EDARAN IT SERVICES SDN BHD
CLAIM FORM
Employee Name Designation Department/Project Office Base Period : : : : : Mohd Hezliluddin Bin Amir Ariffuddin Vice President - Pre Sales Sales Department EITS - Desa Pandan / HQ Aug-11
Details of Claim
1 2 3 4 5 6 7 Meal Allowance Accommodation Travelling Repair & Services Entertainment Medical Miscellaneous
Reference
( Schedule 1) ( Schedule 1) ( Schedule 1) ( Schedule 2) ( Schedule 2) ( Schedule 2) ( Schedule 2) 0.00 0.00 187.60 0.00 231.80 0.00 150.00
Total Expenditure Less : Cash Advance Balance Due To/(From) Employee
569.40
569.40
Prepared by:
Checked by :
Approved by :
(Mohd Hezliluddin Amir)
(Hj. Mustafa Rawther)
(Finance Manager/ General Manager)
No. 4 & 6, Jalan 4/76C, Desa Pandan, 55100 Kuala Lumpur. Tel : 603 - 9816631 Fax : 603 - 9841943
EDARAN IT SERVICES SDN BHD
Name : Mohd Hezliluddin Bin Amir Ariffuddin
Project/ Date Description Origin MONTH - YEAR 29/7/2011 Oracle / SOCSO - SSMIS Discussion 2/Aug/11 Kementrerian Penerangan Malaysia - Digital Archieving 3/Aug/11 4/Aug/11 5/Aug/11 11/Aug/11 12/Aug/11 16/Aug/11 16/Aug/11 18/Aug/11 18/Aug/11 23/Aug/11 SOCSO - Onsite Meeting (Checkpoint) HP Product Briefing - ECS MAMPU Tender Mtg with Microsoft SOCSO - Onsite Meeting (Checkpoint) RFP IT Helpdesk for RHB Workspace Online - Technical presentation HD Tech - Ramadhan IFTAR Oracle Training Sentral B - Exadata SOCSO - SSIMS RFI Closing SOCSO / SPD Mindef LOA Collection Office Office Office Office Office Office Office Office Office Office Office Office Destination Jln Tun Razak RTM - Pantai Dalam Bangsar Mid-Valley KL HP Tower KLCC Tower 2 Mid-Valley KL KL Sentral Getronics KL Sentral Getronics Tmn Melawati KL Sentral Jln Tun Razak Jln Tun Razak/ & Jln Padang Tembak Jln Raja Laut Jln Padang Tembak Return Office Office Office Office Office Office Office Office Office Office Office Office KM 15 30 30 30 10 30 17 17 12 17 15 25 Mileage Parking RM Toll RM
Schedule 1
Allowances/Accommodation/Travelling
Taxi RM
Others RM
23/Aug/11 24/Aug/11
EPF Tender briefing on DLP SPD LOA Reply Letter
Office Office
Office Office
10 10 268 @0.70 187.60 187.60 Total Travelling Expenses 0 0 0.00 0
Grand Total
187.60
EDARAN IT SERVICES SDN BHD
Name :
Schedule 2
Repair & Service/Entertaiment /Medical/Miscellaneous
Mohd Hezliluddin Bin Amir Ariffuddin
Project / Location Description (*) Entertaiment RM
Date Top Up Claims MONTH - YEAR 25/7/2011 29/7/2011 8/Jun/11
Repair & Services RM
Medical RM
Miscellaneous RM
SOCSO - Lunch *Net RFI SOCSO - Berbuka Puasa on SOCSO *Net RFI
Hand Phone Allowance Customer/ & Partner Oracle - SOCSO SSIMS Customer/ & Partner Oracle - SOCSO SSIMS
150.00 48.50 183.30
Total (RM):
231.80
0.00
0.00
150.00
(*) Please refer attachments
150.00
RECEIPT FOR PARKING / TOLL / TAXI / REPAIR & SERVICE / ENTERTAINMENT / MEDICAL / MISCELLANEOUS