CA/ER/15/11/2010

CORAL ALLIANCE SDN BHD (683936-X)

EXPENSES CLAIM FORM

Full Name : _______________________________ Designation: ___________________

(as per IC)
NO. [1] Date

[2] Description, Purpose & Location

[3] Distance/ [4]

Mileage
B/N*

[5]
Transportation

Dept/Location: ______________________ Project: __________________________

[7] Subsistence
[6]
Accommodation
Allowance

[8] Entertainment.
Company

Amount

[9] Miscellaneous
Amount (RM)

[10]Total (RM)

0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

Bank Details:
Notes: *B = Billable (chargeable)
*N=Non billable/chargeable

Totals

0.00

0.00

0.00

0.00

Chargeable to Job No: ____________________________ ( Contract Administration to stamp received)

0.00
Less Advance

0.00
0.00

Amount Due (RM)

0.00

Non-Chargeable to job.
Expenses Claim Form must be submitted to HRM Section by the 7th of every month. We will not be able to process your claims if submitted after this date.
Please ensure that appropriate receipts and relevant documents are attached to avoid claims rejected.
Employees must fill up Columns [1]-[10] above and all expenses claims must be authorised by your Superior.
I confirm that the above information given is correct.I
understand that if it is subsequently discovered that I have
knowingly given false information or withheld relevant
information, my claims will be disqualified for payment, and I
may be subject to disciplinary action.

CLAIMED BY

AUTHORISED BY
ENGR/EXEC
MGR/HOD

VERIFIED BY
HR

APPROVED BY
SM/GM

information, my claims will be disqualified for payment, and I

may be subject to disciplinary action.
CA/ER/15/11/2010

Date:

Date:

Date:

Date: