TRAVELLING CLAIM FORM

Name Staff ID Designation Department

SUHAILIZAM BIN JUMAAT AK 003 Please

AK select
Learning

For Set up AK Learning to be Approve Training Center Under JPK

Reason for travelling

Is Accommodation required? Is Advance is required, please fill Advance Form

Yes☐ No ☐ Yes ☐ No ☐

DETAILS OF JOURNEY
Transport Others
Particular / Details
Date Time Accom. Sub. (parking, Amount
of travelling
Km RM Toll etc.)

22-Dec-22 Meeting Pengurusan 262 0.80 0.00 0.00 20.00 229.60

26-Dec-22 Meeting CTRM

262 0.80 0.00 0.00 20.00 229.60
request Audit

30-Dec-22 Set up Equip and

262 0.80 120.00 0.00 20.00 349.60
Audit CTRM

14-Jan-22 Set up Equipment 262 0.80 0.00 0.00 20.00 229.60

18-Jan-23 Meet CTRM to

discuss part form 262 0.80 0.00 0.00 20.00 229.60
training

28-Jan-23 Ffinal preparation

audit
262 0.80 120.00 0.00 20.00 349.60
(documantation and
SOP)

2-Feb-23 Audit From JPK 262 0.80 120.00 0.00 20.00 349.60

Less Advance taken (if any)

Net Claim / Refund 1967.20

Claimant: Verified: Approved:

(Signature & date) (Signature & date) (Signature & date)

Name;
Suhailizam Bin Jumaat Name & Stamp Name & Stamp
NOTE: Forward completed form, including all required attachments (original receipts)

Revision 01 AK/FORM04