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Instructor Claim Form

Full Name: ____________________________________________________

Phone Number: _____________________________________________________

Bank Name: _____________________________________________________

Bank Acc Number: _____________________________________________________

Working Date: _____________________________________________________

Working Time: _____________________________________________________

Description: _____________________________________________________

_____________________________________________________

_____________________________________________________

_____________________________________________________

Signature: __________________________________

Date: __________________________________

For Official use


Hourly Rate: _____________________________________________________

Total working hour: _____________________________________________________

Total Amount: _____________________________________________________

Programme: _____________________________________________________

Approved by: _____________________________________________________

Signature: _____________________________________________________

Date: _____________________________________________________

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