This form is downloadable at http://sunway.edu.

my/university/research/policies

CLAIM FOR FIELD ASSISTANTS

For the month of : Hourly Rate :

Name as per I/C or passport : Samuel Mui Shen Ern
NRIC / Passport No. : 970713105169
School/ Department : School of Arts and Social Science
Contract Valid Period : to

Hours Worked Total Verified by

Date Remarks
Time In Time Out Time In Time Out Hours Supervisor
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
30
Total no. of hours worked

Processed by
Submitted by Student Approved by HOD/Dean Verified by RO
Financial Services

Signature Signature Signature

Signature Name Name Name
Name Date Date Date
Samuel Mui Shen Ern
Date 4/4/2019
* Name as per I/C or passport = payee name of issuance of cheque. Any error stated resulting replacement of cheque, bank charges will
be borne by submitter.
This form is downloadable at http://sunway.edu.my/university/research/policies