Doc. No.

: GA-SA-F12
Rev. No. : 4
Rev. Date : 8-11-18

ZAIDUN-LEENG SDN BHD

LOCAL / OVERSEAS TRAVEL EXPENSES CLAIM FORM
Div. / Dept. : CE ME EE IN ST GA ICT
Staff Name : Staff No.:
(Please circle where necessary)

Project No. : Project Title :

Amount without / before SST

Total Recoverable /
SST Amount Non-recoverable
Amount (Included
Date Purpose Hotel Meals * Travel Others
SST)
(If recoverable, please state
which party)
(RM) (RM) (RM) (RM) (RM) (RM)

Sub -Total : - - - - -

Grand-Total Travel Expenses Claim (RM) : -

(Less) : Cash Advance (RM)

Total Amount To Be Reimbursed / (Refunded) (RM) : -

Note (1) All claims must be supported by original receipts / credit card statement.
Note (2) * Travel = Air Passage + Taxi Fares

Claimed By: Approved By:

……………………………………… ………………………………..
(Signature) (DIC / Managing Director)
Date: Name :
Date :

Checked By: Verified By:

……………………………………… …………………………………………..
(Admin & A/C Dept.) General Manager-Finance & Admin.
Name : Name :
Date : Date :

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