November 2015 Claim Haziq

HRD/IKRAM/CLAIM/MILEAGE/003/15

PROTASCO GROUP OF COMPANIES STAFF C L A I M NOVEMBER 2015

NAME: MOHD HAZIQ BIN MAHMAD TOHA GRADE: NE3STAFF NO.: KIN00698 DEPARTMENT: IKRAM SELATAN

DESIGNATION: LAB ASSISTANT DIVISION: LABORATORY

VEHICLETYPE / MODEL:REGISTRATION NO.:

Residential Address: ( In Full )

DATETIME JOURNEY

PURPOSE / PROJECTALLOWANCE

FROM TO ORIGIN DESTINATION M S L A

02.11.2015 8.30 AM 8.30 PM IS SEDELI KOTA TINGGI CORING 250.00 1


04.11.2015 8.30 AM 5.30PM IS BANDAR TENGGARA PROBE 220.00 1

05.11.2015 8.30 AM 5.30 PM IS BANDAR TENGGARA PROBE 220.00 1

09.11.2015 8.30 AM 5.30 PM IS MERSING DENSITY 360.00 1


13.11.2015 8.30 AM 9.00 PM IS MERSING DENSITY 360.00 1

16.11.2015 8.30 AM 5.30 PM IS RENGIT PROBE 170.00 1

17.11.2015 8.30 AM 9.30 PM IS BATU PAHAT PROBE 264.00 1

25.11.2015 8.30 AM 5.30 PM IS KOTA TINGGI CBR 190.00 1

\

TOTAL 2534.00 0 10 0 0 0.00

MILEAGE CLAIMSFIRST 400 : km x 0.60 cent / km RM 0.00

NEXT 100 : km x 0.50 cent / km RM 0.00

*Motorcycle : km x 0.20 cent / km RM 0.00

(A) TOTAL RM 0.00

PAGE 1

KUMPULAN IKRAM SDN BHD (IKRAM SELATAN), NO.2 & 2-01, JALAN IMPIAN SKUDAI 1, TAMAN IMPIAN SKUDAI, 81300 SKUDAI, JOHOR.

DISTANCE (KM)

TOLL (RM)

LOCAL CLAIMS

TRAVELLING

Supporting Documents Reference

Flight (Ref. No : ) RM RM RM 0.00Parking (Ref. No : ) RM RM RM 0.00Car Rental (Ref. No : ) RM RM RM 0.00Petrol (Ref. No : ) RM RM RM 0.00

TOTAL Sub-total 0.00 0.00 0.00

Bus/Taxi/Ferry (Ref. No : ) RM RM 0.00Toll (Ref. No : ) RM RM 0.00Vehicle Maintenance (Ref. No : ) RM RM RM 0.00

TOTAL Sub-total 0.00 0.00 0.00

(B) TOTAL RM 0.00

MEAL ALLOWANCE / SUBSISTANCE ALLOWANCEPeninsular Malaysia

5 day (s) x RM 28.00 Meal / Subsistance Allowance RM 140.00

Sabah/Sarawakday (s) x RM Meal / Subsistance Allowance RM 0.00

( C ) TOTAL RM 140.00

LODGING / ACCOMMODATION

Peninsular Malaysia Receipts No: RM RM RM 0.00

Sabah/Sarawak Receipts No: RM RM RM 0.00

Without Receipts(Refer declaration) RM RM 0.00

Note: Please attach separate listing if more than 1 receipt. TOTAL RM 0.00

OVERSEAS CLAIMS

TRAVELLINGFlight (Ref. No : ) RM 0.00Parking (Ref. No : ) RM 0.00Car Rental (Ref. No : ) RM 0.00Bus/Taxi/Ferry (Ref. No : ) RM 0.00

( E ) TOTAL RM 0.00

MEAL ALLOWANCE / SUBSISTANCE ALLOWANCEOverseas

day (s) x RM Meal / Subsistance Allowance RM 0.00

( F ) TOTAL RM 0.00

LODGING / ACCOMMODATIONOverseas Receipts No: RM 0.00

Without Receipts (Refer declaration) RM 0.00

( G ) TOTAL RM 0.00

Note: Please attach separate listing if more than 1 receipt.PAGE 2

Claim Amount

(RM)

Allowed GST (RM)

Payable Amount

(RM)

Blocked GST (RM)

Claim Amount

(RM)

Allowed GST (RM)

Payable Amount

(RM)

) ( D )

ENTERTAINMENT

Existing Client(please show breakdown for existing client & staff)

Receipt No.:

No. of Pax %Staff : 0 0% - - - Client : 1 100% - - - Total : 1 RM RM RM -

Receipt No.: %Staff : 0% - - - Client : 1 100% - - - Total : 1 RM RM RM -


Summary Staff (Allowed) : - - -

Client (Allowed) : - - - Sub-total RM - RM - RM -

Note: Complete the items in highlighted box only.

Potential Clients(please show breakdown for potential client & staff)

Receipt No.: %

No. of PaxStaff : 0% - - - Client : 1 100% - - - Total : 1 RM RM RM -



Summary Staff (Allowed) : - - -

Potential Client (Blocked) : - - - Sub-total - - -

Note: Complete the items in highlighted box only.( H ) Total RM -

PAGE 3

Claim Amount

(RM) GST (RM)

Payable Amount

(RM)

Claim Amount

(RM) GST (RM)

Payable Amount

(RM)

PAGE 5

MISCELLANEOUS

Receipts No : RM RM RM - Receipts No : RM RM RM - Receipts No : RM RM RM -

Sub-total - - -

( I ) Total RM -

GRAND TOTAL (A) + (B) + (C) + (D) + (E) + (F ) + (G) + (H) + (I) : RM 140.00

Claimed by : Verified by : Approved / Not Approved by :

Name : Name : Head of DepartmentDate : Date : Date :

Checked by : Approved / Not Approved by :

HR Department Executive Vice Chairman / Managing DirectorDate : Date :

Notes :1. All claims where necessary must be supported with original receipts or bills / signed and verified with approval on each supporting documents.

PAGE 4

Claim Amount

(RM)

Allowed GST (RM)

Payable Amount

(RM)

I hereby certify that the above claims are true and correctly stated and are made in performance of my duty on behalf of the Company.

2. The completed form must be submitted to HR Department by 10th of each month.

PROTASCO GROUP OF COMPANIES

DECLARATION FOR EXPENSES WITHOUT RECEIPT

DATEJOURNEY

PURPOSE/PROJECTFROM TO

TOTAL (RM) 0.00

Note :

I hereby declare that the above claim is for Company's official business / duties only.I have ealier paid the above claim.

Name :(Signature)

Staff ID : Date :

I hereby certify that the above claim(s) are true to the best of my knowledge.

Name :(Head of Department/Division) (Signature)

Date :

TYPE OF CLAIM / EXPENSES

TOTAL (RM)

PAGE 4

ENTERTAINMENT

Existing Client(please show breakdown for existing client & staff)

Receipt No.:

No. of Pax %Staff : 5 33% 166.67 10.00 176.67 Client : 10 67% 333.33 20.00 353.33 Total : 15 RM 500.00 RM 30.00 RM 530.00

Receipt No.: %Staff : 3 38% 450.00 27.00 477.00 Client : 5 63% 750.00 45.00 795.00 Total : 8 RM 1,200.00 RM 72.00 RM 1,272.00

Receipt No.: %Staff : 2 40% 320.00 19.20 339.20 Client : 3 60% 480.00 28.80 508.80 Total : 5 RM 800.00 RM 48.00 RM 848.00

Summary Staff (Allowed) : 56.20 992.87

Client (Allowed) : 93.80 1,657.13 Sub-total 150.00 2,650.00

Note: Complete the items in highlighted box only.

Potential Clients(please show breakdown for potential client & staff)

Receipt No.: %

No. of PaxStaff : 5 33% 166.67 10.00 176.67 Client : 10 67% 333.33 20.00 353.33 Total : 15 RM 500.00 RM 30.00 RM 530.00

Receipt No.: %Staff : 3 38% 450.00 27.00 477.00 Client : 5 63% 750.00 45.00 795.00 Total : 8 RM 1,200.00 RM 72.00 RM 1,272.00

Receipt No.: %Staff : 2 40% 320.00 19.20 339.20 Client : 3 60% 480.00 28.80 508.80 Total : 5 RM 800.00 RM 48.00 RM 848.00

Summary Staff (Allowed) : 56.20 992.87

Potential Client (Blocked) : 93.80 1,657.13 Sub-total 150.00 2,650.00

Note: Complete the items in highlighted box only.( H ) Total RM 5,300.00

MISCELLANEOUS

Receipts No : RM RM RM - Receipts No : RM RM RM - Receipts No : RM RM RM -

Sub-total - - -

( I ) Total RM -

GRAND TOTAL (A) + (B) + (C) + (D) + (E) + (F ) + (G) + (H) + (I) : RM #REF!

Claim Amount

(RM) GST (RM)

Payable Amount

(RM)

Claim Amount

(RM) GST (RM)

Payable Amount

(RM)

Claim Amount

(RM) Allowed

GST (RM) Payable Amount

(RM)