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CLAIM FORM

TERABAND SMART SOLUTION SDN BHD ( 2021010083320)(1408631-K)

NAME : KIRUTHISIVAN A/L KERISHNAN KUTI


DEPARTMENT : UTILITIES
POSITION : SENIOR PROJECT MANAGER
DURATION : 01st NOVEMBER 2021 - 30th NOVEMBER 2021

DESCRIPTION AMOUNT (RM) TOTAL (RM)

ENTERTAIMENT 33.30
STAFF REFRESHMENT 261.70
PETROL/DIESEL 50.00
TOLL -
PARKING -
STAFF ACCOMODATION -
SITE EXPENSES 1,560.00
MATERIAL 160.00
MEDICAL XEPENSES 220.00
OTHERS 398.35

GRAND TOTAL 2,683.35

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
ENTERTAIMENT

DATE DESCRIPTION AMOUNT (RM)

30.11.2021 Rokok - for Client 33.30

TOTAL 33.30

STAFF REFRESHMENT

DATE DESCRIPTION AMOUNT (RM)

12.11.2021 NSK Trade City - Mineral Water 14.00


15.11.2021 NSK Trade City - Mineral Water 14.00
11.11.2021 99 Speed mart SB - Mineral Water 9.90
25.11.2021 Bukit Dinding 13.70
23.11.2021 RNS Nasi Kandar 148.20
25.11.2021 RNS Nasi Kandar 16.20
28.11.2021 RNS Nasi Kandar 12.40
29.11.2021 RNS Nasi Kandar 14.30
30.11.2021 WARUNG Pekaki u -Turn 19.00

TOTAL 261.70

PETROL/DIESEL

DATE DESCRIPTION AMOUNT (RM)

28.11.2021 Shell GimyQ Enterprise - Petrol RON 95 50.00

TOTAL 50.00

TOLL
DATE DESCRIPTION AMOUNT (RM)

TOTAL

PARKING

DATE DESCRIPTION AMOUNT (RM)

TOTAL

STAFF ACCOMODATION

DATE DESCRIPTION AMOUNT (RM)

TOTAL -
SITE EXPENSES

DATE DESCRIPTION AMOUNT (RM)

26.11.2021 Suntharraman Enterprise (CS.0147)-Rental Backhoe 960.00


22.11.2021 One Innovative Builder (CS.19954 - Tong Besar) 300.00
22.11.2021 One Innovative Builder (CS.19955 - Tong Besar) 300.00

TOTAL 1,560.00

MATERIAL

DATE DESCRIPTION AMOUNT (RM)

24.11.2021 Hanson Quarry product Sdn Bhd (Concrete) 160.00

TOTAL 160.00

MEDICAL EXPENSES

DATE DESCRIPTION AMOUNT (RM)

10.11.2021 Klinik Menara Sendayan Sdn Bhd - Kiruthivasan 220.00

TOTAL 220.00

OTHERS

DATE DESCRIPTION AMOUNT (RM)

06.11.2021 Century Technology - Cleaning Works 250.00


22.11.2021 Mr.D.I.Y - Purc : Batik Hand Glove 19.00
23.11.2021 Siang Yi Hardware - Plastic Bag 40.00
24.11.2021 Mr.D.I.Y - Purc:Sretch Film 35.20
25.11.2021 Mr.D.I.Y - Purc : Rain Cot 54.15

TOTAL 398.35
CLAIM FORM

TERABAND SMART SOLUTION SDN BHD ( 2021010083320)(1408631-K)

NAME : KIRUTHISIVAN A/L KERISHNAN KUTI


DEPARTMENT : UTILITIES
POSITION : SENIOR PROJECT MANAGER
DURATION : 01st DECEMBER 2021 - 31st DECEMBER 2021

DESCRIPTION AMOUNT (RM) TOTAL (RM)

ENTERTAIMENT 47.00
STAFF REFRESHMENT 95.10
PETROL/DIESEL -
TOLL -
PARKING -
STAFF ACCOMODATION -
SITE EXPENSES -
MATERIAL -
MEDICAL XEPENSES -
OTHERS 131.50

GRAND TOTAL 273.60

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
ENTERTAIMENT

DATE DESCRIPTION AMOUNT (RM)

01.12.2021 Bukit Dinding Bistro 25.40


01.12.2021 Bukit Dinding Bistro 21.60

TOTAL 47.00

STAFF REFRESHMENT

DATE DESCRIPTION AMOUNT (RM)

02.12.2021 Bukit Dinding Bistro 55.10


02.12.2021 RNS Nasi Kandar 30.00
02.12.2021 Kedai Runcit Armanda - Mineral Water 10

TOTAL 95.10

PETROL/DIESEL

DATE DESCRIPTION AMOUNT (RM)

TOTAL -

TOLL
DATE DESCRIPTION AMOUNT (RM)

TOTAL

PARKING

DATE DESCRIPTION AMOUNT (RM)

TOTAL

STAFF ACCOMODATION

DATE DESCRIPTION AMOUNT (RM)

TOTAL -
SITE EXPENSES

DATE DESCRIPTION AMOUNT (RM)

TOTAL -

MATERIAL

DATE DESCRIPTION AMOUNT (RM)

TOTAL -

MEDICAL EXPENSES

DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS

DATE DESCRIPTION AMOUNT (RM)

01.12.2021 Mr.D.I.Y - Purc : Heavy Duty Garbage,Wooden Handle & Stretch Film 112.25
02.12.2021 Mr.D.I.Y - Purc : Black Latex Gloves Hands 19.25

TOTAL 131.50
CLAIM FORM

TERABAND SMART SOLUTION SDN BHD ( 2021010083320)(1408631-K)

NAME : MARIANI BINTI HASSAN


DEPARTMENT : ACCOUNT & ADMIN DEPT
POSITION : ACCOUNT & ADMIN EXECUTIVE
DURATION : 01st JANUARY - 31st JANUARY 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

ENTERTAIMENT -
STAFF REFRESHMENT -
PETROL/DIESEL -
TOLL -
PARKING -
STAFF ACCOMODATION -
SITE EXPENSES -
MATERIAL -
MEDICAL XEPENSES 35.00
OTHERS -

GRAND TOTAL 35.00

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :

MEDICAL EXPENSES

DATE DESCRIPTION AMOUNT (RM)

11.01.2022 CLINIC MEDIVIRON - CONSULTATION & MEDICATION 35.00

TOTAL 35.00
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : MUHAMMAD SYAHMI BIN ZAHARUDDIN
DEPARTMENT : UTILITIES
POSITION : UTILITIES CONSTRUCTION PROJECT ENGINEER
DURATION : FEBRUARY 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL 340.00
TOLL / PARKING 100.00
UPKEEP OF MOTOR VEHICLE 30.00
UPKEEP OF MACHINERY -
SITE MATERIAL -
SITE EXPENSES 78.60
STAFF REFRESHMENT -
OTHERS -

GRAND TOTAL 548.60

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
PETROL/DIESEL

DATE DESCRIPTION AMOUNT (RM)

27.01.2022 SHELL ZNF ENT SB-PETROL FOR MACHINE 35T 20.00


30.01.2022 PROSPER NIAGA-PETROL(VAN-WNR 4265) 50.00
03.02.2022 SHELL ZNF ENT SB-PETROL (VAN-WNR 4265) 50.00
03.02.2022 SHELL ASIA NEGAVISION-PETROL (WC 354 J) 50.00
04.02.2022 ARZEK SERVICE STATION-PETROL (WC 354 J) 50.00
07.02.2022 SHELL GIMYQ ENTERPRISE-PETROL(VAN-WNR 4265) 50.00
08.02.2022 PETRONAS LEGASI PUNCAK JALIL-PETROL(WC 354 J) 50.00
17.02.2022 SHELL ZNF ENT-PETROL FOR MACHINE 20T 20.00

TOTAL 340.00

TOLL / PARKING
DATE DESCRIPTION AMOUNT (RM)

02.02.2022 TOUCH N GO (PROTON SAGA-WC 354 J) 20.00


04.02.2022 TOUCH N GO (PROTON SAGA-WC 354 J) MELAKA SITE VISIT 10.00
04.02.2022 TOUCH N GO (PROTON SAGA-WC 354 J) MELAKA SITE VISIT 20.00
10.02.2022 TOUCH N GO (PROTON SAGA-WC 354 J) 10.00
14.02.2022 TOUCH N GO (PROTON SAGA-WC 354 J) MELAKA SITE VISIT 10.00
14.02.2022 TOUCH N GO (PROTON SAGA-WC 354 J) MELAKA SITE VISIT 20.00
18.02.2022 TOUCH N GO (PROTON WIRA-WKL 5257) 10.00

TOTAL 100.00

UPKEEP OF MOTOR VEHICLE


DATE DESCRIPTION AMOUNT (RM)

07.02.2022 BATTERY4U SDN BHD - LORRY(BKP 6248)(RUNNER FEE) 30.00

TOTAL 30.00

UPKEEP OF MACHINERY
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

SITE MATERIAL
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

SITE EXPENSES
DATE DESCRIPTION AMOUNT (RM)

29.01.2022 MR.DOLAR - PUR : FACE MASKS 10.20


03.02.2022 MR.DOLAR - PUR : HEAVY DUTY GARBAGE 10.00
08.02.2022 MR.DIY (M) SB - PUR: HAND GLOVE & PVC INSULATION TAPE 22.80
09.02.2022 MR.DIY (M) SB - PUR: SPRAY PAINT 35.60

TOTAL 78.60

STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
OTHERS
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
1408631-K)
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : KIRUTHISIVAN A/L KERISHNAN KUTI
DEPARTMENT : UTILITIES
POSITION : SENIOR PROJECT MANAGER
DURATION : 01st JANUARY 2022 - 31st JANUARY 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL 470.00
TOLL / PARKING -
UPKEEP OF MOTOR VEHICLE -
UPKEEP OF MACHINERY -
SITE MATERIAL 40.50
SITE EXPENSES 28.00
STAFF REFRESHMENT -
OTHERS -

GRAND TOTAL 538.50

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
PETROL/DIESEL

DATE DESCRIPTION AMOUNT (RM)

21.01.2022 SHELL ZNF ENT SB-DIESEL FOR MACHINE HDD 200.00


24.01.2022 SHELL ZNF ENT SB-DIESEL FOR MACHINE HDD 100.00
21.01.2022 SHELL ZNF ENT SB-DIESEL FOR LORRY(WFN 2994) 50.00
24.01.2021 SHELL ZNF ENT SB-DIESEL FOR MACHINE OS35T HDD 20.00
SHELL ZNF ENT SB-DIESEL FOR MACHINE OS35T HDD 100.00

TOTAL 470.00

TOLL / PARKING
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

UPKEEP OF MOTOR VEHICLE


DATE DESCRIPTION AMOUNT (RM)

TOTAL -

UPKEEP OF MACHINERY
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

SITE MATERIAL
DATE DESCRIPTION AMOUNT (RM)

03.01.2022 UK HARDWARE SDN BHD - PUR : BERUS 4.00


03.01.2022 WEI GIAP HARDWARE SDN BHD - PUR: HEX KEY & 36.50
OREX SPRAY PAINT

TOTAL 40.50

SITE EXPENSES
DATE DESCRIPTION AMOUNT (RM)

24.01.2022 AEON CO(M) BHD - PUR: RAIN COAT 28.00

TOTAL 28.00

STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
OTHERS
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : SAM CHEE KIAN SANG
DEPARTMENT : HR & ADMIN DEPARTMENT
POSITION : HR & ADMIN MANAGER
DURATION : 01st JANUARY 2022 - 31st JANUARY 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL -
TOLL / PARKING 52.12
OFFICE EXPENSES 309.94
PRINTING & STATIONERY 933.20
SITE MATERIAL 1,058.00
TRAINING & COURSE 265.00
STAFF REFRESHMENT -
OTHERS 1,431.98

GRAND TOTAL 4,050.24

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
PETROL/DIESEL

DATE DESCRIPTION AMOUNT (RM)

TOTAL -

TOLL / PARKING
DATE DESCRIPTION AMOUNT (RM)

14/01/2022 TOUCH N GO - NEW CARD (3 PCS) 52.12

TOTAL 52.12

OFFICE EXPENSES
DATE DESCRIPTION AMOUNT (RM)

12/01/2022 PUR: ALTEST COVID TEST KIT - 50 PCS 240.00


14/01/2022 SSM E-INFO - AL NOOR RESOURCES SDN BHD 36.36
26/01/2022 GROCERIES FOR OFFICE 33.58

TOTAL 309.94

PRINTING & STATIONERY


DATE DESCRIPTION AMOUNT (RM)

03/01/2022 WHITE BOARD DUSTER/WHITE BOARD MARKER/MAGNETIC 38.30


05/01/2022 HP 119A TONER MAGENTA/CYAN/MAGENTA (MR.KELVIN PRINTER) 510.70
14/01/2022 CANON CARTRIDGE (ACCOUNT DEPT) PG-47 BLACK & CL-57S COLOUR 82.00
19/01/2022 CANON CARTRIDGE (ACCOUNT DEPT) PG-47 BLACK & CL-57S COLOUR 135.20
CLIP BOARD & PAYMENT VOUCHER
21/01/2022 CASIO LABEL PRINTER 118.00
21/01/2022 CASIO CALCULATOR - 2 PCS 49.00

TOTAL 933.20

SITE MATERIAL
DATE DESCRIPTION AMOUNT (RM)

10/01/2022 PENZOIL HYBRID HEAVY GREASE(18LO 30LBS NCGI 2 PLUS)-2 DRUM 442.20
10/01/2022 PUR: 4mm NYLON ROPE (220mm) - 5 ROLLS 118.50
12/01/2022 PUR: 4mm NYLON ROPE (220mm) - 10 ROLLS 274.30
12/01/2022 PUR: STRECTH FILM - 6 ROLLS 112.00
12/01/2022 PUR: ENERGIZER BATTERY SIZE C - 20 PCS 111.00

TOTAL 1,058.00

TRAINING & COURSE


DATE DESCRIPTION AMOUNT (RM)

05/01/2022 NIOSH NTSP CLASS REISTRATION - ASHRAFUL 265.00

TOTAL 265.00
STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

25/01/2022 PUR : 1 UNIT STAND FAN MISTRAL 16" 114.50


27/01/2022 PUR: BAOFENG WALKIE TALKIE EARPHONE - 3 PCS 17.97
27/01/2022 JOBSTREET - Inv No.MYKLINV/220346716 (ADVERTISMENT) 598.80
GSTP RETAIL WHOSALE SB(REPAYMENT BACK 700.71
FOR PURCHASE MATE BOOK FOR OFFICE USE: JANUARY'22 INSTALLMENT)

TOTAL 1,431.98
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : KELVIN CHIN WEI YUEN
DEPARTMENT : UTILITIES HQ
POSITION : MANAGING DIRECTOR
DURATION : JANUARY 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL 143.00
TOLL / PARKING 16.00
UPKEEP OF MACHINERY 2,643.00
UPKEEP OF LORRY 1,267.60
MATERIAL ON SITE 584.80
TRAINING & COURSE -
ENTERTAINMENT 1,583.45
STAFF ACCOMODATION -
OTHERS -

GRAND TOTAL 6,237.85

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
PETROL/DIESEL

DATE DESCRIPTION AMOUNT (RM)

27.01.2022 Caltex - Fuel 50.00


30.01.2022 Petronas - Claim Fuel 93.00

TOTAL 143.00

TOLL / PARKING
DATE DESCRIPTION AMOUNT (RM)

11.01.2022 Parking Fee 16.00

TOTAL 16.00

UPKEEP OF MACHINERY
DATE DESCRIPTION AMOUNT (RM)

03.01.2022 SP Jaya Resources Entrprise - Pur: Mottex Hydraulic AWS-68 145.00


05.01.2022 Sui U Machinery & Tools (M) Sdn Bhd-CS No.SU/2022/01-0257 2,498.00

TOTAL 2,643.00

UPKEEP OF LORRY
DATE DESCRIPTION AMOUNT (RM)

17.01.2022 Young Young Auto Service - Repair Lorry (JHM 6573) 1,267.60

TOTAL 1,267.60

MATERIAL ON SITE
DATE DESCRIPTION AMOUNT (RM)

21.01.2022 Lazada Malaysia 173.00


Pur: TKSTAR GPS Tracket Locator for Car Powerful Magnet
21.01.2022 PPSE Industries Sdn Bhd - pur: G80 13mm Aloy Long link chain,Master Li 411.80

TOTAL 584.80

TRAINING & COURSE


DATE DESCRIPTION AMOUNT (RM)

TOTAL -
ENTERTAINMENT
DATE DESCRIPTION AMOUNT (RM)

07.01.2022 Hadramawt Kitchen Sdn Bhd - Entertaint Client 97.45


11.01.2022 Hadramawt Kitchen Sdn Bhd - Entertaint Client 115.65
12.01.2022 Dolcezza Coffee - Entertaint Client 43.70
15.01.2022 7Eleven Malaysia - Entertaint Client (Dunhill & water) 60.60
15.01.2022 The Daily Grind - Entertaint Client 288.20
16.01.2022 The Victory - Entertaint Client 52.40
21.01.2022 99 speed Mart SB - Entertaint client 26.60
25.01.2022 Fine Star Food Trading - Entertaint Client 290.00
26.01.2022 Bukit Dinding Bistro - Entertaint Client 52.50
26.01.2022 Old Town white coffee 49.10
25.01.2022 Wine & Friendship Restaurant Puchong 104.95
30.01.2022 Jin Ye Ye Sdn Bhd - Pur: Hamper for Client 358.00
30.01.2022 AJ Bistro Elite 44.30

TOTAL 1,583.45

STAFF ACCOMODATION
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : SAM CHEE KIAN SANG
DEPARTMENT : HR & ADMIN DEPARTMENT
POSITION : HR & ADMIN MANAGER
DURATION : FEBRUARY 2022 & MARCH 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL 113.02
TOLL / PARKING 64.62
OFFICE EXPENSES 138.00
PRINTING & STATIONERY 42.70
SITE MATERIAL -
TRAINING & COURSE 530.00
STAFF REFRESHMENT 155.40
STAFF ACCOMODATION 195.00
OTHERS 1,417.18

GRAND TOTAL 2,655.92

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
PETROL/DIESEL

DATE DESCRIPTION AMOUNT (RM)

17.02.2022 SHELL SRI KUMARAN(OFFICE - JOHOR BAHRU) 77.02


18.02.2022 PETRON PUNCAK JALIL (JOHOR BAHRU-OFFICE) 36.00

TOTAL 113.02

TOLL / PARKING
DATE DESCRIPTION AMOUNT (RM)

16.02.2022 TOL (PLUS-YONG PENG UTARA) 23.70


16.02.2022 TOL (SKUDAI-YONG PENG SELATAN) 9.10
17.02.2022 TOL (SG.BESI-SEDENAK) 30.34
17.02.2022 TOL (KULAI-SKUDAI) 1.48

TOTAL 64.62

OFFICE EXPENSES
DATE DESCRIPTION AMOUNT (RM)

13.02.2022 ARS HOY HOY COCKROACH TRAP WITH DISPOSAL (5 X 3 SET/BOX) 31.00
21.02.2022 KHIND 16" STAND FAN WITH 3 SPEED 107.00

TOTAL 138.00

PRINTING & STATIONERY


DATE DESCRIPTION AMOUNT (RM)

22.02.2022 BECON ENTERPRISE - PUR: DOUBLE A4 PAPER (3 RIM) 38.60


02.03.2022 BECON ENTERPRISE - PUR: APOLLO BINDING TAPE 4.10

TOTAL 42.70

SITE MATERIAL
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

TRAINING & COURSE


DATE DESCRIPTION AMOUNT (RM)

17.02.2022 NIOSH - NTSP COURSE(MUHAMMAD AMIRUL) 265.00


02.03.2022 NIOSH - NTSP COURSE(MOHAMMED AMSYAIRIE) 265.00

TOTAL 530.00
STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

11.02.2022 DISCUSSION WITH DIRECTOR & STAFF 84.60


26.02.2022 7 ELEVEN - DRINKING WATER FOR SHAREHOLDER MEETING 35.80
26.02.2022 LEE DO ENTERPRISE-KUIH FOR SHAREHOLDING MEETING 35.00

TOTAL 155.40

STAFF ACCOMODATION
DATE DESCRIPTION AMOUNT (RM)

17.02.2022 GRAND PARAGON HOTEL,JOHOR BAHRU 195.00

TOTAL 195.00

OTHERS
DATE DESCRIPTION AMOUNT (RM)

10.02.2022 DOUBLE LAYER DESIGN PVC RAINCOAT (2 PCS) 38.00


10.02.2022 BAOFENG WALKIE TALKIE EARPHONE (3 PCS) 17.97
13.02.2022 KN95 PREMIUM HIGH QUALITY PROTECTION MASK (10 BAG) 183.50
GSTP RETAIL WHOSALE SB (REPAYMENT BACK - 700.71
FOR PURCHASE MATE BOOK FOR OFFICE USE: FEB'22-INSTALLMENT)
08.02.2022 SEJOY SALIVA ANTIGEN RAPID TEST (20 PCS) 96.00
08.02.2022 SEJOY SALIVA ANTIGEN RAPID TEST (20 PCS) 96.00
22.02.2022 MR.D.I.Y (M) SDN BHD - SAFETY SHOE (2 PAIRS) 190.00
22.02.2022 MR.D.I.Y (M) SDN BHD - SAFETY SHOE (1 PAIR) 95.00

TOTAL 1,417.18
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : MOHAMMAD AMIRUL MUKMININ BIN SHAMSUDIN
DEPARTMENT : UTILITIES CONSTRUCTION
POSITION : SITE SUPERVISOR
DURATION : FEBRUARY 2022 & MARCH 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL 300.00
TOLL / PARKING 55.58
OFFICE EXPENSES -
PRINTING & STATIONERY -
SITE MATERIAL -
TRAINING & COURSE -
STAFF REFRESHMENT -
STAFF ACCOMODATION -
OTHERS -

GRAND TOTAL 355.58

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
PETROL/DIESEL

DATE DESCRIPTION AMOUNT (RM)

21.02.2022 PETROL (MILLEAGE 300KM X RM0.50) AMPANG-MELAKA SITE-AMPANG 150.00


02.03.2022 PETROL (MILLEAGE 300KM X RM0.50) AMPANG-MELAKA SITE-AMPANG 150.00

TOTAL 300.00

TOLL / PARKING
DATE DESCRIPTION AMOUNT (RM)

21.02.2022 TOL (SG.BESI - AYER KEROH) 12.87


21.02.2022 TOL ( AYER KEROH-SG.BESI) 12.87
02.03.2022 TOL (SG.BESI - AYER KEROH) 12.87
02.03.2022 TOL ( AYER KEROH-BUKIT RAJA) 16.97

TOTAL 55.58

OFFICE EXPENSES
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

PRINTING & STATIONERY


DATE DESCRIPTION AMOUNT (RM)

TOTAL -

SITE MATERIAL
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

TRAINING & COURSE


DATE DESCRIPTION AMOUNT (RM)

TOTAL -
STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

STAFF ACCOMODATION
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : KELVIN CHIN WEI YUEN
DEPARTMENT : UTILITIES HQ
POSITION : MANAGING DIRECTOR
DURATION : MARCH 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL -
TOLL / PARKING -
OFFICE EXPENSES -
PRINTING & STATIONERY -
MATERIAL ON SITE 5,928.00
TRAINING & COURSE -
STAFF REFRESHMENT -
STAFF ACCOMODATION -
OTHERS -

GRAND TOTAL 5,928.00

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
PETROL/DIESEL

DATE DESCRIPTION AMOUNT (RM)

TOTAL -

TOLL / PARKING
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OFFICE EXPENSES
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

PRINTING & STATIONERY


DATE DESCRIPTION AMOUNT (RM)

TOTAL -

MATERIAL ON SITE
DATE DESCRIPTION AMOUNT (RM)

07.03.2022 POWER FIVE MACHINERY SDN BHD 5,928.00


PUR: CHEQUERED PLATE 12mmx1219mmx2438mm (Prjct: Melaka,site)
TOTAL 5,928.00

TRAINING & COURSE


DATE DESCRIPTION AMOUNT (RM)

TOTAL -
STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

STAFF ACCOMODATION
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : AL-MAMUN
DEPARTMENT : UTILITIES CONSTRUCTION OPERATOR
POSITION : UTILITIES CONSTRUCTION OPERATOR
DURATION : MARCH 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL -
TOLL / PARKING 70.00
OFFICE EXPENSES -
PRINTING & STATIONERY 12.00
MATERIAL ON SITE 132.60
MEDICAL EXPENSES 88.60
STAFF REFRESHMENT -
STAFF ACCOMODATION -
OTHERS 225.00

GRAND TOTAL 528.20

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
PETROL/DIESEL

DATE DESCRIPTION AMOUNT (RM)

TOTAL -

TOLL / PARKING
DATE DESCRIPTION AMOUNT (RM)

08.03.022 TOUCH n GO (WNR 4265-VAN KIA PREGIO) 20.00


11.03.2022 TOUCH n GO (WNR 4265-VAN KIA PREGIO) 50.00

TOTAL 70.00

OFFICE EXPENSES
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

PRINTING & STATIONERY


DATE DESCRIPTION AMOUNT (RM)

14.03.2022 PRINTING(PHOTOSTAT) 12.00

TOTAL 12.00

MATERIAL ON SITE
DATE DESCRIPTION AMOUNT (RM)

15.03.2022 EVERLAST BOLTS & NUTS SDN BHD


PUR: GR 8.8 HEX BOLT M16 X 300 DIN 931 & HEX NUT M16 BLK 132.60

TOTAL 132.60

MEDICAL EXPENSES
DATE DESCRIPTION AMOUNT (RM)

12.03.2022 FARMASI AL ARIF SDN BHD - MEDICINE FOR JAKIR 11.00


13.03.2022 BIG PHARMACY HEALTHCARE - MEDICINE FOR JAKIR 9.20
14.03.2022 KEDAI UBAT WENG KHONG - MEDICINE FOR JAKIR 20.00
18.03.2022 BIG PHARMACY HEALTHCARE - MEDICINE FOR ASHRAFUL 21.40
16.03.2022 KEDAI UBAT WENG KHONG - MEDICINE FOR ASHRAFUL 20.00
13.03.2022 MRD (CENTRAL) SDN BHD - FACE MASK 7.00

TOTAL 88.60
STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

STAFF ACCOMODATION
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

11.03.2022 OTS AUTOSMART (RELACE NO.PLATE &FRAME-WNR4264-VAN KIA ) 35.00


11.03.2022 SIANG SIANG AUTO CAR SERVICES - 1 SET STARTER RELAY(WNR 4 150.00
08.03.2022 T&Q AUTO SERVICES - SIGNAL (WNR4265-VAN KIA PREGIO) 40.00

TOTAL 225.00
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : MUHAMMAD NAVED
DEPARTMENT : UTILITIES CONSTRUCTION GENERAL WORKER
POSITION : UTILITIES CONSTRUCTION GENERAL WORKER
DURATION : FEBRUARY & MARCH 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL -
TOLL / PARKING -
OFFICE EXPENSES -
PRINTING & STATIONERY -
MATERIAL ON SITE -
MEDICAL EXPENSES 111.00
STAFF REFRESHMENT -
STAFF ACCOMODATION -
OTHERS -

GRAND TOTAL 111.00

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :

MEDICAL EXPENSES
DATE DESCRIPTION AMOUNT (RM)

07.02.2022 BIG PHARMACY HEALTHCARE SDN BHD 11.00


08.02.2022 KLINIK MEDIVIRON 50.00
21.03.2022 KLINIK MEDIVIRON 50.00

TOTAL 111.00
STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

STAFF ACCOMODATION
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : SAM CHEE KIAN SANG
DEPARTMENT : HR & ADMIN DEPARTMENT
POSITION : HR & ADMIN MANAGER
DURATION : MARCH 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL 104.81
TOLL / PARKING 59.44
OFFICE EXPENSES 465.00
PRINTING & STATIONERY 475.41
SITE MATERIAL 77.86
TRAINING & COURSE 1,660.00
MEDICAL EXPENSES 780.55
STAFF REFRESHMENT 786.53
STAFF ACCOMODATION 2,086.50
OTHERS 1,902.56

GRAND TOTAL 8,398.66

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
PETROL/DIESEL

DATE DESCRIPTION AMOUNT (RM)

16.03.2022 HYPERDRIVE EXCELLENT - FUEL 95 78.00


17.03.2022 S H LEE ENTERPRISE - FUEL 95 26.81

TOTAL 104.81

TOLL / PARKING
DATE DESCRIPTION AMOUNT (RM)

08.03.2022 TOLL (SG.BESI-AYER KEROH) 12.87


09.03.2022 PARKING 4.00
09.03.2022 PARKING 5.50
10.03.2022 PARKING 1.10
10.03.2022 PARKING 3.30
11.03.2022 PARKING 1.10
12.03.2022 PARKING 4.40
13.03.2022 PARKING 4.40
14.03.2022 PARKING 4.40
15.03.2022 PARKING 1.10
16.03.2022 PARKING 4.40
17.03.2022 TOLL (AYER KEROH-SG.BESI) 12.87

TOTAL 59.44

OFFICE EXPENSES
DATE DESCRIPTION AMOUNT (RM)

08.03.2022 TEAM POWER MARKETING - PUR: FULL HEIGHT CUPBOARD 438.00


16.03.2022 MR.D.I.Y - PUR : FAMILY GUARD SPRAY 27.00

TOTAL 465.00

PRINTING & STATIONERY


DATE DESCRIPTION AMOUNT (RM)

05.03.2022 S & Y PROBOARD - PUR: WHITE BOARD 279.41


30.03.2022 TIPTOP IT SDN BHD - PUR: INK-CANON (BLACK&COLOUR-ACCT PRINTER) 133.00
30.03.2022 BECON ENTERPRISE SB-PUR: DUSTER & MARKER FOR WHITE BOARD 39.40
30.03.2022 LAZADA-PUR:CASIO PRINTER LABEL TAPE CARTRIDGE 23.60

TOTAL 475.41

SITE MATERIAL
DATE DESCRIPTION AMOUNT (RM)

22.03.2022 PRESTIGE ADVANCE - PUR: PP WOVEN GUNI BAG 26.10


26.03.2022 PRODIY SHOP-PUR: SPOTLIGHT STAND TRIPOD 51.76

TOTAL 77.86
TRAINING & COURSE
DATE DESCRIPTION AMOUNT (RM)

10.03.2022 CIDB - REGISTAR (AMSYAIRIE) 35.00


12.03.2022 NIOSH - NTSP COURSE(AHMAD BIN DZULKIPLI) 265.00
10.03.2022 CIDB - REGISTAR (AHMAD) 35.00
15.03.2022 NIOSH - NTSP COURSE (HAMIDUL) 265.00
16.03.2023 NIOSH - NTSP COURSE (JAHANGIR) 265.00
30.03.2022 NIOSH - NTSP COURSE (MD.SHAHID ALI) 265.00
30.03.2022 NIOSH - NTSP COURSE (MONIR HOSSAIN) 265.00
30.03.2022 NIOSH - NTSP COURSE (SHAHIN) 265.00

TOTAL 1,660.00

MEDICAL EXPENSES
DATE DESCRIPTION AMOUNT (RM)

10.03.2022 WATSONS PERSONALCARE - PUR: PANADOL & SALIVA COVID TEST KIT 61.35
11.03.2022 MEGAKLINIK ZAHRAN BANDAR RAYA MELAKA 70.00
11.03.2022 ALPRO ALLIANCE SDN BHD - PUR: PULSE OXIMETER 99.00
11.03.2022 ALPRO ALLIANCE SDN BHD - PUR: MEDICINE,MASK & COVID TEST 155.60
11.03.2022 ALPRO ALLIANCE SDN BHD - PUR: POWERLIFE ANELSA 24.00
13.03.2022 WATSONS PERSONALCARE - PUR: SALIVA COVID TEST KIT 35.40
15.03.2022 WATSONS PERSONALCARE - PUR: MEDICINE 77.10
11.03.2022 GERBANG ALIF RESTAURANT 36.70
12.03.2022 VIVA CARE PHARMARCY SDN BHD 9.00
12.03.2022 VIVA CARE PHARMARCY SDN BHD 206.00
15.03.2022 GUARDIAN HEALTH AND BEAUTY SDN BHD 6.40

TOTAL 780.55

STAFF REFRESHMENT / ENTERTAINMENT


DATE DESCRIPTION AMOUNT (RM)

08.03.2022 MA ZI PAN MEE 41.90


09.03.2022 BERJAYA STARBUCKS COFFEE 20.15
09.03.2022 PORRIDGE HOUSE 64.00
10.03.2022 LACRISTA HOTEL MELAKA - LUNCH WITH MAINCON 120.00
10.03.2022 M PARADE FAMILY STORE SB 53.30
11.03.2022 99 SPEEDMART 30.55
11.03.2022 GERBANG ALIF RESTAURANT 20.94
13.03.2022 99 SPEEDMART 25.39
13.03.2022 HOCK KEE BAKES 13.50
12.03.2022 THE BEST CHICKEN RICE SHOP 17.80
12.03.2022 M PARADE FAMILY STORE SB 83.60
13.03.2022 AH HUI BAK KUT TEH 17.70
14.03.2022 AH HUI BAK KUT TEH 15.70
14.03.2022 M PARADE FAMILY STORE SB 72.90
14.03.2022 GERBANG ALIF RESTAURANT 20.20
15.03.2022 AH HUI BAK KUT TEH 15.80
15.03.2022 EE JI BAN RESTAURANT 34.00
15.03.2022 GERBANG ALIF RESTAURANT 40.00
16.03.2022 EE JI BAN RESTAURANT 39.00
16.03.2022 KFC MAHKOTA PARADE 17.10
17.03.2022 GERBANG ALIF RESTAURANT 23.00

TOTAL 786.53
STAFF ACCOMODATION
DATE DESCRIPTION AMOUNT (RM)

08.03.2022 MOTY HOTEL -WORK AT MELAKA SITE (08-10/03/22)-1 NIGHT 364.40


10.03.2022 IMPERIAL HERITAGE - WORK AT MELAKA SITE -1 NIGHT (2 ROOMS) 258.10
11.03.2022 IMPERIAL HERITAGE - WORK AT MELAKA SITE(11-17/03/22 - 6 NIGHTS 1,464.00

TOTAL 2,086.50

OTHERS
DATE DESCRIPTION AMOUNT (RM)

10.03.2022 MR.D.I.Y - PUR: SAFETY SHOE (2 PAIRS) 184.00


15.03.2022 DOUBLE LAYER DESIGN PVC RAIN COAT - 9 PCS (SIZE XL) 171.57
16.03.2022 WATSON'S PERSONAL CARE 35.80
17.03.2022 MR.D.I.Y - PUR: SAFETY SHOE (5 PAIRS)&MARCELLA DISFECTANT SPRAY 446.90
GSTP RETAIL WHOSALE SB(REPAYMENT BACK 700.71
FOR PURCHASE MATE BOOK FOR OFFICE USE: MARCH'22 INSTALLMENT)
24.03.2022 THIN SENG KEY SERVICE - INSTALL DOOR (NO.26A) 150.00
23.03.2022 MR.D.I.Y - PUR: SAFETY SHOE & HAMMER 166.40
28.03.2022 GOODHOPES - PUR: BELT MEN GENUINE LEATHER (FOR WORKER) 47.18

TOTAL 1,902.56
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : SAM CHEE KIAN SANG
DEPARTMENT : HR & ADMIN DEPARTMENT
POSITION : HR & ADMIN MANAGER
DURATION : APRIL 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL -
TRAINING / SEMINAR 795.00
OFFICE EXPENSES 67.10
PRINTING & STATIONERY 431.16
OFFICE EXPENSES 343.60
TRAINING & COURSE 611.10
MEDICAL EXPENSES 74.90
STAFF REFRESHMENT 163.55
UPKEEP OF LORRY 21.38
OTHERS 700.71

GRAND TOTAL 3,208.50

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
PETROL/DIESEL

DATE DESCRIPTION AMOUNT (RM)

TOTAL -

TRAINING / SEMINAR
DATE DESCRIPTION AMOUNT (RM)

10.05.2022 NIOSH - NTSP COURSE (ABDUL BARI) 265.00


10.05.2022 NIOSH - NTSP COURSE (RASHID) 265.00
10.05.2022 NIOSH - NTSP COURSE (MOHD SHAHRUL AZMAN ) 265.00

TOTAL 795.00

OFFICE EXPENSES
DATE DESCRIPTION AMOUNT (RM)

06.04.2022 PUR : 3 PIN AC to DC POWER SUPPLY ADAPTER 16.30


12,04.2022 EARTH HOME - PUR: COCKROACH TRAP 31.80
20.04.2022 K FIRST TRADING - SPARE KEY 19.00

TOTAL 67.10

PRINTING & STATIONERY


DATE DESCRIPTION AMOUNT (RM)

13.04.2022 PUR: T9 4G NETWORK MINI WIRELESS HD 1080p HIDDEN SPY (1 UNIT) 387.16
21.04.2022 BECON ENTERPRISE SDN BHD - PUR : A4 PAPER & WHITEBOARD MAKER 44.00

TOTAL 431.16

MATERIAL ON SITE
DATE DESCRIPTION AMOUNT (RM)

PUR : CANVAS WATER BAG (20 PCS) 223.60


25.04.2022 BUBBLE MARKETING SDN BHD - PUR: STRETCH FILM 2.2 KG 120.00

TOTAL 343.60

TOOLS & EQUIPMENT


DATE DESCRIPTION AMOUNT (RM)

22.04.2022 UNIVERSAL GADGETS - PUR: 2 PAIRS WALKIE TALKIE 139.30


23.04.2022 MAMA HARDWARE - PUR: 10 UNITS YELLOW FLASHING LIGHT ROAD 332.50
BLINKER SAFETY WARNING LIGHT + BATTERY
05.05.2022 UNIVERSAL GADGETS - PUR: 2 PAIRS WALKIE TALKIE 139.30

TOTAL 611.10
MEDICAL EXPENSES
DATE DESCRIPTION AMOUNT (RM)

08.04.2022 AEGIS PHARMACY HEALTH SDN BHD 74.90

TOTAL 74.90

STAFF REFRESHMENT / ENTERTAINMENT


DATE DESCRIPTION AMOUNT (RM)

19.04.2022 GOOD TASTE ORIENTAL (BKT) SB - ENTERTAINT CLIENT 51.75


21.04.2022 AJ BISTRO ELITE 43.80
27.04.2022 99 SPEED MART SB 12.90
28.04.2022 BERJAYA STARBUCK COFFEE 55.10

TOTAL 163.55

UPKEEP OF LORRY
DATE DESCRIPTION AMOUNT (RM)

25.04.2022 V.K AUTOPARTS (SIDE MIRROR DAIHATSU DELTA) 21.38

TOTAL 21.38

OTHERS
DATE DESCRIPTION AMOUNT (RM)

GSTP RETAIL WHOSALE SB(REPAYMENT BACK 700.71


FOR PURCHASE MATE BOOK FOR OFFICE USE: APRIL'22 INSTALLMENT)

TOTAL 700.71
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : MOHAMMAD AMIRUL MUKMININ BIN SHAMSUDIN
DEPARTMENT : UTILITIES CONSTRUCTION
POSITION : SITE SUPERVISOR
DURATION : MARCH 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL 221.00
TOLL / PARKING 42.32
MEDICAL EXPENSES 50.00
PRINTING & STATIONERY -
SITE MATERIAL -
TRAINING & COURSE -
STAFF REFRESHMENT -
STAFF ACCOMODATION -
OTHERS -

GRAND TOTAL 313.32

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
PETROL/DIESEL

DATE DESCRIPTION AMOUNT (RM)

08.03.2022 PETROL (MILLEAGE 52KM X RM0.50) SITE AMPANG-SERI KEMBANGAN 26.00


(PICK UP LORRY)
08.03.2022 PETROL (MILLEAGE 60KM X RM0.50) SITE AMPANG-PORT KLANG 30.00
(AMBIL BENTONIL)
08.03.2022 PETROL (MILLEAGE 180KM X RM0.50) PORT KLANG-SITE MELAKA 90.00
(HANTAR BARANG)
08.03.2022 PETROL (MILLEAGE 150KM X RM0.50)MELAKA-SITE AMPANG 75.00
(HANTAR BARANG)

TOTAL 221.00

TOLL / PARKING
DATE DESCRIPTION AMOUNT (RM)

08.03.2022 TOL (BUKIT RAJA - AYER KEROH) 16.97


08.03.2022 TOL ( AYER KEROH-SERDANG) 12.38
08.03.2022 TOL (KAPAR BARRIER) 2.70
08.03.2022 TOL (KAPAR BARRIER) 2.70
08.03.2022 TOL(BUKIT RAJA-JALAN DUTA) 3.77
08.03.2022 TOL(BATU TOLL PLAZA) 2.50
08.03.2022 TOL( PLAZA BATU 9) 1.30

TOTAL 42.32

MEDICAL EXPENSES
DATE DESCRIPTION AMOUNT (RM)

10.03.2022 KLINIK ANDA (RTK-AG(SWAB TEST) 50.00

TOTAL 50.00

PRINTING & STATIONERY


DATE DESCRIPTION AMOUNT (RM)

TOTAL -

SITE MATERIAL
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

TRAINING & COURSE


DATE DESCRIPTION AMOUNT (RM)

TOTAL -
STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

STAFF ACCOMODATION
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : ABDUL BARI
DEPARTMENT : UTILITIES CONSTRUCTION GENERAL WORKER
POSITION : UTILITIES CONSTRUCTION GENERAL WORKER
DURATION : MARCH 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL -
TOLL / PARKING -
OFFICE EXPENSES -
PRINTING & STATIONERY -
MATERIAL ON SITE -
MEDICAL EXPENSES 90.00
STAFF REFRESHMENT -
STAFF ACCOMODATION -
OTHERS -

GRAND TOTAL 90.00

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :

MEDICAL EXPENSES
DATE DESCRIPTION AMOUNT (RM)

16.03.2022 KLINIK UTAMA UJONG PASIR 40.00


17.03.2022 KLINIK UTAMA UJONG PASIR 50.00

TOTAL 90.00
STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

STAFF ACCOMODATION
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : AL-MAMUN
DEPARTMENT : UTILITIES CONSTRUCTION OPERATOR
POSITION : UTILITIES CONSTRUCTION OPERATOR
DURATION : MARCH 2022 & APRIL 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL 80.00
TOLL / PARKING 70.00
UPKEEP OF MOTOR VEHICAL 150.60
PRINTING & STATIONERY 12.30
MATERIAL ON SITE 71.22
MEDICAL EXPENSES -
STAFF REFRESHMENT -
STAFF ACCOMODATION -
OTHERS 407.75

GRAND TOTAL 791.87

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
PETROL/DIESEL

DATE DESCRIPTION AMOUNT (RM)

08.04.2022 ALAF SINARAN ENTERPRISE - FUEL 95 (PROTON SAGA-WC 354 J) 30.00


14.04.2022 SHUZLAN VENTURE - FUEL 95 (PROTON SAGA-WC 354 J) 50.00

TOTAL 80.00

TOLL / PARKING
DATE DESCRIPTION AMOUNT (RM)

07.04.2022 TOUCH N GO 20.00


09.04.2022 TOUCH N GO 10.00
10.04.2022 TOUCH N GO 20.00
14.04.2022 TOUCH N GO 20.00

TOTAL 70.00

UPKEEP OF MOTOR VEHICLE


DATE DESCRIPTION AMOUNT (RM)

10.04.2022 YS WHEEL AUTO SERVICE SDN BHD - VAN KIA PREGIO(WNY 1494) 150.60

TOTAL 150.60

PRINTING & STATIONERY


DATE DESCRIPTION AMOUNT (RM)

04.04.2022 PRINTING(PHOTOSTAT) 12.30

TOTAL 12.30

MATERIAL ON SITE
DATE DESCRIPTION AMOUNT (RM)

07.04.2022 EVERLAST BOLTS & NUTS SDN BHD - PUR: HT CAP SCREW 6.72
09.04.2022 NEW WEI SHENG HARDWARE SDN BHD - PUR: BOOSTER CLIP,SPAN 64.50

TOTAL 71.22

MEDICAL EXPENSES
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

STAFF ACCOMODATION
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

13.04.2022 M2B SDN BHD - PUR: RICE COOKER 90.00


13.04.2022 GRAB FEES 20.35
14.04.2022 SWC ENTRPRISE SDB VHD - PUR: KUALI & PERIUK 69.60
15.03.2022 MR.DIY (M) SDN BHD - PUR: STEEL KNIFE,GAS STOVE 109.80
15.03.2022 KEDAI RUNCIT RICHQI ENT - PUR: TONG & GAS 118.00

TOTAL 407.75
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : AL-MAMUN
DEPARTMENT : UTILITIES CONSTRUCTION OPERATOR
POSITION : UTILITIES CONSTRUCTION OPERATOR
DURATION : MAY 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL 50.00
TOLL / PARKING 30.00
UPKEEP OF MOTOR VEHICAL -
PRINTING & STATIONERY -
MATERIAL ON SITE 183.71
MEDICAL EXPENSES -
STAFF REFRESHMENT -
STAFF ACCOMODATION -
OTHERS 31.20

GRAND TOTAL 294.91

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
PETROL/DIESEL

DATE DESCRIPTION AMOUNT (RM)

07.05.2022 SNK EXCELLENT ( PROTON SAGA-WC 354 J) 50.00

TOTAL 50.00

TOLL / PARKING
DATE DESCRIPTION AMOUNT (RM)

05.05.2022 TOUCH N GO 20.00


05.05.2022 TOUCH N GO 10.00

TOTAL 30.00

UPKEEP OF MOTOR VEHICLE


DATE DESCRIPTION AMOUNT (RM)

TOTAL -

PRINTING & STATIONERY


DATE DESCRIPTION AMOUNT (RM)

TOTAL -

MATERIAL ON SITE
DATE DESCRIPTION AMOUNT (RM)

04.05.2022 MR.D.I.Y SDN BHD - PUR: GARBAGE BAG & SPRAY PAINT 29.11
05.05.2022 MR.D.I.Y SDN BHD - PUR: SPRAY PAINT,PAINT ROLLER,ROLLER COVER,KN 64.20
10.05.2022 JAIWAN HARDWARE SDN BHD - PUR: WASHER BESI 3/8 & SCREW BOLT 4.40
13.05.2022 SIN SOON CHOONG - PUR:WIRE ROPE,CUTTING TOOLS & PILERS&WHITE 76.00
13.05.2022 KEAN HIN WORKSHOP- PUR: ROPE 10.00

TOTAL 183.71

MEDICAL EXPENSES
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

STAFF ACCOMODATION
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

03.05.2022 EXCLUSIVE DIGITAL SDN BHD (CAR CHAREG) 18.00


05.05.2022 MR.D.I.Y (M) SDN BHD - PUR: PILLAR SINK TAP & JTC SEALING TAPE 13.20

TOTAL 31.20
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : AL-MAMUN
DEPARTMENT : UTILITIES CONSTRUCTION OPERATOR
POSITION : UTILITIES CONSTRUCTION OPERATOR
DURATION : MAY 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL 200.00
TOLL / PARKING -
UPKEEP OF MOTOR VEHICAL -
PRINTING & STATIONERY -
MATERIAL ON SITE 327.00
UPKEEP OF MACHINERY 40.00
STAFF REFRESHMENT -
STAFF ACCOMODATION -
OTHERS -

GRAND TOTAL 567.00

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
PETROL/DIESEL

DATE DESCRIPTION AMOUNT (RM)

22.05.2022 KOPERASI FELCRA (DIESEL FOR HDD 20T) 100.00


22.05.2022 KOPERASI FELCRA (CORE) 100.00

TOTAL 200.00

MATERIAL ON SITE
DATE DESCRIPTION AMOUNT (RM)

13.05.2022 SIN SOON CHOONG-PUR: WIRE ROPE 96.00


16.05.2022 CHAN CHEONG WAI HARDWARE-PUR: 14" LEATHER WELDING GLOVE*KN 58.00
23.05.2022 SERI TANIBINA ENTERPRISE-PUR: PAYUNG & PARANG 173.00

TOTAL 327.00

UPKEEP OF MACHINERY
DATE DESCRIPTION AMOUNT (RM)

17.05.2022 KEAN HIN WORKSHOP - REPAIR SHAFT 40.00

TOTAL 40.00
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : AL-MAMUN
DEPARTMENT : UTILITIES CONSTRUCTION OPERATOR
POSITION : UTILITIES CONSTRUCTION OPERATOR
DURATION : MAY 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL 130.00
TOLL / PARKING -
MATERIAL ON SITE 100.30
UPKEEP OF MOTOR VEHICLE 23.45
PRINTING & STATIONERY 11.30
STAFF ACCOMODATION -
OTHERS -

GRAND TOTAL 265.05

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
PETROL/DIESEL

DATE DESCRIPTION AMOUNT (RM)

25.05.2022 SINAR BESERI (FUEL) PROTON SAGA WC 354 J 50.00


26.05.2022 SINAR BESERI (FUEL) WATER PUMP 30.00
28.05.2022 SINAR BESERI (FUEL) PROTON SAGA WC 354 J 50.00

TOTAL 130.00

MATERIAL ON SITE
DATE DESCRIPTION AMOUNT (RM)

23.05.2022 MR.D.I.Y - PUR: UTILITY KNIFE,PVC INSULATION TAPE,MEASURING TA 48.00


& SCREW DRIVER
27.05.2022 MR.D.I.Y - PUR:STRETCH FILM,CLAW HAMMER & WRENC 10x12 52.30
& UTILITY KNIFE
TOTAL 100.30

UPKEEP OF MOTOR VEHICLE


DATE DESCRIPTION AMOUNT (RM)

24.05.2022 MR.D.I.Y - WIPER & AIR FRESHNER CLIP (PROTON SAGA WC 354 J) 23.45

TOTAL 23.45

PRINTING & STATIONERY


DATE DESCRIPTION AMOUNT (RM)

25.05.2022 PHOTOSTAT 11.30

TOTAL 11.30
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : MUHAMMAD NAVEED
DEPARTMENT : UTILITIES CONSTRUCTION GENERAL WORKER
POSITION : UTILITIES CONSTRUCTION GENERAL WORKER
DURATION : APRIL 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL -
TOLL / PARKING -
OFFICE EXPENSES -
PRINTING & STATIONERY -
MATERIAL ON SITE -
MEDICAL EXPENSES 50.00
STAFF REFRESHMENT -
STAFF ACCOMODATION -
OTHERS -

GRAND TOTAL 50.00

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :

MEDICAL EXPENSES
DATE DESCRIPTION AMOUNT (RM)

11.04.2022 KPJ AMPANG PUTERI 50.00

TOTAL 50.00
STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

STAFF ACCOMODATION
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : MARIANI BINTI HASSAN
DEPARTMENT : ACCOUNT & ADMIN DEPT
POSITION : ACCOUNT & ADMIN EXECUTIVE
DURATION : APRIL 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

ENTERTAIMENT -
STAFF REFRESHMENT -
PETROL/DIESEL 19.50
TOLL -
PARKING -
STAFF ACCOMODATION -
SITE EXPENSES -
MATERIAL -
MEDICAL XEPENSES 50.00
OTHERS -

GRAND TOTAL 69.50

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :

MEDICAL EXPENSES

DATE DESCRIPTION AMOUNT (RM)

01.04.2022 CLINIC MEDIVIRON - CONSULTATION & MEDICATION 50.00

TOTAL 50.00

PETROL/DIESEL

DATE DESCRIPTION AMOUNT (RM)

28.02.2022 PETROL (MILLEAGE 16KM X RM0.50) PERKESO-PUTRAJAYA 8.00

22.03.2022 PETROL (MILLEAGE 23KM X RM0.50) EPF-KAJANG,BRANCH 11.50

TOTAL 19.50
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : MOHAMMAD AMIRUL MUKMININ BIN SHAMSUDIN
DEPARTMENT : UTILITIES CONSTRUCTION
POSITION : SITE SUPERVISOR
DURATION : MARCH 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL 253.40
TOLL / PARKING 7.90
MEDICAL EXPENSES -
PRINTING & STATIONERY -
SITE MATERIAL -
TRAINING & COURSE -
STAFF REFRESHMENT -
STAFF ACCOMODATION -
OTHERS -

GRAND TOTAL 261.30

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
PETROL/DIESEL

DATE DESCRIPTION AMOUNT (RM)

30.03.2022 MILLAGE (SETIA ALAM-CHERAS)(58KM x 0.70) 40.60


30.03.2022 MILLAGE (CHERAS-SETIA ALAM)(58KM x 0.70) 40.60
30.03.2022 MILLAGE (CHERAS-SITE AMPANG)(20KM x 0.70) 14.00
30.03.2022 MILLAGE (SITE AMPANG-CHERAS)(20KM x 0.70) 14.00
30.03.2022 MILLAGE (GOMBAK-CHERAS)(36KM x 0.70) 25.20
30.03.2022 MILLAGE (CHERAS-SITE AMPANG)(20KM x 0.70) 14.00
30.03.2022 MILLAGE (SITE AMPANG-CHERAS)(20KM x 0.70) 14.00
30.03.2022 MILLAGE (CHERAS-GOMBAK)(36KM x 0.70) 25.20
11.05.2022 MILLAGE (SITE AMPANG-BENGKEL CRANE)(47KM x 0.70) 32.90
11.05.2022 MILLAGE (BENGKEL CRANE-SITE AMPANG)(47KM x 0.70) 32.90

TOTAL 253.40

TOLL / PARKING
DATE DESCRIPTION AMOUNT (RM)

31.03.2022 TOLL (SETIA ALAM-CHERAS) 1.50


31.03.2022 TOLL (CHERAS - SETIA ALAM) 1.30
30.03.2022 TOLL (CHERAS - SETIA ALAM) 1.30
30.03.2022 TOLL (PANTAI DALAM) 2.30
30.03.2022 TOLL (SETIA ALAM-CHERAS) 1.50

TOTAL 7.90

MEDICAL EXPENSES
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

PRINTING & STATIONERY


DATE DESCRIPTION AMOUNT (RM)

TOTAL -

SITE MATERIAL
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

TRAINING & COURSE


DATE DESCRIPTION AMOUNT (RM)

TOTAL -
STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

STAFF ACCOMODATION
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : SAM CHEE KIAN SANG
DEPARTMENT : HR & ADMIN DEPARTMENT
POSITION : HR & ADMIN MANAGER
DURATION : APRIL 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL -
TRAINING / SEMINAR -
OFFICE EXPENSES 137.30
PRINTING & STATIONERY 675.50
OFFICE EXPENSES -
TRAINING & COURSE -
MEDICAL EXPENSES 136.00
STAFF REFRESHMENT 57.40
UPKEEP OF LORRY -
OTHERS 841.71

GRAND TOTAL 1,847.91

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
PETROL/DIESEL

DATE DESCRIPTION AMOUNT (RM)

TOTAL -

TRAINING / SEMINAR
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OFFICE EXPENSES
DATE DESCRIPTION AMOUNT (RM)

16.05.2022 K FIRST TRADING - DUPLICATE KEY 14.00


17.05.2022 MR.D.I.Y - PUR: MEN SLIPPER& FLOOR MAT 91.30
24.05.2022 K FIRST TRADING - DUPLICATE KEY 16.00
25.05.2022 K FIRST TRADING - DUPLICATE KEY 16.00

TOTAL 137.30

PRINTING & STATIONERY


DATE DESCRIPTION AMOUNT (RM)

10.05.2022 TONER FOR HP 119A(BLACK,CYAN,YELLOW,MAGENTA) 182.80


10.05.2022 TONER CARTRIDGE FOR HP 119A(BLACK) 166.30
12.05.2022 BECON ENTERPRISE SB-STATIONERY FOR OFFICE 107.50
17.05.2022 BECON ENTERPRISE SB-STATIONERY FOR OFFICE 178.10
25.05.2022 BECON ENTERPRISE SB-STATIONERY FOR OFFICE (LAMINATING & CANO 40.80

TOTAL 675.50

MATERIAL ON SITE
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

TOOLS & EQUIPMENT


DATE DESCRIPTION AMOUNT (RM)

TOTAL -

MEDICAL EXPENSES
DATE DESCRIPTION AMOUNT (RM)

08.04.2022 AEGIS PHARMACY HEALTH SDN BHD 74.90


24.05.2022 HEALTHY SOLUTIONS PHARMACY SDN BHD - FIRST AID FOR OFFICE 61.10

TOTAL 136.00
STAFF REFRESHMENT / ENTERTAINMENT
DATE DESCRIPTION AMOUNT (RM)

11.05.2022 GC RETAIL (M) SB - OFFICE PANTRY 57.40

TOTAL 57.40

UPKEEP OF LORRY
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

13.05.2022 MR.D.I.Y - SAFETY SHOE(1 PAIR-WORKERS) 81.00


23.05.2022 SAFETY SHOES(GOLD HAMMER) - 1 PAIR 36.40
27.05.2022 PETRONAS - PUR: PANASONIC BATTERY & MINERAL WATER 23.60
GSTP RETAIL WHOSALE SB(REPAYMENT BACK 700.71
FOR PURCHASE MATE BOOK FOR OFFICE USE: MAY'22 INSTALLMENT)

TOTAL 841.71
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : SAM CHEE KIAN SANG
DEPARTMENT : HR & ADMIN DEPARTMENT
POSITION : HR & ADMIN MANAGER
DURATION : JUNE 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL 127.33
TRAINING / SEMINAR 865.00
OFFICE EXPENSES 644.99
PRINTING & STATIONERY 193.50
OFFICE EXPENSES -
TRAINING & COURSE 527.15
MEDICAL EXPENSES -
STAFF REFRESHMENT 71.70
UPKEEP OF LORRY -
OTHERS 945.01

GRAND TOTAL 3,374.68

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
PETROL/DIESEL

DATE DESCRIPTION AMOUNT (RM)

26.05.2022 PETRONAS - FUEL 54.32


09.06.2022 PETRON - FUEL 73.01

TOTAL 127.33

TRAINING / SEMINAR
DATE DESCRIPTION AMOUNT (RM)

NTSP TRAINING - CHE HAFIZI 265.00


13.06.2022 REGISTRATION FOR CIDB GREEN CARD 35.00
16.06.2022 NTSP TRAINING - MD ROFIZUL 265.00
16.06.2022 NTSP TRAINING - MD RIMON HOSSAIN 265.00
30.06.2022 RENEW CIDB GREEN CARD (CHE HAFIZI) 35.00

TOTAL 865.00

OFFICE EXPENSES
DATE DESCRIPTION AMOUNT (RM)

09.06.2022 PUR: 2K PTZ CCTV + 64GB MEMORY CARD 146.14


09.06.2022 PUR: TP-LINK OUTDOOR SECURITY WI-FI CAMERA 182.30
23.06.2022 PUNCAK JALIL CONCEPT STORE SB - PUR: TORCH LIGHT,KEYCHAIN 81.40
28.06.2022 99 SPEED MART SB - OFFICE PANTRY 124.25
28.06.2022 MR.DIY SB - OFFICE EXPENSES 110.90

TOTAL 644.99

PRINTING & STATIONERY


DATE DESCRIPTION AMOUNT (RM)

16.06.2022 TIPTOP IT SDN BHD-INK CANON PG-47 BLACK &CL-57 COLOUR 133.00
16.06.2022 BECON ENTERPRISE SDN BHD-STATIONERY 36.10
27.06.2022 BECON ENTERPRISE SDN BHD-LAMINATING 24.40

TOTAL 193.50

MATERIAL ON SITE
DATE DESCRIPTION AMOUNT (RM)

27.06.2022 DUCAL MULTIPURPOSE HEAVY DUTY GREASE 15KG

TOTAL -

TOOLS & EQUIPMENT


DATE DESCRIPTION AMOUNT (RM)

02.06.2022 RECHARGEABLE BATTERY - 1 UNIT (4 PCS) 96.32


06.06.2022 PROGUARD - PUR: SAFETY HELMET (2 PCS) 29.40
13.06.2022 PUR: 15FT BLUE ORANGE WATER RESISTANCE FLEXIBLE SHEET CANVAS 119.12
13.06.2022 PUR: 54CM LED SAFETY TRAFFIC BATON REVOLVING LIGHT (RED)-4 PCS 57.20
23.06.2022 MR.D.I.Y (M) SDN BHD - PUR: USB CHARGING TORCH LIGHT,EVEREADY BTTRY 56.60
26.06.2022 PUR: RATCHET WRENCH SET DOUBLE END RING SPANNER COMBINATION 33.91
26.06.2022 PUR: HIGH QUALITY 9 PCS BALL POINT END HEX ALLEN KEY SET 1.5-10MM 33.30
28.06.2022 PUR: BOSSMAN BQB-60 0.5 HP BOOSTER PUMP (1 UNIT) 101.30

TOTAL 527.15
MEDICAL EXPENSES
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

STAFF REFRESHMENT / ENTERTAINMENT


DATE DESCRIPTION AMOUNT (RM)

08.06.2022 BUKIT DINDING BISTRO 35.40


09.06.2022 PETRON PUNCAK JALIL 10.30
09.06.2022 AUNTIE JEN 26.00

TOTAL 71.70

UPKEEP OF LORRY
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

31.05.2022 WELWOLF MID-CUT LEATHER - PUR: SAFETY SHOES 34.10


06.06.2022 GOLD HAMMER - SAFETY SHOES (2 PAIRS) 64.30
08.06.2022 GOLD HAMMER - SAFETY SHOES (1 PAIR) 36.40
11.06.2022 GOLD HAMMER - SAFETY SHOES (1 PAIR) 31.90
16.06.2022 GOLD HAMMER NEW STYLE HIGH STEEL TOE-SAFETY SHOES( (1 PAIR) 36.40
16.06.2022 PROGUARD - PUR: SAFETY HELMET (3 PCS) 41.20

GSTP RETAIL WHOSALE SB(REPAYMENT BACK 700.71


FOR PURCHASE MATE BOOK FOR OFFICE USE: MAY'22 INSTALLMENT)

TOTAL 945.01
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : MUHAMMAD SYAHMI BIN ZAHARUDDIN
DEPARTMENT : UTILITIES
POSITION : UTILITIES CONSTRUCTION PROJECT ENGINEER
DURATION : JULY 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL -
TOLL / PARKING -
UPKEEP OF MOTOR VEHICLE -
UPKEEP OF MACHINERY -
SITE MATERIAL 85.00
SITE EXPENSES -
STAFF REFRESHMENT -
OTHERS -

GRAND TOTAL 85.00

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
SITE MATERIAL
DATE DESCRIPTION AMOUNT (RM)

15.07.2022 LYSEN HARDWARE TRADING SDN BHD 85.00


PUR : SPRAY PAINT, 7" MARKSMAN COMBINATION PLIER,
ADJUSTABLE WRENCH & LONG NOSE PLIER

TOTAL 85.00

SITE EXPENSES
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
OTHERS
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
1408631-K)
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : MUHAMMAD SYAHMI BIN ZAHARUDDIN
DEPARTMENT : UTILITIES
POSITION : UTILITIES CONSTRUCTION PROJECT ENGINEER
DURATION : MAY 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL 80.00
TOLL / PARKING 50.00
UPKEEP OF MOTOR VEHICLE 479.00
UPKEEP OF MACHINERY -
SITE MATERIAL -
SITE EXPENSES -
STAFF REFRESHMENT -
OTHERS -

GRAND TOTAL 609.00

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
PETROL/DIESEL

DATE DESCRIPTION AMOUNT (RM)

22.05.2022 SHELL ZNF ENT SB-PETROL FOR MACHINE 20.00


24.05.2022 SHELL ZNF ENT SB-PETROL FOR MACHINE 60.00

TOTAL 80.00

TOLL / PARKING
DATE DESCRIPTION AMOUNT (RM)

12.05.2022 REFILL TOUCH N GO 50.00

TOTAL 50.00

UPKEEP OF MOTOR VEHICLE


DATE DESCRIPTION AMOUNT (RM)

12.05.2022 SP LIM ATOCARE SDN BHD - PROTON SAA(WC 354 J) 479.00

TOTAL 479.00

UPKEEP OF MACHINERY
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

SITE MATERIAL
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

SITE EXPENSES
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
OTHERS
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
1408631-K)
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : CHE HAFIZI BIN CHE NAPI
DEPARTMENT : UTILITIES
POSITION : GENERAL DRIVER
DURATION : MAY 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL
TOLL / PARKING
UPKEEP OF MOTOR VEHICLE
UPKEEP OF MACHINERY
SITE MATERIAL
SITE EXPENSES
STAFF REFRESHMENT
OTHERS 89.00

GRAND TOTAL 89.00

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :

OTHERS
DATE DESCRIPTION AMOUNT (RM)

26.05.2022 GRAB FEE (BENGKEL BANDAR MAHKOTA CHERAS - STAFF HOUSE ) 8.00
(HANTAR VAN - WNR 4265)
30.05.2022 GRAB FEE (BANDAR MAHKOTA CHERAS -OFFICE TERABAND ) 44.00
30.05.2022 GRAB FEE (OFFICE TERABAND-BENGKEL ,SHAH ALAM) 37.00

TOTAL 89.00
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : ABDUL BARI
DEPARTMENT : UTILITIES CONSTRUCTION GENERAL WORKER
POSITION : UTILITIES CONSTRUCTION GENERAL WORKER
DURATION : MAY 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL -
TOLL / PARKING -
OFFICE EXPENSES -
PRINTING & STATIONERY -
MATERIAL ON SITE -
MEDICAL EXPENSES 90.00
STAFF REFRESHMENT -
STAFF ACCOMODATION -
OTHERS -

GRAND TOTAL 90.00

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :

MEDICAL EXPENSES
DATE DESCRIPTION AMOUNT (RM)

13.05.2022 KLINIK DAN SURGERI SETAPAK 40.00


13.05.2022 KLINIK DAN SURGERI SETAPAK 50.00

TOTAL 90.00
STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

STAFF ACCOMODATION
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : RASHID
DEPARTMENT : UTILITIES CONSTRUCTION GENERAL WORKER
POSITION : UTILITIES CONSTRUCTION GENERAL WORKER
DURATION : JUNE 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL -
TOLL / PARKING -
OFFICE EXPENSES -
PRINTING & STATIONERY -
MATERIAL ON SITE -
MEDICAL EXPENSES 50.00
STAFF REFRESHMENT -
STAFF ACCOMODATION -
OTHERS -

GRAND TOTAL 50.00

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :

MEDICAL EXPENSES
DATE DESCRIPTION AMOUNT (RM)

10.06.2022 CLINIC 365 (24 HOURS) 50.00

TOTAL 50.00
STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

STAFF ACCOMODATION
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : SAM LEEN KIN SIN
DEPARTMENT : UTILITIES
POSITION : UTILITIES CONSTRUCTION PROJECT MANAGER
DURATION : MAY 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL -
TOLL / PARKING 10.00
UPKEEP OF MOTOR VEHICLE 225.00
UPKEEP OF MACHINERY 1,838.00
SITE MATERIAL 104.00
SITE EXPENSES -
STAFF REFRESHMENT 13.70
OTHERS -

GRAND TOTAL 2,190.70

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
PETROL/DIESEL

DATE DESCRIPTION AMOUNT (RM)

TOTAL -

TOLL / PARKING
DATE DESCRIPTION AMOUNT (RM)

24.05.2022 RELOAD TOUCH N GO 10.00

TOTAL 10.00

UPKEEP OF MOTOR VEHICLE


DATE DESCRIPTION AMOUNT (RM)

19.05.2022 SRI AMPANG LEE MOTOR (VAN-WNR 4265) 60.00


23.05.2022 SRI AMPANG LEE MOTOR (VAN-WNR 4265) 165.00

TOTAL 225.00

UPKEEP OF MACHINERY
DATE DESCRIPTION AMOUNT (RM)

19.05.2022 SUI U MACHINERY & TOOLS(M) SB-LOCAL PVC SUCTION HOSE, 560.00
3" SUBMERSIBLE PUMP & HOSE CLIP
23.05.2022 SUI U MACHINERY & TOOLS(M) SB-2"x20' PVC SUCTION HOSE, 1,278.00
2" HOSE COUPLER & 1 UNIT SUBARU ROBIN EY20 ENGINE C/W
FRAME,HOUSING COUPLING & HD40 ENGINE OIL

TOTAL 1,838.00

SITE MATERIAL
DATE DESCRIPTION AMOUNT (RM)

20.05.2022 BT HYDRAULIC & HARDWARE SB-PUR: TEST POINT HOSE 90.00


26.05.2022 BENG HENG TIMBER HARDWARE-PUR:GUNI BAG 14.00

TOTAL 104.00

SITE EXPENSES
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

31.05.2022 RESTORAN RASIK 13.70

TOTAL 13.70
OTHERS
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
1408631-K)
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : MOHAMMAD AMIRUL MUKMININ BIN SHAMSUDIN
DEPARTMENT : UTILITIES CONSTRUCTION
POSITION : SITE SUPERVISOR
DURATION : MAY 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL 780.50
TOLL / PARKING 70.29
UPKEEP OF MACHINERY 367.50
UPKEEP OF MOTOR VEHICLE 150.00
SITE MATERIAL -
TRAINING & COURSE -
STAFF REFRESHMENT -
STAFF ACCOMODATION -
OTHERS -

GRAND TOTAL 1,368.29

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
PETROL/DIESEL

DATE DESCRIPTION AMOUNT (RM)

TOTAL -

TOLL / PARKING
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

UPKEEP OF MACHINERY
DATE DESCRIPTION AMOUNT (RM)

13.05.2022 SRI AMPANG LEE MOTOR - REPAIR WATER PUMP 348.00


19.03.2022 SRI AMPANG LEE MOTOR - SPARK PLUG 19.50

TOTAL 367.50

UPKEEP OF MOTOR VEHICLE


DATE DESCRIPTION AMOUNT (RM)

26.05.2022 DW WINDSCREEN SDN BHD - LORRY WFN 2994 150.00

TOTAL 150.00

SITE MATERIAL
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

TRAINING & COURSE


DATE DESCRIPTION AMOUNT (RM)

TOTAL -
STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

STAFF ACCOMODATION
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : ASHRAFUL
DEPARTMENT : UTILITIES CONSTRUCTION GENERAL WORKER
POSITION : UTILITIES CONSTRUCTION GENERAL WORKER
DURATION : MAY 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL -
TOLL / PARKING -
OFFICE EXPENSES -
PRINTING & STATIONERY -
MATERIAL ON SITE -
MEDICAL EXPENSES 38.00
STAFF REFRESHMENT -
STAFF ACCOMODATION -
OTHERS -

GRAND TOTAL 38.00

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :

MEDICAL EXPENSES
DATE DESCRIPTION AMOUNT (RM)

30.05.2022 KLINIK AL-AMIN 38.00

TOTAL 38.00
STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

STAFF ACCOMODATION
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : MOHAMAD HAFIJUR
DEPARTMENT : UTILITIES CONSTRUCTION GENERAL WORKER
POSITION : UTILITIES CONSTRUCTION GENERAL WORKER
DURATION : JUNE 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL -
TOLL / PARKING -
OFFICE EXPENSES -
PRINTING & STATIONERY -
MATERIAL ON SITE -
MEDICAL EXPENSES 119.60
STAFF REFRESHMENT -
STAFF ACCOMODATION -
OTHERS -

GRAND TOTAL 119.60

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :

MEDICAL EXPENSES
DATE DESCRIPTION AMOUNT (RM)

07.06.2022 KLINIK DAN SURGERI SETAPAK 50.00


07.06.2022 AA PHARMACY SRI RAMPAI-PUR: -PUR: PANADOL & PANTAZ 40MG 17.30
10.06.2022 KLINIK DAN SURGERI SETAPAK- 45.00
12.06.2022 AA PHARMACY SRI RAMPAI-PUR: PANADOL ACTIFAST 7.30

TOTAL 119.60
STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

STAFF ACCOMODATION
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : MUHAMMAD SHAHRUL AZMAN BIN ARIFFIN
DEPARTMENT : UTILITIES
POSITION : GENERAL DRIVER
DURATION : JUNE 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL
TOLL / PARKING
UPKEEP OF MOTOR VEHICLE
UPKEEP OF MACHINERY
SITE MATERIAL
SITE EXPENSES
MEDICAL EXPENSES
OTHERS 50.00

GRAND TOTAL 50.00

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :

MEDICAL EXPENSES
DATE DESCRIPTION AMOUNT (RM)

08.06.2022 KLINIK PUTRAMEDIK 50.00

TOTAL 50.00
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : AL-MAMUN
DEPARTMENT : UTILITIES CONSTRUCTION OPERATOR
POSITION : UTILITIES CONSTRUCTION OPERATOR
DURATION : JUNE 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL 184.60
TOLL / PARKING 20.00
MATERIAL ON SITE 85.00
PRINTING & STATIONERY -
STAFF ACCOMODATION -
OTHERS -

GRAND TOTAL 289.60

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
PETROL/DIESEL

DATE DESCRIPTION AMOUNT (RM)

MINYAK HITAM-SHELL (SHELLRIMULA R2-EXTRA)(15W-40) 84.60


25.06.2022 ALPHA ENERGY - DIESEL FOR HDD OS20 50.00
25.06.2022 ALPHA ENERGY - DIESEL FOR LORRY BKP 6248 50.00

TOTAL 184.60

TOLL / PARKING
DATE DESCRIPTION AMOUNT (RM)

11.06.2022 REFILL TOUCH N GO 20.00

TOTAL 20.00

MATERIAL ON SITE
DATE DESCRIPTION AMOUNT (RM)

01.06.2022 BINGKISAN EMAS ENTERPRISE - PUR: TALI & GAM HITAM 39.00
02.06.2022 MR.D.I.Y - PUR: PVC INSULATION TAPE 46.00

TOTAL 85.00

PRINTING & STATIONERY


DATE DESCRIPTION AMOUNT (RM)

TOTAL -
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : AL-MAMUN
DEPARTMENT : UTILITIES CONSTRUCTION OPERATOR
POSITION : UTILITIES CONSTRUCTION OPERATOR
DURATION : JUNE 2022 (MEAL CLAIM)

DESCRIPTION AMOUNT (RM) TOTAL (RM)

STAFF REFRESHMENT 2,029.10


TOLL / PARKING -
MATERIAL ON SITE -
PRINTING & STATIONERY -
STAFF ACCOMODATION -
OTHERS -

GRAND TOTAL 2,029.10

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :

TOTAL RECEIVED 1,550.00


TOTAL CLAIM 2,029.10
AMOUNT MUST PAID TO MAMUN - 479.10
STAFF REFRESHMENT

DATE DESCRIPTION AMOUNT (RM)

09.06.2022 AJ BISTRO ELITE 42.50


10.06.2022 MAJU MAMAK 40.00
10.06.2022 RNS NASI KANDAR 79.40
11.06.2022 RNS NASI KANDAR 54.00
11.06.2022 RESTORAN AL-HAMEEDS 45.00
12.06.2022 AJ BISTRO ELITE 51.00
12.06.2022 AJ BISTRO ELITE 58.00
13.06.2022 RNS NASI KANDAR 79.00
13.06.2022 AJ BISTRO ELITE 52.90
14.06.2022 AJ BISTRO ELITE 53.90
14.06.2022 RNS NASI KANDAR 40.00
15.06.2022 AJ BISTRO ELITE 60.00
15.06.2022 PASEMBOR HUSSIN 70.20
16.06.2022 RESTORAN AL-HAMEEDS 50.00
16.06.2022 RESTORAN AL-HAMEEDS 58.00
17.06.2022 RESTORAN AL-HAMEEDS 60.00
17.06.2022 RESTORAN AL-HAMEEDS 45.00
18.06.2022 RESTORAN AL-HAMEEDS 55.00
18.06.2022 AJ BISTRO ELITE 56.40
19.06.2022 AJ BISTRO ELITE 69.00
19.06.2022 AJ BISTRO ELITE 55.20
20.06.2022 RESTORAN AL-HAMEEDS 50.00
20.06.2022 AJ BISTRO ELITE 44.90
21.06.2022 MEDAN SELERA 42.00
21.06.2022 MEDAN SELERA 19.00
21.06.2022 AJ BISTRO ELITE 40.90
22.06.2022 RESTORAN AL-HAMEEDS 25.00
22.06.2022 NASI KANDAR ROYALE AFRA 39.30
22.06.2022 AJ BISTRO ELITE 71.20
23.06.2022 RESTORAN AL-HAMEEDS 48.00
23.06.2022 AJ BISTRO ELITE 60.70
24.06.2022 RESTORAN AL-HAMEEDS 50.00
24.06.2022 NASI KANDAR ROYALE AFRA 79.50
25.06.2022 RESTORAN AL-HAMEEDS 45.00
25.06.2022 AJ BISTRO ELITE 73.00
26.06.2022 AJ BISTRO ELITE 55.30
26.06.2022 AJ BISTRO ELITE 4.80
26.02.2022 RESTORAN AL-HAMEEDS 40.00
27.06.2022 RESTORAN AL-HAMEEDS 60.00
27.06.2022 BELI SAYUR 6.00

TOTAL 2,029.10

TOLL / PARKING
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

MATERIAL ON SITE
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
PRINTING & STATIONERY
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : MUHAMMAD SYAHMI BIN ZAHARUDDIN
DEPARTMENT : UTILITIES
POSITION : UTILITIES CONSTRUCTION PROJECT ENGINEER
DURATION : JUNE 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL 30.00
TOLL / PARKING 70.00
UPKEEP OF MOTOR VEHICLE -
UPKEEP OF MACHINERY -
SITE MATERIAL -
SITE EXPENSES -
STAFF REFRESHMENT -
OTHERS -

GRAND TOTAL 100.00

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :

PETROL/DIESEL

DATE DESCRIPTION AMOUNT (RM)

09.06.2022 SM SHELL TMN UNIVERSITI - PROTON SAGA (WC 354 J) 30.00

TOTAL 30.00

TOLL / PARKING
DATE DESCRIPTION AMOUNT (RM)

09.06.2022 REFILL TOUCH N GO (WC 354 J-PROTON SAGA) 20.00


09.06.2022 REFILL TOUCH N GO (BKP 6248J-LORRY DAIHATSU) 50.00

TOTAL 70.00
UPKEEP OF MOTOR VEHICLE
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

UPKEEP OF MACHINERY
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

SITE MATERIAL
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

SITE EXPENSES
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
OTHERS
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : RASHID
DEPARTMENT : UTILITIES CONSTRUCTION GENERAL WORKER
POSITION : UTILITIES CONSTRUCTION GENERAL WORKER
DURATION : JUNE 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL -
TOLL / PARKING -
OFFICE EXPENSES -
PRINTING & STATIONERY -
MATERIAL ON SITE -
MEDICAL EXPENSES 50.00
STAFF REFRESHMENT -
STAFF ACCOMODATION -
OTHERS -

GRAND TOTAL 50.00

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :

MEDICAL EXPENSES
DATE DESCRIPTION AMOUNT (RM)

10.06.2022 CLINIC 365 (24 HOURS) 50.00

TOTAL 50.00
STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

STAFF ACCOMODATION
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : MUHAMMAD NAVEED
DEPARTMENT : UTILITIES CONSTRUCTION GENERAL WORKER
POSITION : UTILITIES CONSTRUCTION GENERAL WORKER
DURATION : JUNE 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL -
TOLL / PARKING -
OFFICE EXPENSES -
PRINTING & STATIONERY -
MATERIAL ON SITE -
MEDICAL EXPENSES 134.00
STAFF REFRESHMENT -
STAFF ACCOMODATION -
OTHERS -

GRAND TOTAL 134.00

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :

MEDICAL EXPENSES
DATE DESCRIPTION AMOUNT (RM)

04.06.2022 KLINIK MEDIVIRON-TMN NIRWANA (RECEIPT NO.151322) 50.00


04.06.2022 KLINIK MEDIVIRON-TMN NIRWANA (RECEIPT NO.151324) 34.00
15.06.2022 KLINIK MEDIVIRON-TMN NIRWANA (RECEIPT NO.151476) 50.00

TOTAL 134.00
STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

STAFF ACCOMODATION
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : MOHAMAD HAFIJUR
DEPARTMENT : UTILITIES CONSTRUCTION GENERAL WORKER
POSITION : UTILITIES CONSTRUCTION GENERAL WORKER
DURATION : JULY 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL -
TOLL / PARKING -
OFFICE EXPENSES -
PRINTING & STATIONERY -
MATERIAL ON SITE -
MEDICAL EXPENSES 56.00
STAFF REFRESHMENT -
STAFF ACCOMODATION -
OTHERS -

GRAND TOTAL 56.00

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :

MEDICAL EXPENSES
DATE DESCRIPTION AMOUNT (RM)

19.07.2022 KLINIK UNION MEDIC - OR.RCC000152466 32.00


29.07.2022 KLINIK UNION MEDIC - OR.RCC000153524 24.00

TOTAL 56.00
STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

STAFF ACCOMODATION
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : ASHRAFUL
DEPARTMENT : UTILITIES CONSTRUCTION GENERAL WORKER
POSITION : UTILITIES CONSTRUCTION GENERAL WORKER
DURATION : JULY 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL -
TOLL / PARKING -
OFFICE EXPENSES -
PRINTING & STATIONERY -
MATERIAL ON SITE -
MEDICAL EXPENSES 100.00
STAFF REFRESHMENT -
STAFF ACCOMODATION -
OTHERS -

GRAND TOTAL 100.00

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :

MEDICAL EXPENSES
DATE DESCRIPTION AMOUNT (RM)

20.07.2022 POLIKLIN1IK PRIMA - OR.RCC000315161 (RM155.00) 50.00


05.08.2022 POLIKLIN1IK PRIMA - OR.RCC000316434 (RM150.00) 50.00

TOTAL 100.00
STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

STAFF ACCOMODATION
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : MOHAMMAD AMIRUL MUKMININ BIN SHAMSUDIN
DEPARTMENT : UTILITIES CONSTRUCTION
POSITION : SITE SUPERVISOR
DURATION : JUNE 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL 321.30
TOLL / PARKING 32.60
MEDICAL FEE 50.00
UPKEEP OF MOTOR VEHICLE -
SITE MATERIAL -
TRAINING & COURSE -
STAFF REFRESHMENT -
STAFF ACCOMODATION -
OTHERS -

GRAND TOTAL 403.90

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
PETROL/DIESEL

DATE DESCRIPTION AMOUNT (RM)

PETROL/FUEL 321.30

TOTAL 321.30

TOLL / PARKING
DATE DESCRIPTION AMOUNT (RM)

08.06.2022 SETIA ALAM - XIN TECK SENG 7.50


08.06.2022 XIN TECK SENG - SETIA ALAM 2.50
14.06.2022 SITE AMPANG - NIOSH BANGI 3.07
14.06.2022 NIOSH BANGI - SETIA ALAM 10.03
24.06.2022 SITE AMPANG - KEPONG 5.00
24.06.2022 SITE KEPONG - RUMAH AMPANG 4.50

TOTAL 32.60

MEDICAL FEE
DATE DESCRIPTION AMOUNT (RM)

14.07.2022 KLINIK ANDA (RM88.00) 50.00

TOTAL 50.00

UPKEEP OF MOTOR VEHICLE


DATE DESCRIPTION AMOUNT (RM)

TOTAL -

SITE MATERIAL
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

TRAINING & COURSE


DATE DESCRIPTION AMOUNT (RM)

TOTAL -
STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

MEDICAL
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
Paid on 05.12.2022
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : JAKIR HOSSAIN
DEPARTMENT : UTILITIES CONSTRUCTION GENERAL WORKER
POSITION : UTILITIES CONSTRUCTION GENERAL WORKER
DURATION : JULY 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL -
TOLL / PARKING -
OFFICE EXPENSES -
PRINTING & STATIONERY -
MATERIAL ON SITE -
MEDICAL EXPENSES 50.00
STAFF REFRESHMENT -
STAFF ACCOMODATION -
OTHERS -

GRAND TOTAL 50.00

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :

MEDICAL EXPENSES
DATE DESCRIPTION AMOUNT (RM)

29.07.2022 POLIKLIN1IK PRIMA - OR.RCC000315899 (RM95.00) 50.00

TOTAL 50.00
STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

STAFF ACCOMODATION
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : MARIANI BINTI HASSAN
DEPARTMENT : ACCOUNT & ADMIN DEPT
POSITION : ACCOUNT & ADMIN EXECUTIVE
DURATION : JULY 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

ENTERTAIMENT -
STAFF REFRESHMENT -
PETROL/DIESEL 16.45
TOLL -
PARKING -
STAFF ACCOMODATION -
SITE EXPENSES -
MATERIAL -
MEDICAL EXPENSES 98.00
OTHERS -

GRAND TOTAL 114.45

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :

MEDICAL EXPENSES

DATE DESCRIPTION AMOUNT (RM)

12.07.2022 CLINIC MEDIVIRON - CONSULTATION & MEDICATION 50.00


08.08.2022 KLINIK JAMEATON SDN BHD - CONSULTATION & MEDICATION 48.00

TOTAL 98.00

PETROL/DIESEL

DATE DESCRIPTION AMOUNT (RM)

05.07.2022 PETROL (MILLEAGE 23.5 KM X RM0.70) EPF-KAJANG,BRANCH 16.45

TOTAL 16.45
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : MOHAMMAD AMIRUL MUKMININ BIN SHAMSUDIN
DEPARTMENT : UTILITIES CONSTRUCTION
POSITION : SITE ENGINEER
DURATION : JULY 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL 203.00
TOLL / PARKING 30.10
MEDICAL FEE -
UPKEEP OF MOTOR VEHICLE -
SITE MATERIAL -
TRAINING & COURSE -
STAFF REFRESHMENT -
STAFF ACCOMODATION -
OTHERS -

GRAND TOTAL 233.10

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
PETROL/DIESEL

DATE DESCRIPTION AMOUNT (RM)

PETROL/FUEL 203.00

TOTAL 203.00

TOLL / PARKING
DATE DESCRIPTION AMOUNT (RM)

07.07.2022 OFFICE - SITE KEPONG 5.00


12.07.2022 SITE KEPONG-SITE AMPANG 5.00
12.07.2022 SITE AMPANG-SITE KEPONG 5.00
13.07.2022 SITE KEPONG-SITE AMPANG 2.50
13.07.2022 SITE AMPANG-SITE KEPONG 5.00
28.07.2022 SITE KEPONG-FORWARD DRILL 6.30
28.07.2022 FORWARD DRILL-SITE KEPONG 1.30

TOTAL 30.10

MEDICAL FEE
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

UPKEEP OF MOTOR VEHICLE


DATE DESCRIPTION AMOUNT (RM)

TOTAL -

SITE MATERIAL
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

TRAINING & COURSE


DATE DESCRIPTION AMOUNT (RM)

TOTAL -
STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

MEDICAL
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
Paid on 05.12.2022
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : SAM CHEE KIAN SANG
DEPARTMENT : HR & ADMIN DEPARTMENT
POSITION : HR & ADMIN MANAGER
DURATION : JULY 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL -
TRAINING / SEMINAR -
OFFICE EXPENSES 595.36
PRINTING & STATIONERY 236.80
MATERIAL ON SITE 275.00
TRAINING & COURSE -
TOOLS & EQUIPMENT 1,340.68
MEDICAL EXPENSES 34.80
STAFF REFRESHMENT 117.80
UPKEEP OF LORRY 42.78
OTHERS 751.91

GRAND TOTAL 3,395.13

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
PETROL/DIESEL

DATE DESCRIPTION AMOUNT (RM)

TOTAL -

TRAINING / SEMINAR
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OFFICE EXPENSES
DATE DESCRIPTION AMOUNT (RM)

04.08.2022 ARS HOY HOY COCKROACH TRAP (5 X 3 SETS) 32.30


04.08.2022 YAMDA MILD ALKALINE WATER DISPENSER HOT&NORMAL -1 UNIT 283.10
06.08.2022 YAMDA MILD ALKALINE WATER DISPENSER HOT&NORMAL -1 UNIT 279.96

TOTAL 595.36

PRINTING & STATIONERY


DATE DESCRIPTION AMOUNT (RM)

26.07.2022 BECON ENTERPRISE SB - STATIONERY FOR OFFICE 148.80


28.07.2022 TIPTOP IT SDN BHD - INK CANON(BLACK & COLOUR)ACCT DEPT 88.00

TOTAL 236.80

MATERIAL ON SITE
DATE DESCRIPTION AMOUNT (RM)

04.07.2022 CMEI TRADING - PUR: BENTO ITE (5 BAGS) 275.00

TOTAL 275.00

TOOLS & EQUIPMENT


DATE DESCRIPTION AMOUNT (RM)

03.07.2022 SLL MACHINERY HARDWARE SDN BHD-PUR: 36" DIPPED HANDLE PIPE WRENCH 198.00
24.07.2022 PICASAF LANTERN BATTERY 6V EXTRA BATTERY HEAVY DUTY - 12 PCS 131.70
24.07.2022 HEAVY DUTY LANTERN BATTERY 6V 908G 4R25 - 4 PCS 34.80
24.07.2022 NASARA HEAVY DUTY LANTERN BATTERY 6V 908G 4R25 - 4 PCS 34.24
YOSS OREX SAFETY RAIN BOOTS WITH STEEL TOE - 5 PAIRS 178.80
31.07.2022 GOLD HAMMER NEW STYLE HIGH HEEL STEEL TOE (2 PAIRS) 69.30
01.08.2022 GOLD HAMMER NEW STYLE HIGH HEEL STEEL TOE (2 PAIRS) 69.30
04.08.2022 STRETCH FILM 500MM X 1.2 KG (10 PCS) 102.90
04.08.2022 COIL HARDWARE - PUR: GREEN ROPE (1 KG X 15) 265.00
06.08.2022 ENJO HARDWARE-PUR: POLYETHLENE ROPE (10 UNITS) 256.64

TOTAL 1,340.68
MEDICAL EXPENSES
DATE DESCRIPTION AMOUNT (RM)

14.07.2022 ALPRO HEALTHY SOLUTIONS PHARMACY - MEDICINE FOR OFFICE 34.80

TOTAL 34.80

STAFF REFRESHMENT / ENTERTAINMENT


DATE DESCRIPTION AMOUNT (RM)

03.07.2022 OLD TOWN WHITE COFFEE 30.60


03.08.2022 99 SPEED MART-PANTRY ITEM 17.50
07.08.2022 SATE KAJANG HJ SAMURI-ENTERTAINT CLIENT (MR.TAN) 69.70

TOTAL 117.80

UPKEEP OF LORRY
DATE DESCRIPTION AMOUNT (RM)

11.07.2022 DAIHATSU DELTA DV57 - SIDE MIRROR 18.18


11.07.2022 DAIHATSU DELTA DV57 - SINGNAL 24.60

TOTAL 42.78

OTHERS
DATE DESCRIPTION AMOUNT (RM)

13.07.2022 SSM CHECKING INFO 25.60


13.07.2022 SSM CHECKING INFO 25.60

GSTP RETAIL WHOSALE SB(REPAYMENT BACK 700.71


FOR PURCHASE MATE BOOK FOR OFFICE USE: MAY'22 INSTALLMENT)

TOTAL 751.91
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : AL-MAMUN
DEPARTMENT : UTILITIES CONSTRUCTION OPERATOR
POSITION : UTILITIES CONSTRUCTION OPERATOR
DURATION : JULY 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL 10.00
TOLL / PARKING 30.00
MATERIAL ON SITE 57.60
STAFF REFRESHMENT 57.00
STAFF ACCOMODATION -
OTHERS -

GRAND TOTAL 154.60

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
PETROL/DIESEL

DATE DESCRIPTION AMOUNT (RM)

14.07.2022 PETRON SUNGAI BULOH - ISI MINYAK KERETA SHAHRUL 10.00


(PICK UP WORKERS)

TOTAL 10.00

TOLL / PARKING
DATE DESCRIPTION AMOUNT (RM)

14.07.2022 REFILL TOUCH N GO 20.00


16.07.2022 REFILL TOUCH N GO 10.00

TOTAL 30.00

MATERIAL ON SITE
DATE DESCRIPTION AMOUNT (RM)

16.07.2022 MR.D.I.Y - PUR: STRETCH FILM 500MM 19.90


16.07.2022 MR.D.I.Y - PUR: DISHWASHIN,PVC INSULATION TAPE & FACE MASK 37.70

TOTAL 57.60

STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

14.07.2022 RNS NASI KANDAR - WORKERS MEAL 57.00

TOTAL 57.00
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : AL-MAMUN
DEPARTMENT : UTILITIES CONSTRUCTION OPERATOR
POSITION : UTILITIES CONSTRUCTION OPERATOR
DURATION : JULY 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL 10.00
TOLL / PARKING 30.00
MATERIAL ON SITE 57.60
STAFF REFRESHMENT 57.00
STAFF ACCOMODATION -
OTHERS -

GRAND TOTAL 154.60

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
PETROL/DIESEL

DATE DESCRIPTION AMOUNT (RM)

14.07.2022 PETRON SUNGAI BULOH - ISI MINYAK KERETA SHAHRUL 10.00


(PICK UP WORKERS)

TOTAL 10.00

TOLL / PARKING
DATE DESCRIPTION AMOUNT (RM)

14.07.2022 REFILL TOUCH N GO 20.00


16.07.2022 REFILL TOUCH N GO 10.00

TOTAL 30.00

MATERIAL ON SITE
DATE DESCRIPTION AMOUNT (RM)

16.07.2022 MR.D.I.Y - PUR: STRETCH FILM 500MM 19.90


16.07.2022 MR.D.I.Y - PUR: DISHWASHIN,PVC INSULATION TAPE & FACE MASK 37.70

TOTAL 57.60

STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

14.07.2022 RNS NASI KANDAR - WORKERS MEAL 57.00

TOTAL 57.00
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : CHE HAFIZI BIN CHE NAPI
DEPARTMENT : UTILITIES
POSITION : SITE SUPERVISOR CUM GENERAL DRIVER
DURATION : MAY 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL
TOLL / PARKING
UPKEEP OF MOTOR VEHICLE
UPKEEP OF MACHINERY
SITE MATERIAL
SITE EXPENSES
STAFF REFRESHMENT
MEDICAL EXPENSES 50.00

GRAND TOTAL 50.00

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :

MEDICAL EXPENSES
DATE DESCRIPTION AMOUNT (RM)

12.08.2022 KLINIK IDHZAM SDN BHD (RAWATAN & PERUBATAN)- RM109.00 50.00

TOTAL 50.00
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : MARIANI BINTI HASSAN
DEPARTMENT : ACCOUNT & ADMIN DEPT
POSITION : ACCOUNT & ADMIN EXECUTIVE
DURATION : AUGUST 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

ENTERTAIMENT -
STAFF REFRESHMENT -
PRINTING & STATIONERY 12.49
TOLL -
PARKING -
STAFF ACCOMODATION -
SITE EXPENSES -
MATERIAL -
MEDICAL EXPENSES 50.00
OTHERS -

GRAND TOTAL 62.49

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :

MEDICAL EXPENSES

DATE DESCRIPTION AMOUNT (RM)

12.08.2022 CLINIC MEDIVIRON - CONSULTATION & MEDICATION 50.00

TOTAL 50.00

PRINTING & STATIONERY

DATE DESCRIPTION AMOUNT (RM)

14.08.2022 POPULAR BOOK CO(M) SB - PUR: PAPERONE 70g A5 12.49

TOTAL 12.49
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : SAM CHEE KIAN SANG
DEPARTMENT : HR & ADMIN DEPARTMENT
POSITION : HR & ADMIN MANAGER
DURATION : AUGUST 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL -
OFFICE EXPENSES -
PRINTING & STATIONERY 209.00
MATERIAL ON SITE -
TRAINING & COURSE 530.00
TOOLS & EQUIPMENT -
MEDICAL EXPENSES -
STAFF REFRESHMENT 71.30
UPKEEP OF LORRY -
OTHERS 1,971.42

GRAND TOTAL 2,781.72

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
PETROL/DIESEL

DATE DESCRIPTION AMOUNT (RM)

TOTAL -

TRAINING / SEMINAR
DATE DESCRIPTION AMOUNT (RM)

NIOSH NTSP CLASS REISTRATION - MUHAMMAD ASIF 265.00


NIOSH NTSP CLASS REISTRATION - MUHAMMAD NAVEED 265.00

TOTAL 530.00

OFFICE EXPENSES
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

PRINTING & STATIONERY & UPKEEP OFFICE EQUIPMENT


DATE DESCRIPTION AMOUNT (RM)

11.08.2022 FREZY COMPUTER ENTERPRISE - REFORMAT LAPTOP FOR AMIRUL 59.00


FREZY COMPUTER ENTERPRISE - ACROBAT PRO LAPTOP FOR MAYA 10.00
01.09.2022 TIPTOP IT SDN BHD - PUR: IN-CANON (BLACK & COLOUR)-ACCT DEPT 140.00

TOTAL 209.00

MATERIAL ON SITE
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

TOOLS & EQUIPMENT


DATE DESCRIPTION AMOUNT (RM)

TOTAL -

MEDICAL EXPENSES
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
STAFF REFRESHMENT / ENTERTAINMENT
DATE DESCRIPTION AMOUNT (RM)

11.08.2022 99 SPEED MART (PANTRY ITEM) 71.30

TOTAL 71.30

UPKEEP OF LORRY
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

11.08.2022 HL MALL STEEL TOE CAP - PUR: 1 PAIR HL SAFETY 36.33


18.08.2022 GOLD HAMMER - 1 PAIR SAFETY SHOE 33.90
18.08.2022 TELEPHONE BILL -DIGI LINE (MR.SAM-ADVANCE PYMT PHONE LINE + PHONE (1 YE 1,212.00

GSTP RETAIL WHOSALE SB(REPAYMENT BACK 689.19


FOR PURCHASE MATE BOOK FOR OFFICE USE: AUG'22 INSTALLMENT)

TOTAL 1,971.42
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : SAM CHEE KIAN SANG
DEPARTMENT : HR & ADMIN DEPARTMENT
POSITION : HR & ADMIN MANAGER
DURATION : AUGUST 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL -
OFFICE EXPENSES -
PRINTING & STATIONERY -
MATERIAL ON SITE -
TRAINING & COURSE 795.00
TOOLS & EQUIPMENT -
MEDICAL EXPENSES -
STAFF REFRESHMENT -
UPKEEP OF LORRY -
OTHERS -

GRAND TOTAL 795.00

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
TRAINING / SEMINAR
DATE DESCRIPTION AMOUNT (RM)

NIOSH NTSP CLASS REISTRATION - HERI SATRIAWAN 265.00


NIOSH NTSP CLASS REISTRATION - LOO HENG LOONG 265.00
NIOSH NTSP CLASS REISTRATION - MOHD AKMAL AZIZI BIN ABD MUTALIB 265.00

TOTAL 795.00

OFFICE EXPENSES
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

PRINTING & STATIONERY & UPKEEP OFFICE EQUIPMENT


DATE DESCRIPTION AMOUNT (RM)

TOTAL -

MATERIAL ON SITE
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

TOOLS & EQUIPMENT


DATE DESCRIPTION AMOUNT (RM)

TOTAL -
MEDICAL EXPENSES
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

STAFF REFRESHMENT / ENTERTAINMENT


DATE DESCRIPTION AMOUNT (RM)

TOTAL -

UPKEEP OF LORRY
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : MUHAMMAD IMRAN
DEPARTMENT : UTILITIES CONSTRUCTION GENERAL WORKER
POSITION : UTILITIES CONSTRUCTION GENERAL WORKER
DURATION : SEPTEMBER 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL -
TOLL / PARKING -
OFFICE EXPENSES -
PRINTING & STATIONERY -
MATERIAL ON SITE -
MEDICAL EXPENSES 100.00
STAFF REFRESHMENT -
STAFF ACCOMODATION -
OTHERS -

GRAND TOTAL 100.00

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :

MEDICAL EXPENSES
DATE DESCRIPTION AMOUNT (RM)

08.09.2022 KLINIK UTAMA UJONG PASIR - INV.4181 (RM 170.00) 50.00


09.09.2022 KLINIK UTAMA UJONG PASIR - INV.4185 (RM 65.00) 50.00

TOTAL 100.00
STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

STAFF ACCOMODATION
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : MOHAMMAD AMIRUL MUKMININ BIN SHAMSUDIN
DEPARTMENT : UTILITIES CONSTRUCTION
POSITION : SITE ENGINEER
DURATION : SEPTEMBER 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL -
TOLL / PARKING -
MEDICAL FEE 45.00
UPKEEP OF MOTOR VEHICLE -
SITE MATERIAL -
TRAINING & COURSE -
STAFF REFRESHMENT -
STAFF ACCOMODATION -
OTHERS -

GRAND TOTAL 45.00

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :

MEDICAL FEE
DATE DESCRIPTION AMOUNT (RM)

01.09.2022 KLINIK SHIFAK (Inv No.22638) 45.00

TOTAL 45.00
UPKEEP OF MOTOR VEHICLE
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

SITE MATERIAL
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

TRAINING & COURSE


DATE DESCRIPTION AMOUNT (RM)

TOTAL -
STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

MEDICAL
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : SAM CHEE KIAN SANG
DEPARTMENT : HR & ADMIN DEPARTMENT
POSITION : HR & ADMIN MANAGER
DURATION : SEPTEMBER 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

TOLL & PARKING 70.00


OFFICE EXPENSES 102.40
UPKEEP OFFICE 6.90
MATERIAL ON SITE 148.80
PRINTING / STATI0NERY 100.00
TOOLS & EQUIPMENT -
MEDICAL EXPENSES -
STAFF REFRESHMENT -
UPKEEP OF LORRY -
OTHERS 412.77

GRAND TOTAL 840.87

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
TOLL & PARKING

DATE DESCRIPTION AMOUNT (RM)

12.09.2022 REFILL TOUCH N GO 20.00


03.10.2022 REFILL TOUCH N GO 50.00

TOTAL 70.00

PRINTING / STATI0NERY
DATE DESCRIPTION AMOUNT (RM)

03.10.2022 REPRINT SSM REGISTRATION CERTIFICATE & COMPANY INFORMATION 100.00

TOTAL 100.00

OFFICE EXPENSES
DATE DESCRIPTION AMOUNT (RM)

14.09.2022 99 SPEED MART - PANTRY ITEM 50.80


28.09.2022 ECONSAVE EXPRESS SB - PANTRY ITEM 51.60

TOTAL 102.40

UPKEEP OFFICE
DATE DESCRIPTION AMOUNT (RM)

11.09.2022 ONE ONE TRADING SB - PUR: BULB PHILIPS 18W 6.90

TOTAL 6.90

MATERIAL ON SITE
DATE DESCRIPTION AMOUNT (RM)

28.09.2022 DUCAL HYDRAULIC OIL68-18 LITERS 148.80

TOTAL 148.80

TOOLS & EQUIPMENT


DATE DESCRIPTION AMOUNT (RM)

TOTAL -

MEDICAL EXPENSES
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
STAFF REFRESHMENT / ENTERTAINMENT
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

UPKEEP OF LORRY
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

18.08.2022 TELEPHONE BILL -DIGI LINE (MR.SAM) 150.69


TELEPHONE BILL -DIGI LINE (MR.KELVIN) 236.78

04.10.2022 GRAB FEES 25.30

TOTAL 412.77
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : SAM CHEE KIAN SANG
DEPARTMENT : HR & ADMIN DEPARTMENT
POSITION : HR & ADMIN MANAGER
DURATION : OCTOBER 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

TOLL & PARKING 132.82


HOTEL & ACCOMODATION 127.99
UPKEEP OFFICE 126.35
MATERIAL ON SITE 14.00
PETROL/DIESEL 124.82
TRAINING/SEMINAR 565.00
PRINTING / STATIONERY 956.41
STAFF REFRESHMENT 311.70
UPKEEP OF LORRY -
OTHERS 959.68

GRAND TOTAL 3,318.77

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
TOLL & PARKING

DATE DESCRIPTION AMOUNT (RM)

03.10.2022 REFILL TOUCH N GO (LORRY-JHM 6573) 50.00


05.10.2022 TOLL (PLUS-AYER KEROH) 12.38
05.10.2022 TOLL (BESRAYA-MINES SOUTH) 2.00
05.10.2022 TOLL (BESRAYA-PLAZA LOKE YEW) 2.00
05.10.2022 TOLL (SILK-SUNGAI LONG) 1.80
06.10.2022 TOLL (ELITE-BANDAR SERENIA) 11.64
13.10.2022 REFILL TOUCH N GO (VAN-WNR 4265) 50.00
13.10.2022 WISMA ZELAN (PARKING) 3.00

TOTAL 132.82

PETROL/DIESEL
DATE DESCRIPTION AMOUNT (RM)

05.10.2022 PETROL (GO TO MELAKA SITE) 55.82


07.10.2022 PETROL (GO TO MELAKA SITE) 69.00

TOTAL 124.82

HOTEL & ACCOMODATION


DATE DESCRIPTION AMOUNT (RM)

05.10.2022 TERRA NOVA HOTEL (MELAKA SITE) 127.99

TOTAL 127.99

OFFICE EXPENSES
DATE DESCRIPTION AMOUNT (RM)

19.10.2022 K FIRST TRADING - DUPLICATE KEY 28.00


31.10.2022 99 SPEED MART SB - PUR: PANTRY ITEM 98.35

TOTAL 126.35

MATERIAL ON SITE
DATE DESCRIPTION AMOUNT (RM)

13.10.2022 NEW WEI SHENG HARDWARE SB - PUR: GUNI 14.00

TOTAL 14.00

TRAINING/SEMINAR
DATE DESCRIPTION AMOUNT (RM)

14.10.2022 NIOSH - REGISTER FOR NTSP (MUHAMMAD HAZIQ) 265.00


17.10.2022 RENEW CIDB GREEN CARD - MUHAMMAD HAZIQ 35.00
10.11.2022 NIOSH - REGISTER FOR NTSP (MOHD AMIR ASYRAFF) 265.00

TOTAL 565.00
PRINTING / STATIONERY
DATE DESCRIPTION AMOUNT (RM)

27.10.2022 BECON ENTERPRISE SDN BHD - A4 PAPER,FLAT FILE 98.00


31.10.2022 BECON ENTERPRISE SDN BHD - PUR:CANON INK CARTRIDGE PG-47(BLACK) 116.45
CANON INK CARTRIDGE CL58S & TABLE SHARPENER
29.10.2022 HP CARTRIDGE (BLACK/CYAN/MAGENTA) 741.96

TOTAL 956.41

STAFF REFRESHMENT / ENTERTAINMENT


DATE DESCRIPTION AMOUNT (RM)

05.10.2022 FAMILY MART 14.70


05.10.2022 STAFF REFRESHMENT 25.20
17.10.2022 AJ BISTRO ELITE (STAFF REFRESHMENT) 27.50
25.10.2022 AJ BISTRO ELITE (STAFF REFRESHMENT) 58.90
08.11.2022 99 SPEED MART SB - PUR: PANTRY ITEM 185.40

TOTAL 311.70

UPKEEP OF LORRY
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

10.10.2022 GOLD HAMMER NEW STYLE - PUR: 2 UNIT SAFETY SHOES 64.40
13.10.2022 GOLD HAMMER NEW STYLE - PUR: 2 UNIT SAFETY SHOES 69.40
17.10.2022 LEKAA TOWING SERVICES - WNR 1494 (VAN)(UNITEN-PUNCAK JALIL) 150.00
17.10.2022 SC ONLINE STORE - PUR: 1 UNIT SAFETY SHOES (NAZRUL) 55.00

28.09.2022 TELEPHONE BILL -DIGI LINE (MR.SAM) 141.45


13.10.2022 TELEPHONE BILL -DIGI LINE (MR.KELVIN) 263.43

08.11.2022 TECK SEN HARDWARE SDN BHD-PUR: 4M EXTENSION PAINT ROLLER ROD 16.00

07.11.2022 WORKER ADVANCE - NAVEED 200.00

TOTAL 959.68
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : MOHD AMIR ASYRAFF BIN HAZLI SHAHRIN
DEPARTMENT : UTILITIES CONSTRUCTION
POSITION : SITE ENGINEER
DURATION : OCTOBER 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL 338.10
TOLL / PARKING 28.22
MEDICAL FEE -
UPKEEP OF MOTOR VEHICLE -
SITE MATERIAL -
TRAINING & COURSE -
STAFF REFRESHMENT -
STAFF ACCOMODATION -
OTHERS -

GRAND TOTAL 366.32

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
PETROL/DIESEL
DATE DESCRIPTION AMOUNT (RM)

21.10.2022 OFFICE TO FELDA BUKIT JALOR-SITE SURVEY (158KM x RM0.70) 110.60


21.10.2022 FELDA BUKIT JALOR TO OFFICE-SITE SURVEY (158KM x RM0.70) 110.60
27.10.2022 SITE VISIT-HOSPITAL TUNKU JAAFAR SEREMBAN (133KM x RM0.70) 93.10
31.10.2022 TIME TRAINING AT SUBANG JAYA (17KM x RM0.70) 11.90
01.11.2022 TIME TRAINING AT SUBANG JAYA (17KM x RM0.70) 11.90

TOTAL 338.10

TOLL / PARKING
DATE DESCRIPTION AMOUNT (RM)

21.10.2022 OFFICE TO FELDA BUKIT JALOR-SITE SURVEY 9.27


21.10.2022 FELDA BUKIT JALOR TO OFFICE-SITE SURVEY 9.27
27.10.2022 SITE VISIT-HOSPITAL TUNKU JAAFAR SEREMBAN 9.68

TOTAL 28.22
SITE MATERIAL
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

TRAINING & COURSE


DATE DESCRIPTION AMOUNT (RM)

TOTAL -
STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

MEDICAL
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : MOHAMMAD AMIRUL MUKMININ BIN SHAMSUDIN
DEPARTMENT : UTILITIES CONSTRUCTION
POSITION : PROJECT ENGINEER
DURATION : NOVEMBER 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL -
TOLL / PARKING -
MEDICAL FEE 50.00
UPKEEP OF MOTOR VEHICLE -
SITE MATERIAL -
TRAINING & COURSE -
STAFF REFRESHMENT -
STAFF ACCOMODATION -
OTHERS -

GRAND TOTAL 50.00

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :

MEDICAL FEE
DATE DESCRIPTION AMOUNT (RM)

03.11.2022 KLINIK MEDIVIRON (Inv No.RCC000013534) (RM70.00) 50.00

TOTAL 50.00
UPKEEP OF MOTOR VEHICLE
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

SITE MATERIAL
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

TRAINING & COURSE


DATE DESCRIPTION AMOUNT (RM)

TOTAL -
STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

MEDICAL
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : CHEE KIAN SANG
DEPARTMENT : HR & ADMIN DEPARTMENT
POSITION : HR & ADMIN MANAGER
DURATION : NOVEMBER 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

TOLL & PARKING -


HOTEL & ACCOMODATION -
UPKEEP OFFICE 673.37
MATERIAL ON SITE 18.50
PETROL/DIESEL 180.00
TRAINING/SEMINAR 35.00
PRINTING / STATIONERY 719.71
STAFF REFRESHMENT 209.00
UPKEEP OF LORRY 81.00
OTHERS 1,336.91

GRAND TOTAL 3,253.49

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
TOLL & PARKING

DATE DESCRIPTION AMOUNT (RM)

TOTAL -

PETROL/DIESEL
DATE DESCRIPTION AMOUNT (RM)

21.11.2022 DIESEL (BKP 6249 - LORRY) 50.00


30.11.2022 DIESEL (JHM 6573-LORRY CRANE) 100.00
02.12.2022 PETROL (PROTON SAGA - WC 354 J) 30.00

TOTAL 180.00

HOTEL & ACCOMODATION


DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OFFICE EXPENSES
DATE DESCRIPTION AMOUNT (RM)

03.12.2022 OKURA FOLDABLE BANQUET TABLE - 4 UNITS 339.42


03.12.2022 MAYA CHAIR ERGONOMIC MED BRETHABLE AND COMFARTABLE BACK - 5 UNITS 333.95

TOTAL 673.37

MATERIAL ON SITE
DATE DESCRIPTION AMOUNT (RM)

30.11.2022 WAH JUN TIMBER HARDWARE - PUR: CEMENT(P) LMS-EA-G 18.50

TOTAL 18.50

TRAINING/SEMINAR
DATE DESCRIPTION AMOUNT (RM)

17.11.2022 CIDB-GREEN CARD (MOHD AMIR ASYRAF) 35.00

TOTAL 35.00
PRINTING / STATIONERY
DATE DESCRIPTION AMOUNT (RM)

11.11.2022 SIGNBOARD PLASTIC PLATE FOR OFFICE USE 25.45


11.11.2022 SIGNBOARD PLASTIC PLATE FOR OFFICE USE 18.18
11.11.2022 SIGNBOARD PLASTIC PLATE FOR OFFICE USE 28.88

16.11.2022 BECON ENTERPRIESDN BHD ( STATIONERY) 142.7


17.11.2022 FREZY COMPUTER ENTERPRISE (ACROBAT PDF,KARSPEKY & OFFICE 2021) 99.00
21.11.2022 FREZY COMPUTER ENTERPRISE (ACROBAT PDF,KARSPEKY & OFFICE 2021) 119.00
22.11.2022 FREZY COMPUTER ENTERPRISE (ACROBAT PDF & OFFICE 2021) 20.00

01.12.2022 S & Y PROBOARD - PUR: WHITE BOARD 266.50

TOTAL 719.71

STAFF REFRESHMENT / ENTERTAINMENT


DATE DESCRIPTION AMOUNT (RM)

10.11.2022 AJ BISTRO ELITE 29.40


14.11.2022 99 SPEED MART 179.60

TOTAL 209.00

UPKEEP OF LORRY
DATE DESCRIPTION AMOUNT (RM)

30.11.2022 E H AUTO & AIR COND PARTS SUPPLY SB (JHM 6573-LORRY CRANE) 81.00

TOTAL 81.00

OTHERS
DATE DESCRIPTION AMOUNT (RM)

07.11.2022 WORKER ADVANCE - NAVEED 200.00


14.11.2022 VINDECH HARDWARE SDN BHD (PUR: MATERIAL FOR OFFICE RENOVATION) 17.80
14.11.2022 WAH JUN TIMBER HARDWARE TARDING - MATERIAL FOR OFF RENOVATION 27.80
15.11.2022 MR.DIY(M)SDN BHD - PUR: MATERIAL FOR OFFICE RENOVATION 23.75
15.11.2022 MR.DIY(M)SDN BHD - PUR: MATERIAL FOR OFFICE RENOVATION 78.50

23.11.2022 JH SPEEDY LOCKSMITH (DUPLICATE OFFICE KEY) 13.00


01.12.2022 K FIRST TRADING (DUPLICATE KEY) 20.00

10.11.2022 TELEPHONE BILL -DIGI LINE (MR.SAM) 141.31


28.10.2022 TELEPHONE BILL -DIGI LINE (MR.KELVIN) 272.00

I RETAILER SDN BHD (PUR-3 UNIT LAPTOP HONOR MAGICBOOK)-1st PYMNT 474.75
(RM 5,697.00 / 12 MONTHS)

02.12.2022 M.M.S CAR WASH - PROTON SAGA (WC 354 J) 40.00


05.12.2022 GRAB FEE (BY AMIR (WISMA ZELAN to HQ) 28.00

TOTAL 1,336.91
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : NOOR MARLINI BINTI MD UMAR
DEPARTMENT : HR & ADMIN
POSITION : HUMAN CAPITAL MANAGEMENT OFFICER
DURATION : NOVEMBER 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL 50.89
TOLL / PARKING 17.33
PRINTING & STATIONERY 13.50
TRAINING & COURSE -
STAFF REFRESHMENT -
STAFF ACCOMODATION -
OTHERS -

GRAND TOTAL 81.72

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
PETROL/DIESEL
DATE DESCRIPTION AMOUNT (RM)

24.11.2022 HQ - IMIGRESEN JALAN DUTA (26KM x RM0.70) 18.20


24.11.2022 IMIGRESEN - MAJLIS BANDARAYA SUBANG JAYA (MBSJ) (25KM x RM0.70) 17.50
24.11.2022 MAJLIS BANDARAYA SUBANG JAYA (MBSJ) - HQ (21.7KM x RM0.70) 15.19

TOTAL 50.89

TOLL / PARKING
DATE DESCRIPTION AMOUNT (RM)

24.11.2022 HQ - IMIGRESEN JALAN DUTA 4.20


24.11.2022 IMIGRESEN - MAJLIS BANDARAYA SUBANG JAYA (MBSJ) 2.13
24.11.2022 MAJLIS BANDARAYA SUBANG JAYA (MBSJ) - HQ 4.00
24.11.2022 PARKING FEE 5.00
24.11.2022 PARKING FEE 2.00

TOTAL 17.33

PRINTING & STATIONERY


DATE DESCRIPTION AMOUNT (RM)

24.11.2022 PERNIAGAAN SRI ALAM - PRINT CORPORATE INFORMATION COMPANY 13.50

TOTAL 13.50

TRAINING & COURSE


DATE DESCRIPTION AMOUNT (RM)

TOTAL -

STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

MEDICAL
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : MOHD AMIR ASYRAFF BIN HAZLI SHAHRIN
DEPARTMENT : UTILITIES CONSTRUCTION
POSITION : SITE UTILITIES ENGINEER
DURATION : NOVEMBER 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL 319.20
TOLL / PARKING 34.52
MEDICAL FEE -
UPKEEP OF MOTOR VEHICLE -
SITE MATERIAL -
TRAINING & COURSE -
STAFF REFRESHMENT -
STAFF ACCOMODATION -
OTHERS -

GRAND TOTAL 353.72

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
PETROL/DIESEL
DATE DESCRIPTION AMOUNT (RM)

07.11.2022 SITE SURVEY (PONDOI & GEMENCHEH(324KM x RM0.70) 226.80


29.11.2022 HQ TO HOSPITAL SEREMBAN-SITE SURVEY (132KM x RM0.70) 92.40

TOTAL 319.20

TOLL / PARKING
DATE DESCRIPTION AMOUNT (RM)

07.11.2022 SITE SURVEY (PONDOI & GEMENCHEH) 12.46


07.11.2022 SITE SURVEY (PONDOI & GEMENCHEH) 12.46
29.11.2022 HQ TO HOSPITAL SEREMBAN 4.43
29.11.2022 HOSPITAL SEREMBAN TO HQ-SITE SURVEY 5.17

TOTAL 34.52

SITE MATERIAL
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

TRAINING & COURSE


DATE DESCRIPTION AMOUNT (RM)

TOTAL -
STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

MEDICAL
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : ASHRAFUL
DEPARTMENT : UTILITIES CONSTRUCTION GENERAL WORKER
POSITION : UTILITIES CONSTRUCTION GENERAL WORKER
DURATION : NOV 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL -
TOLL / PARKING -
OFFICE EXPENSES -
PRINTING & STATIONERY -
MATERIAL ON SITE -
MEDICAL EXPENSES 100.00
STAFF REFRESHMENT -
STAFF ACCOMODATION -
OTHERS -

GRAND TOTAL 100.00

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :

MEDICAL EXPENSES
DATE DESCRIPTION AMOUNT (RM)

24.11.2022 TUNG JI TCM & ACUPUNTURE CENTRE (RM118.00) 50.00


29.11.2022 HOSPITAL KAJANG (RM385.00) 50.00

TOTAL 100.00
STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

STAFF ACCOMODATION
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : CHEE KIAN SANG
DEPARTMENT : HR & ADMIN DEPARTMENT
POSITION : HR & ADMIN MANAGER
DURATION : DECEMBER 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

TOLL & PARKING 386.77


HOTEL & ACCOMODATION 353.36
UPKEEP OFFICE 230.83
MATERIAL ON SITE -
PETROL/DIESEL 124.22
TRAINING/SEMINAR -
PRINTING / STATIONERY 58.00
STAFF REFRESHMENT 316.73
UPKEEP OF LORRY -
OTHERS 1,243.15

GRAND TOTAL 2,713.06

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
TOLL & PARKING

DATE DESCRIPTION AMOUNT (RM)

06.12.2022 REFILL TOUCH NN GO - JHM 6573 (LORRY) 20.00


06.12.2022 REFILL TOUCH N GO - WNR 4265 (VAN) 20.00
07.12.2022 REFILL TOUCH N GO - JHM 6573 (LORRY) 50.00
09.12.2022 REFILL TOUCH N GO - WNR 4265 (VAN) 100.00
09.12.2022 REFILL TOUCH NN GO - JHM 6573 (LORRY) 100.00
14.12.2022 TOLL PLUS-JURU 19.68
14.12.2022 TOLL PLUS-SUNGKAI 12.96
14.12.2022 TOLL LDP-PETALING JAYA 2.10
14.12.2022 TOLL JAMBATAN PULAU PINANG 5.64
15.12.2022 TOLL JAMBATAN PULAU PINANG 5.74
15.12.2022 REFILL TOUICH N GO-JURU 15.00
16.12.2022 PLUS-IPOH UTARA 10.17
16.12.2022 PLUS-JAWI 1.75
19.12.2022 TOLL KESAS-SUNWAY 2.00
19.12.2022 TOLL PLUS-SUBANG 21.73

TOTAL 386.77

PETROL/DIESEL
DATE DESCRIPTION AMOUNT (RM)

14.12.2022 PETRON GUNUNG SEMANGGOL NORTH - PETROL 47.30


18.12.2022 ENAU ASIA SDN BHD - PETROL 76.92

TOTAL 124.22

HOTEL & ACCOMODATION


DATE DESCRIPTION AMOUNT (RM)

13.12.2022 SUMMER TREE HOTEL PENANG ( 14 - 16/12/2022) 353.36

TOTAL 353.36

OFFICE EXPENSES
DATE DESCRIPTION AMOUNT (RM)

24.11.2022 K FIRST TRADING - DUPLICATE KEY 50.00


13.12.2022 TP-LINK TAPO C210 PTZ 2K CCTV 145.20
14.12.2022 EBL SMART UNIVERSAL BATTERY - BATTERY CHARGER 35.63

TOTAL 230.83

MATERIAL ON SITE
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

TRAINING/SEMINAR
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
PRINTING / STATIONERY
DATE DESCRIPTION AMOUNT (RM)

28.12.2022 TIP TOP IT SDN BHD - PUR: INK CANON BLACK & CABLE ZEECOOL 58.00

TOTAL 58.00

STAFF REFRESHMENT / ENTERTAINMENT


DATE DESCRIPTION AMOUNT (RM)

06.12.2022 AJ BISTRO ELITE 37.40


06.12.2022 99 SPEED MART SB 101.30
13.12.2022 99 SPEED MART SB 33.53
14.12.2022 NASI KANDAR PADANG KOTA 15.30
14.12.2022 RAMEN LAB 41.70
22.12.2022 99 SPEED MART SB 87.50

TOTAL 316.73

UPKEEP OF LORRY
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

08.12.2022 MOHD AZMI BIN ISHAK - PARTIME LORRY DRIVER 50.00


08.12.2022 MOHD ZUHAIRU BIN ALI - PARTIME LORRY DRIVER 150.00
13.12.2022 ADVANCE TO MOFIZUL 150.00

TELEPHONE BILL -DIGI LINE (MR.SAM) 156.24


TELEPHONE BILL -DIGI LINE (MR.KELVIN) 262.16

I RETAILER SDN BHD (PUR-3 UNIT LAPTOP HONOR MAGICBOOK)-2nd PYMNT 474.75
(RM 5,697.00 / 12 MONTHS)

TOTAL 1,243.15
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : MUHAMMAD ARIFUL ISLAM
DEPARTMENT : UTILITIES CONSTRUCTION GENERAL WORKER
POSITION : UTILITIES CONSTRUCTION GENERAL WORKER
DURATION : DECEMBER 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL -
TOLL / PARKING -
OFFICE EXPENSES -
PRINTING & STATIONERY -
MATERIAL ON SITE -
MEDICAL EXPENSES 50.00
STAFF REFRESHMENT -
STAFF ACCOMODATION -
OTHERS -

GRAND TOTAL 50.00

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :

MEDICAL EXPENSES
DATE DESCRIPTION AMOUNT (RM)

23.12.2022 KLINIK PERDANA- INV.51316 (RM 52.00) 50.00

TOTAL 50.00
STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

STAFF ACCOMODATION
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : MD MOFIZUL ISLAM
DEPARTMENT : UTILITIES CONSTRUCTION GENERAL WORKER
POSITION : UTILITIES CONSTRUCTION GENERAL WORKER
DURATION : DECEMBER 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL -
TOLL / PARKING -
OFFICE EXPENSES -
PRINTING & STATIONERY -
MATERIAL ON SITE -
MEDICAL EXPENSES 50.00
STAFF REFRESHMENT -
STAFF ACCOMODATION -
OTHERS -

GRAND TOTAL 50.00

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :

MEDICAL EXPENSES
DATE DESCRIPTION AMOUNT (RM)

23.12.2022 KLINIK PERDANA- INV.51315 (RM 56.00) 50.00

TOTAL 50.00
STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

STAFF ACCOMODATION
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : MOHAMMAD AMIRUL MUKMININ BIN SHAMSUDIN
DEPARTMENT : UTILITIES CONSTRUCTION
POSITION : PROJECT ENGINEER
DURATION : DECEMBER 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL 257.60
TOLL / PARKING 25.10
MEDICAL FEE 100.00
UPKEEP OF MOTOR VEHICLE 65.00
SITE MATERIAL 30.00
TRAINING & COURSE -
STAFF REFRESHMENT -
STAFF ACCOMODATION -
OTHERS -

GRAND TOTAL 477.70

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
MEDICAL FEE
DATE DESCRIPTION AMOUNT (RM)

17.11.2022 POLIKLINIK NURUL (Inv No.09856) (RM55.00) 50.00


23.12.2022 POLIKLINIK NURUL (Inv No.10154) (RM65.00) 50.00

TOTAL 100.00

PETROL
DATE DESCRIPTION AMOUNT (RM)

15.12.2022 AMILIA TRADE (WMT 6763-AVANZA) 45.00


17.12.2022 SHELL SENTRAL ZZA (WYR 6125 - LORRY CARGO) 20.00

TOTAL 65.00

TOLL/PARKING
DATE DESCRIPTION AMOUNT (RM)

15.12.2022 REFILL TOUCH N GO (WMT 6763-AVANZA) 10.00


15.12.2022 REFILL TOUCH N GO (WMT 6763-AVANZA) 20.00

TOTAL 30.00

TRAINING & COURSE


DATE DESCRIPTION AMOUNT (RM)

TOTAL -
STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

MEDICAL
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : ASHRAFUL
DEPARTMENT : UTILITIES CONSTRUCTION GENERAL WORKER
POSITION : UTILITIES CONSTRUCTION GENERAL WORKER
DURATION : DECEMBER 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL -
TOLL / PARKING -
OFFICE EXPENSES -
PRINTING & STATIONERY -
MATERIAL ON SITE -
MEDICAL EXPENSES 150.00
TRAVELLING 32.00
STAFF ACCOMODATION -
OTHERS -

GRAND TOTAL 182.00

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
MEDICAL EXPENSES
DATE DESCRIPTION AMOUNT (RM)

06.12.2022 KLINIK ANDA 24 JAM PUNCAK JALIL (RM55.00) 50.00


09.12.2022 TUNG JI TCM & ACUPUNTURE CENTRE (RM226.00) 50.00
15.12.2022 HOSPITAL KAJANG (RM120.00) 50.00

TOTAL 150.00

TRAVELLING
DATE DESCRIPTION AMOUNT (RM)

14.12.2022 PENANG SENTRAL (BUS TICKET) (PENANG TO HQ) 32.00

TOTAL 32.00

STAFF ACCOMODATION
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
2 (1408631-K)
PERMAI,

com.my
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : NOOR MARLINI BINTI MD UMAR
DEPARTMENT : HR & ADMIN
POSITION : HUMAN CAPITAL MANAGEMENT OFFICER
DURATION : DECEMBER 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL 98.70
TOLL / PARKING 23.46
PRINTING & STATIONERY 21.00
TRAINING & COURSE -
STAFF REFRESHMENT -
STAFF ACCOMODATION -
OTHERS -

GRAND TOTAL 143.16

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
PETROL/DIESEL
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

TOLL / PARKING
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

PRINTING & STATIONERY


DATE DESCRIPTION AMOUNT (RM)

15.12.2022 JABATAN IMIGRESEN KL )PUR: BAG) 5.00


15.12.2022 ALI MAJU KIOSK (PRINTING) 13.00
20.12.2022 GIGAGROWTH SDN BHD (LAMINATING) 3.00

TOTAL 21.00

TRAINING & COURSE


DATE DESCRIPTION AMOUNT (RM)

TOTAL -

STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

MEDICAL
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : AL-MAMUN
DEPARTMENT : UTILITIES CONSTRUCTION OPERATOR
POSITION : UTILITIES CONSTRUCTION OPERATOR
DURATION : DECEMBER 2022

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL 50.00
TOLL / PARKING 110.00
MATERIAL ON SITE 8.10
OTHERS 73.60
STAFF ACCOMODATION -
OTHERS -

GRAND TOTAL 241.70

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
PETROL/DIESEL

DATE DESCRIPTION AMOUNT (RM)

08.12.2022 PETRONAS - DIESEL (WYR 6125-LORRY TIPPER) 50.00

TOTAL 50.00

TOLL / PARKING
DATE DESCRIPTION AMOUNT (RM)

08.12.2022 REFILL TOUCH N GO (WYR 6125 - LORRY CARGO) 100.00


16.07.2022 REFILL TOUCH N GO 10.00

TOTAL 110.00

MATERIAL ON SITE
DATE DESCRIPTION AMOUNT (RM)

03.12.2022 MR.D.I.Y - PUR: SCREW 8.10

TOTAL 8.10

OTHERS
DATE DESCRIPTION AMOUNT (RM)

GRAB FEES 33.30


GRAB FEES 40.30

TOTAL 73.60
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : MOHAMMAD AMIRUL MUKMININ BIN SHAMSUDIN
DEPARTMENT : UTILITIES CONSTRUCTION
POSITION : PROJECT ENGINEER
DURATION : JANUARY 2023

DESCRIPTION AMOUNT (RM) TOTAL (RM)

MEDICAL FEE 50.00


PETROL/DIESEL 60.00
TOLL / PARKING 100.00
MATERIAL ON SITE 30.00
UPKEEP OF MOTOR VEHICLE 6.00
STAFF ACCOMODATION #REF!
OTHERS -

GRAND TOTAL #REF!

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
MEDICAL FEE
DATE DESCRIPTION AMOUNT (RM)

10.01.2023 KLINIK MEDIVIRON (JERAM) - Inv No.RCC000014881 50.00

TOTAL 50.00

PETROL
DATE DESCRIPTION AMOUNT (RM)

12.01.2023 CHOP JUAN SOON TRADING - PETROL (WMT 6763-AVANZA) 60.00

TOTAL 60.00

TOLL/PARKING
DATE DESCRIPTION AMOUNT (RM)

05.01.2023 REFILL TOUCH N GO (WMT 6763-AVANZA) 20.00


06.01.2023 REFILL TOUCH N GO (BKP 6248-LORRY ) 20.00
12.01.2023 REFILL TOUCH N GO (WMT 6763-AVANZA) 50.00
11.01.2023 REFILL TOUCH N GO (WMT 6763-AVANZA) 10.00

TOTAL 100.00

MATERIAL ON SITE
DATE DESCRIPTION AMOUNT (RM)

11.01.2023 KIM HOCK HARDWARE TRADING - PUR: 4MMX2KG ROPE 30.00

TOTAL 30.00

UPKEEP OF MOTOR VEHICLE


DATE DESCRIPTION AMOUNT (RM)

04.01.2023 GS TYRE & CAR SERVICE (WMT 6763-AVANZA) 6.00

TOTAL 6.00

OTHERS
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : MOHD HAIRI BIN MAD ISMAIL
DEPARTMENT : UTILITIES CONSTRUCTION
POSITION : GENERAL DRIVER
DURATION : JANUARY 2023

DESCRIPTION AMOUNT (RM) TOTAL (RM)

MEDICAL FEE -
PETROL/DIESEL -
TOLL / PARKING -
MATERIAL ON SITE -
UPKEEP OF MOTOR VEHICLE -
STAFF ACCOMODATION -
OTHERS 80.00

GRAND TOTAL 80.00

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
0THER
DATE DESCRIPTION AMOUNT (RM)

23.01.2023 BUS TICKET (PUAU PINANG to TBS (OFFICE TERABAND) 45.00


GRAB FEES (TBS - STORE (NO.5,JLN PUJ 1/17) 19.00
GRAB FEES (STORE PUTRAJAYA -(STORE - PUTRAJAYA CENTRAL ) GO B 16.00
GO BACK TO PENANG

TOTAL 80.00
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : CHEE KIAN SANG
DEPARTMENT : HR & ADMIN DEPARTMENT
POSITION : HR & ADMIN MANAGER
DURATION : JANUARY 2023

DESCRIPTION AMOUNT (RM) TOTAL (RM)

TOLL & PARKING 100.00


HOTEL & ACCOMODATION -
UPKEEP OFFICE -
MATERIAL ON SITE -
PETROL/DIESEL -
TRAINING/SEMINAR -
PRINTING / STATIONERY 285.08
STAFF REFRESHMENT -
UPKEEP OF LORRY 68.00
OTHERS 994.37

GRAND TOTAL 1,447.45

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
TOLL & PARKING

DATE DESCRIPTION AMOUNT (RM)

16.01.2023 REFILL TOUCH N GO - JLW 143 (LORRY TIPPER) 100.00

TOTAL 100.00

PETROL/DIESEL
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

HOTEL & ACCOMODATION


DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OFFICE EXPENSES
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

MATERIAL ON SITE
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

TRAINING/SEMINAR
DATE DESCRIPTION AMOUNT (RM)

TOTAL -
PRINTING / STATIONERY
DATE DESCRIPTION AMOUNT (RM)

12.01.2023 BECON ENTERPRISE SDN BHD-PUR: STATIONERY 98.60


13.01.2023 PERNIAGAAN TZE SHAN TANG 158.00
02.02.2023 SSM INFO - SEARCH AS ANANTHAN CONSTRUCTION 28.48

TOTAL 285.08

STAFF REFRESHMENT / ENTERTAINMENT


DATE DESCRIPTION AMOUNT (RM)

TOTAL -

MEDICAL FEE
DATE DESCRIPTION AMOUNT (RM)

10.01.2023 POLIKLINIK JIT (OR 65265) 68.00

TOTAL 68.00

OTHERS
DATE DESCRIPTION AMOUNT (RM)

SAFETY SHOES/BOOT MIDDLE CUT GOLD HAMMER - 1 PAIR 67.28

TELEPHONE BILL -DIGI LINE (MR.SAM) 141.34


TELEPHONE BILL -DIGI LINE (MR.KELVIN) 311.00

I RETAILER SDN BHD (PUR-3 UNIT LAPTOP HONOR MAGICBOOK)-3rd PYMNT 474.75
(RM 5,697.00 / 12 MONTHS)

TOTAL 994.37
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : MARIANI BINTI HASSAN
DEPARTMENT : ACCOUNT & ADMIN DEPT
POSITION : ACCOUNT & ADMIN EXECUTIVE
DURATION : JANUARY 2023

DESCRIPTION AMOUNT (RM) TOTAL (RM)

ENTERTAIMENT -
STAFF REFRESHMENT -
PRINTING & STATIONERY -
TOLL -
PARKING -
STAFF ACCOMODATION -
SITE EXPENSES -
MATERIAL -
MEDICAL EXPENSES 50.00
OTHERS -

GRAND TOTAL 50.00

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :

MEDICAL EXPENSES

DATE DESCRIPTION AMOUNT (RM)

09.01.2023 CLINIC MEDIVIRON - (Inv.RCC000221726) (RM68.00) 50.00

TOTAL 50.00

PRINTING & STATIONERY

DATE DESCRIPTION AMOUNT (RM)

TOTAL -
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : MOHD AMIR ASYRAFF BIN HAZLI SHAHRIN
DEPARTMENT : UTILITIES CONSTRUCTION
POSITION : SITE UTILITIES ENGINEER
DURATION : JANUARY 2023

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL -
TOLL / PARKING -
MEDICAL FEE -
UPKEEP OF MOTOR VEHICLE -
SITE MATERIAL 721.00
TRAINING & COURSE -
STAFF REFRESHMENT 162.10
STAFF ACCOMODATION -
OTHERS 242.12

GRAND TOTAL 1,125.22

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
PETROL/DIESEL
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

TOLL / PARKING
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

SITE MATERIAL
DATE DESCRIPTION AMOUNT (RM)

13.01.2023 SOON BE HARDWARE TRADING-PUR: GREEN GI WIRE & HAND GLOVE 21.00
13.01.2023 SENG HENG POWERTOOLS SDN BHD-PUR:3" V.PUMP HEAD 700.00

TOTAL 721.00

TRAINING & COURSE


DATE DESCRIPTION AMOUNT (RM)

TOTAL -

STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

13.01.2023 NURJAYA TOMYAM - MAKAN KERJA MALAM TARIK PIPE 90.00


14.01.2023 NS NASI AYAM - KERJA TARIK PIPE 72.10

TOTAL 162.10

MEDICAL
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)

12.01.2023 YAZA ENGINEERING - BUANG TANAH KOTOT (1 TRIP) 200.00


18.01.2023 BUS TICKET FOR MOHAMAD HAIRI -GO TO HQ (PICK UP LORRY) 42.12
(FOR INSPECTION PUSPAKOM)

TOTAL 242.12
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : MUHAMMAD HAZIQ HAIKAL BIN YAZID
DEPARTMENT : UTILITIES CONSTRUCTION
POSITION : SITE UTILITIES ENGINEER
DURATION : JANUARY 2023

DESCRIPTION AMOUNT (RM) TOTAL (RM)

PETROL/DIESEL -
TOLL / PARKING -
MEDICAL FEE -
UPKEEP OF MOTOR VEHICLE -
SITE MATERIAL 233.30
TRAINING & COURSE -
STAFF REFRESHMENT 43.39
STAFF ACCOMODATION -
OTHERS -

GRAND TOTAL 276.69

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
PETROL/DIESEL
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

TOLL / PARKING
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

SITE MATERIAL
DATE DESCRIPTION AMOUNT (RM)

05.01.2023 CHIN BEE CHAN - PUR: CEMENT 6.00


16.01.2023 JJ MART - PUR: BATTERY PANASONIC 14.40
17.01.2023 CHIN BEE CHAN - PUR: 25L JERRY CAN 30.00
17.01.2023 ECONSAVE CASH&CARRY - PUR: ENERGIZER MAX ALKALIE 39.90
19.01.2023 GREEN APPLE STORE - PUR: RAINBOOTS 25.80
27.01.2023 MR.D.I.Y (M) SDN BHD - PUR: LONG ARM TORX KEY 35.40
PVC INSULATION TAPE
06.02.2023 G.U.S (TANJONG SEPAT) SDN BHD - PUR: ENERGIZER MAC 2C 14.50
11.02.2023 ECONSAVE CASH&CARRY - PUR: ENERGIZER MAX ALKALIE 26.80
11.02.2023 99 SPEED MART SB - PUR: 2 WAY SCREWDRIVER 3.40
11.02.2023 CHIN BEE CHAN - PUR: EVEREADY BATTERY 21.60
14.02.2023 ECONSAVE CASH&CARRY - PUR: ENERGIZER MAX ALKALIE 15.50
& SUPER INSTANT GLUE

TOTAL 233.30

TRAINING & COURSE


DATE DESCRIPTION AMOUNT (RM)

TOTAL -

STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)

31.01.2023 TAI HO - AIR MINERAL 12.00


02.02.2023 GUAN HUAT - DRINKING WATER 11.00
07.02.2023 MEGAMART SDN BHD - DRINKING WATER 12.99
11.02.2023 99 SPEEDMART - DRINKING WATER 7.40

TOTAL 43.39

MEDICAL
DATE DESCRIPTION AMOUNT (RM)

TOTAL -

OTHERS
DATE DESCRIPTION AMOUNT (RM)
TOTAL -
TERABAND SMART SOLUTION SDN. BHD. 202101008332 (1408631-K)
No. 26A, JALAN PUJ 1/18, TAMAN PUNCAK JALIL, BANDAR PUTRA PERMAI,
43300, SERI KEMBANGAN, SELANGOR DARUL EHSAN.
T: +603-8999 6239 M: +60 11-6239 9778 E: contact@teraband.com.my
W: www.teraband.com.my

CLAIM FORM
NAME : MUHAMMAD AMIRUL MUKMININ BIN SHAMSUDIN
DEPARTMENT : UTILITIES CONSTRUCTION
POSITION : PROJECT ENGINEER
DURATION : FEBRUARY 2023

DESCRIPTION AMOUNT (RM) TOTAL (RM)

HIRE TRACTOR & MACHINERIES 2,080.00


PETROL/DIESEL 130.00
TOLL / PARKING 70.00
MATERIAL ON SITE 240.50
UPKEEP OF MOTOR VEHICLE -
STAFF REFRESHMENT 124.30
STAFF ACCOMODATION -
OTHERS 113.30

GRAND TOTAL 2,758.10

SIGNATURE AND DATE NAME


CLAIMANT PREPARED BY :

HR & ADMIN MANAGER :

DIRECTOR/MANAGING DIRECTOR

APPROVED BY :
HIRE TRACTOR & MACHINERIES
DATE DESCRIPTION AMOUNT (RM)
2/8/2023 YAP POH MENG-CB 3976 (AMPANG PERDANA) 480.00
2/9/2023 YAP POH MENG-CB 3977 (AMPANG PERDANA) 480.00
2/17/2023 SOO CHIN SOON-CB 28896 (AMPANG PERDANA) 640.00
2/21/2023 SOO CHIN SOON-CB 28898 (AMPANG PERDANA) 480.00

TOTAL 2,080.00

PETROL
DATE DESCRIPTION AMOUNT (RM)
2/15/2023 DIESEL-HDD 35T-TEAM C 100.00
2/15/2023 PETROL-WATERPUMP-TEAM C 30.00

TOTAL 130.00

TOLL/PARKING
DATE DESCRIPTION AMOUNT (RM)

2/2/2023 REFILL TOUCH N GO (WNY 1494-VAN) 20.00


2/15/2023 REFILL TOUCH N GO (WNY 1494-VAN) 50.00

TOTAL 70.00

MATERIAL ON SITE
DATE DESCRIPTION AMOUNT (RM)
2/2/2023 THONG FATT HARDWARE TRADING-SPRAY CAT 10.00
2/8/2023 VINDECH HARDWARE-COTTON GLOVE-LEATHER GLOVE 40.00
2/8/2023 SONG FATT HARDWARE-HEX KEY 32.00
2/9/2023 STANDARD BOLT&NUTS SDN. BHD-M16X30 CAP SCREW 10.80
2/10/2023 THONG FATT HARDWARE TRADING-SPRAY CAT 10.00
2/10/2023 SONG FATT HARDWARE-GREASE 32.00
2/10/2023 CENTRAL BOLTS & NUT-M10X140 BOLT & NUTS 5.10
2/13/2023 SONG FATT HARDWARE-BLACK TAPE-NYLON TWIST 11.00
2/13/2023 THONG FATT HARDWARE TRADING-MATA GERGAJI BESI 5.00
2/14/2023 ECONSAVE-ENERGIZER 26.60
2/17/2023 SONG FATT HARDWARE-FIRE BIRD TORCH-BUTANE GAS 35.00
2/21/2023 SONG FATT HARDWARE-DRILL KEY 5.00
2/21/2023 SONG FATT HARDWARE-DRILL BIT-SLEEVE ANCHORS 18.00
TOTAL 240.50

UPKEEP OF MOTOR VEHICLE


DATE DESCRIPTION AMOUNT (RM)

TOTAL -

STAFF REFRESHMENT
DATE DESCRIPTION AMOUNT (RM)
2/15/2023 RESTORAN YASMINE-WORKER MEAL 26.30
2/15/2023 RESTORAN YASMINE-WORKER MEAL 20.00
2/15/2023 AL-AQSA BISTRO-WORKER MEAL 44.00
2/15/2023 AL-AQSA BISTRO-WORKER MEAL 34.00
TOTAL 124.30

OTHERS
DATE DESCRIPTION AMOUNT (RM)
2/4/2023 LILY WOOD MARKETING-SINGLE MATTRESS-PILLOW 70.00
2/20/2023 GRAP FROM STORE TO SITE AMPANG PERDANA 43.30

TOTAL 113.30

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