Gen Claim Form Format
Gen Claim Form Format
Gen Claim Form Format
STAFF NUMBER
COST CENTRE Please Select DATE SUBMITTED Use Only
NETWORK NO./ ACT LOCAL MILEAGE/ PARKING & HANDPHONE MEDICAL/ MISCELLANE
DATE REASON FOR EXPENDITURE TRAVELLING ENTERTAINMENT TOTAL GL (MISC)
SERVICE ORDER CODE MATERIAL PETROL TOLL BILL DENTAL OUS
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
TOTAL AMOUNT CLAIM : 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
STAFF RELATED 412100 436971 436442-local 436975 E-436221 (50%) 436450 444200
436995-osea N-436216 (0%)
OPERATIVE RELATED 412100 436970 416510 436993 436652 - 50% 436451 444200
ACTIVITY TYPE (If charge to Network) 2120 2290 2290 2290 2290 N/A N/A
SUBMITTED BY CHECKED BY (Department)
SUB-TOTAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
STAFF RELATED 436442-local 436971 436975 436442-local External customer-436221 436217 436450 444200
436995-osea 436995-osea Internal staff-436216
OPERATIVE RELATED 416510 436970 436993 416510 436241 436654 436451 436244
ACTIVITY TYPE (If charge to Network) 2290 2290 2290 2290 2290 2290 2290 2290
Travel Mode
Hotel Estimation of Cost Incur
Travelling (Flight / Budgeted Cost
Traveller Name Department Purpose of Travel Travel From Travel To Arrangement (include Hotel, Flight, Meal)
Date Train / Bus / **for oversea travel only**
(Yes / No) ** For oversea travel only **
Own Vehicle)
Requested By : 1st Level Approver : Line Manager 2nd Level Approver : Head of Department 3rd Level Approver (required for oversea travel) : Managing Director
Notes :
1. No trip is to commence without the approval of the Line Manager and Head of Department (For oversea travel, Managing Director approval is required)
2. When submit travel expenses claim form, please attach with
i) a copy of this approved form
ii) boarding pass (for flight travelling)