GUPPY PLASTIC INDUSTRIES SDN. BHD.

OUTSTATION ALLOWANCE CLAIM FORM

Employee Name : _______________________________________________________________

Employee No. : ___________________ Department : ______________________________

Date of Outstation : _________________ to : _________________ No of Days : _____________

Destination : ___________________________________________________________________

Reason : ______________________________________________________________________

Details :

Transportation
Mileage
Tolls
Parking Fee

Accommodation

Meal Allowance
Breakfast
Lunch
Dinner

Special Allowance:
Local
Oversea

Total

Signature : _______________________ Date : ______________________

Approved by : ____________________ (Superior) Date : ______________________

For HRD/Payroll :

Approved Claim Amount : ____________________

Verified by : _______________________________