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CLAIMS / PETTY CASH FORM

NAME DESIGNATION BIL


1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16.

: MUHAMMAD AZIM : ACCOUNT EXEC

DATE : 01/02/2012-29/02/2012 REF NO: AMOUNT (RM)

DATE 01/02/2012 02/02/2012 03/02/2012 08/02/2012 09/02/2012 10/02/2012 12/02/2012 13/02/2012 16/02/2012 17/02/2012 20/02/2012 22/02/2012 23/02/2012 27/02/2012 28/02/2012 29/02/2012

PARTICULAR Collect cheque PPG S.alam / Ocbc Umah Boss / Ocbc Ocbc Public Bank 2x / Ocbc Umah Boss / Office / Maybank / Ambank / Cimb / Ocbc Ocbc 2x Dtg Office Mlm Maybank Dolmat S.Alam Cimb / Ocbc Cimb Public Bank Ocbc Bukit Tinggi Wenzel / Cimb LHDN / Ocbc / Maybank / Public bank Tel Communication TOTAL ADVANCE TAKEN TOTAL PAYABLE BALANCE (IF ANY) DECLARATION APPROVAL
Prepared by

: RM. RM. RM. 110.00

: : :

VERIFICATION
Approved by

I certify that the expenses reported herein are solely for th benefits of the company. I agree that the company is authorised to deduct my salary if I did not submit my claims within 2 weeks of advances made by the company.

________________ Account Dept


_______________________________ Claimant Date :

_______________
H.O.D / G.M / Director Date :

Marine Outsourcing Sdn Bhd (707290-A) 11.01, 11th Floor, Crown House, Crystal Crown Hotel Harbour View, 217, Persiaran Raja Muda Musa, 42000 Port Klang, Selangor, Malaysia Tel: +603 3166 4350 | Fax: +603 3166 4361 | Email: mosb.ops@mosb.com.my

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