________________

Position :_________________________________

Date :_________________________________

JHSB/adm/Rev9/13

I hereby declare that the claims made on the stipulated dates are correct and have been made on official business purpose. These claims

are in accordance with the rates and conditon as stipulated in the Kumpulan Johawaki's Employee Terms and Conditon Book. I am fully

responsible for all the claims made.

5/5/2014

Department Date Signature

CS/ADMIN

Please make sure all claims are completely signed and attached with Travel Requisition form.

Claim must be submitted before or on 7th of every month

FOR OFFICE USE ONLY

AMOUNT TO BE PAID

RM

COMPANY :

APPROVED BUDGET ACCESS OF BUDGET

BUDGET

FINANCE

OTHERS

DATE

RM

ACTUAL BUDGET

BALANCE

Page 4: New Monthly Claim

JOHAWAKI HOLDINGS SDN BHD

ADMIN & SUPPORT SERVICE

MONTHLY CLAIM FORM

DOC. REF:

JHSB/FORM/ADM/004