" No-Receipt " Expense Reimbursement Form (NR Form)

S/No
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29

10/10/2016
Date
to
23/11/2016
10/11/2016
10/11/2016
10/12/2016
10/12/2016
10/13/2016
10/13/2016
10/14/2016
10/14/2016
10/15/2016
10/15/2016
10/16/2016
10/16/2016
10/17/2016
10/17/2016
10/18/2016
10/18/2016
10/19/2016
10/19/2016
10/20/2016
10/20/2016
10/21/2016
10/21/2016
10/22/2016
10/22/2016
10/23/2016
10/23/2016
10/24/2016
10/24/2016

Time
5.30 PM
7.30 AM
5.30 PM
7.30 AM
5.30 PM
7.30 AM
5.30 PM
7.30 AM
5.30 PM
7.30 AM
5.30 PM
7.30 AM
5.30 PM
7.30 AM
5.30 PM
7.30 AM
5.30 PM
7.30 AM
5.30 PM
7.30 AM
5.30 PM
7.30 AM
5.30 PM
7.30 AM
5.30 PM
7.30 AM
5.30 PM
7.30 AM
5:30 PM

Location
SG Office
SG Hostel
SG Office
SG Hostel
SG Office
SG Hostel
SG Office
SG Hostel
SG Office
SG Hostel
SG Office
SG Hostel
SG Office
SG Hostel
SG Office
SG Hostel
SG Office
SG Hostel
SG Office
SG Hostel
SG Office
SG Hostel
SG Office
SG Hostel
SG Office
SG Hostel
SG Office
SG Hostel
SG Office

Total

Item or Service Purchase

Bus Fare to SG Hostel
Bus Fare to SG Office
Bus Fare to SG Hostel
Bus Fare to SG Office
Bus Fare to SG Hostel
Bus Fare to SG Office
Bus Fare to SG Hostel
Bus Fare to SG Office
Bus Fare to SG Hostel
Bus Fare to SG Office
Bus Fare to SG Hostel
Bus Fare to SG Office
Bus Fare to SG Hostel
Bus Fare to SG Office
Bus Fare to SG Hostel
Bus Fare to SG Office
Bus Fare to SG Hostel
Bus Fare to SG Office
Bus Fare to SG Hostel
Bus Fare to SG Office
Bus Fare to SG Hostel
Bus Fare to SG Office
Bus Fare to SG Hostel
Bus Fare to SG Office
Bus Fare to SG Hostel
Bus Fare to SG Office
Bus Fare to SG Hostel
Bus Fare to SG Office
Taxi Fare to Changi Airport

Rate
SGD 0.79 x RM 3.062
SGD 0.79 x RM 3.062
SGD 0.79 x RM 3.062
SGD 0.79 x RM 3.062
SGD 0.79 x RM 3.062
SGD 0.79 x RM 3.062
SGD 0.79 x RM 3.062
SGD 0.79 x RM 3.062
SGD 0.79 x RM 3.062
SGD 0.79 x RM 3.062
SGD 0.79 x RM 3.062
SGD 0.79 x RM 3.062
SGD 0.79 x RM 3.062
SGD 0.79 x RM 3.062
SGD 0.79 x RM 3.062
SGD 0.79 x RM 3.062
SGD 0.79 x RM 3.062
SGD 0.79 x RM 3.062
SGD 0.79 x RM 3.062
SGD 0.79 x RM 3.062
SGD 0.79 x RM 3.062
SGD 0.79 x RM 3.062
SGD 0.79 x RM 3.062
SGD 0.79 x RM 3.062
SGD 0.79 x RM 3.062
SGD 0.79 x RM 3.062
SGD 0.79 x RM 3.062
SGD 0.79 x RM 3.062
SGD 19.59 x RM 3.062

RM

Amount
2.40
2.40
2.40
2.40
2.40
2.40
2.40
2.40
2.40
2.40
2.40
2.40
2.40
2.40
2.40
2.40
2.40
2.40
2.40
2.40
2.40
2.40
2.40
2.40
2.40
2.40
2.40
2.40
60.00

127.20

Remark :

Muhammad Ridhwan Anuar

Employee Signature/Date/Name

11/11/2016

___________________________
HOD Signature/Name/Date

___________________________
HR Department Signature/Name/Date

Name :
I/C No.
No

Manjet Singh s/o Sukhdar Singh

890123-08-5743
Date
1 8/9/2011
2 15/9/2011
3 21/9/2011

Description
Filling PV & Help Desmond scan documents
To help Desmond scan documents
To help Desmond scan documents

Total Hour
RM
4
24
5.5
33
7
42
Total
RM99.00

Kinetics
752003927
752000317
752003018

19,000.00
46,136.34
219,850.73

?Kelington
20110228
20110261

41,960.65
247,736.56