CLM-FIN-FORM-06-2019-REV C

CKM LANDAS MRO SDN BHD (1099467-K)

Suite 9-3 & 9-3A, Level 9, Menara CIMB, No.1, Jalan Stesen Sentral 2, KL Sentral, 50470 Kuala Lumpur
Tel : 603-2276 1678 Fax : 603-2276 3375

CLAIMS FORM

Claim Date : 10.04.2019 Payment Voucher No :

Name of Claimant : Muhammad Zuraidi Bin Roslan (For Finance Use Only)
Staff No. : CLM 105
Department : BDD F&AD IMD MAIN-SCS MAIN-LRV

(A) EXPENSES CLAIM

Currency
Incurred Date
Code Descriptions Total Amount
Of Expenses
RM RMB or Others
E01 04.02.2020 Summer Drinking Water (99 Speed Mart) 28.80

E02 11.02.2020 Summer Drinking Water (99 Speed Mart) 28.80

E03 14.02.2020 Summer Drinking Water (99 Speed Mart) 14.40

E04 17.02.2020 Summer Drinking Water (99 Speed Mart) 14.40
E05 18.02.2020 Summer Drinking Water (99 Speed Mart) 28.80

E06 25.02.2020 Summer Drinking Water (99 Speed Mart) 14.40

E07

E08

Subtotal (A) 129.60

Parking/ Local Public

Code Mode of Travel Notes RM/km
Toll Transport
Maximum of
CA Car 1.00 √ x
100km per way
MO Motorcycle x 0.50 √ x
(B) TRAVELLING CLAIM LP Local Public Transport x x x √

Overseas Travelling Local Outstation Travelling

Currency
Date Place No. of Total
Code Category of Claim Total Amount
Departure Return From To Day Mileage RM RMB or Others

Subtotal (B) -
TOTAL (A+B) : 129.60

**Actual Amount Approved is only applicable when the travelling expenses claim has exceeded company standard and such exceeded amount
must be approved by The General Manager.

--------------------------------------------------------------For Finance Use Only----------------------------------------------------------------------

Currency Amount Foreign Exchange Rate Total (RM)
RM

RMB / Others

TOTAL (A+B)

Prepared By Verified By Approved By

Name : Muhammad Zuraidi B. Roslan Name : Mohd Johanif Bin Mohamed Name : Wan Kai
Nadzirin
Date ： 10.04.2020 Date ： Date ：