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Reimbursement Form: Details of Expences

Hendry Hernowo is requesting reimbursement of 700,000 Rupiah for travel expenses from Magelang to Jakarta to attend a Joint Selection Team interview on July 24, 2019. The expenses include 400,000 Rupiah for a train ticket from Kutoarjo station to Jakarta and 300,000 Rupiah for a train ticket from Magelang to Kutoarjo. He provides his name, contact details, bank account information at Bank Mandiri under the name of Hendry Hernowo, and notes that original receipts and a bank book copy must be submitted with the reimbursement form.

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Andi Fadhillah
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35 views1 page

Reimbursement Form: Details of Expences

Hendry Hernowo is requesting reimbursement of 700,000 Rupiah for travel expenses from Magelang to Jakarta to attend a Joint Selection Team interview on July 24, 2019. The expenses include 400,000 Rupiah for a train ticket from Kutoarjo station to Jakarta and 300,000 Rupiah for a train ticket from Magelang to Kutoarjo. He provides his name, contact details, bank account information at Bank Mandiri under the name of Hendry Hernowo, and notes that original receipts and a bank book copy must be submitted with the reimbursement form.

Uploaded by

Andi Fadhillah
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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Reimbursement Form

Name Hendry Hernowo


Mobile Number 0852 9221 7551
Email Address hendryhernowo@gmail.com

Event Joint Selection Team (JST) Interview Intake 2020


Location IALF Jakarta
Date July 24, 2019

Details of Expences
Ticket* (Plane/Train/Bus/Etc)
From Magelang (the nearest train station is Kutoarjo (KTA))
To Jakarta

Taksaka (KTA-GMB) Rp 400,000.00


Sawunggalih (PSE-KTA) Rp 300,000.00
Total Rp 700,000.00

Total Reimbursement Rp 700,000.00

Bank Information
Bank Bank Mandiri
Branch KCP Jakarta Rasuna Said
Account # 124-00-0777568-8
Account Name Hendry Hernowo

Prepared by, Approved by,

Hendry Hernowo Daniel Gunawan

Please note the followings:


1. Submit original receipts of expenses related to your transportation to arrival city
(Plane/Train/Bus/Etc) - taxi is not accepted
2. Submit the copy of your bank’s account (Bank Book)

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