HR FORM.ECF.

01

JASA MERIN (MALAYSIA) SDN BHD

EXPENSES
CLAIM FORM
CLAIM FOR MONTH OF: Mac 2021 POSITION: IT Exec
STAFF NAME: AHMAD ASRI SAFFUAN BIN MANSOR DEPARTMENT: IT DEPARTMENT
BANK NAME & ADDRESS ACCOUNT TYPE ACCOUNT NO. LOCATION TEL / EXT

PURPOSE OF CLAIM/DETAILS OF ENTERTAINMENT/TRAVEL DATE & TIME

1
2
3
4
HOTEL /
DISTANCE
CLAIM DETAILS MILEAGE LODGING MEAL ALL OTHERS TOTAL
DATE TRAVELLED
ALL.
(FROM - TO, LODGING PLACE) KM RM RM RM RM RM
C D E F G
18-Jan-2021 Medical 0.00 400.00 400.00
22-Feb-2021 OFFICE_KSB_OFFICE 24 14.40 14.40
Repair Pc warehouse 0.00 0.00
23-Feb-2021 OFFICE_KSB_OFFICE 0.00 0.00
Check VSAT at warehouse 24 14.40 14.40
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 0.00
0.00 0.00
0.00 0.00
GRAND TOTAL (D+E+F+G) 428.80
Details on foreign exchange ( Oversea Claims )
NO. DATE CURRENCY EXCHANGE RATE TT/OD
1 TOTAL CLAIM RM (D+E+F+G) 428.80
2 LESS: ADVANCE RECEIVED
3 BALANCE /REFUND RM 428.80
REQUESTED BY
I hereby declare that above information as true and in accordance with VERIFICATION & APPROVAL
company policies / conditions. VERIFIED BY APPROVED BY

SIGNATURE
POSITION
DATE 31-Mar-2021 DATE
REMINDER
1 All claims are to be accompanied with official bills , receipts , air ticket counterfoils,Tax invoice and others & must be submitted before 5th every month.
2 Expense claims for training must be approved by the Admin & Human Resource Department.
3 Hotel bill must be attached for outstation claim.
4 All entertainment claims should be accompanied with detailed descriptions on the purpose of the entertainment , place and name of guest entertained and the advantage that have
been obtained from it.
5 For staff with outstanding advances :
(I) Finance Department will make a salary deduction without informing the staff if claim is not submitted within seven (7) days upon return to office.
(II) If there are any refund(s) from advance(s) taken:
A. Payment by cheque - must be accompanied with this claim form.
B. Payment by cash - submit to Finance Department.
6 In case of over payment , refund shall either be deduction from next salary payment or next claim.
NOTE :
* Please refer to the Employee Handbook for applicable rate.
** Approval by the respective Manager.
*** The Account Department may reject any claim request which is incomplete and / or which does not comply with the predetermined set of policies & guidelines.