SPX ID :

PLATE NUMBER : Form: ECSB/004

Expenses Claim Form Expense Period

From:

Employee’s details To:

Full name:
Hub:
Position:
Contact phone number:

No. Date Description Total Parcel (pcs) Cost (RM) TOTAL ALL PARCELS (PCS)
1
2
3
4
5
6 TOTAL ALL CLAIMS (RM)
7
8
9
10
11
12
13
14
15
16
Total
NOTE: Kindly attach all your receipts. /
/

Signature of employee: Date:____/ /_____ Checked by admin:

Approval Signature: Date:____/ /_____ Date:____/ /_____