For Office Use Only

CAREER CHANNEL SDN BHD - CLAIMS FORM

Date

EMPLOYEE INFORMATION:
Name Date

Janice Chong
Mileage Parking Phone

Position Medical

Principal Consultant
Entertainment Misc.

Claims Month November 2011

Remarks/Comments Total

9/11/2011 9/11/2011 8/11/2011 10/11/2011 17/11 $ 35.00 $ 88.05

$ $

143.10 for Sharon & FMM Directory for office $ 14.90 for office $

143.10 14.90 88.05 1,100.00 35.00 -

welcome lunch for sharon & usha $ $ 1,100.00 Jaimie & Janice $ $ $ $ $ $ $ $ $ $ $

35.00

88.05

1,258.00

Subtotal $ Advances $ 1,381.05 1,381.05

APPROVED:

NOTES:

Total $

*Note: All expense claims must have supporting documents. If no document is attached, the expense must be initialled by your Superior The due date for claims is the 20th of each month or the next working day