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Claim Form Jta 1

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0% found this document useful (0 votes)
21 views1 page

Claim Form Jta 1

fg

Uploaded by

unitedsports.biz
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Expenses Claim Form Form: ECSB/004

Expense Period
From: 21/2/24

Employee’s details To: 20/3/24

Full name: MOHD FADHLI AIMAN BIN SHAMSURI


Hub: JITRA

Position: DRIVER

Contact phone number: 0107905490

No. Date Description Category Cost (RM) No Invoice


1 22/2 PETROL RECEIPT / PERSONAL CAR CAR NO : KCS9223 189 50 01004344052
2 25/2 PETROL RECEIPT / PERSONAL CAR CAR NO : 159 50 01004347201
3 28/2 PETROL RECEIPT / PERSONAL CAR CAR NO : 224 50 01004350512
4 2/3 PETROL RECEIPT / PERSONAL CAR CAR NO : 225 50 01004353745
5 4/3 PETROL RECEIPT / PERSONAL CAR CAR NO : 73 50 01004956490
6 6/3 PETROL RECEIPT / PERSONAL CAR CAR NO : 215 50 01004358545
7 8/3 PETROL RECEIPT / PERSONAL CAR CAR NO : 104 50 01004360952
8 11/3 PETROL RECEIPT / PERSONAL CAR CAR NO : 155 50 01004364256
9 14/3 PETROL RECEIPT / PERSONAL CAR CAR NO : 187 50 01004367006
10 17/3 PETROL RECEIPT / PERSONAL CAR CAR NO : 169 50 01004369897
11 19/3 PETROL RECEIPT / PERSONAL CAR CAR NO : 120 50 01004372321
12 20/3 PETROL RECEIPT / PERSONAL CAR CAR NO : 83 50 01004373574
13 PETROL RECEIPT / PERSONAL CAR CAR NO :
14 PETROL RECEIPT / PERSONAL CAR CAR NO :
Total 1903 RM600 0.00
NOTE: Kindly attach all your receipts. /
/

Signature of employee: Date: 23/3/24 Checked by admin:

Approval Signature: Date: Date:

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