3E8430LBI - Microsoft

APPLICATION FOR BUSINESS TRIP

PERMOHONAN PERJALANAN DINAS

Employee No. (ID)* PT. Microsoft Indonesia

Homebase* SORONG , PAPUA Department* Microsoft
Project Name*
Name* Nama ARMAND
Hand Phone No. 08119443322
Destination*
Position Area suppervisior
Tujuan waisai
Travelling Service
Kendaraan yang digunakan kapal laut
Purpose
Cash Advance (Rp.) - (If required) Rp 1,710,000
Keperluan visite store
Departure Date
04 Juni 2015
Tgl Keberangkatan Duration
3 hari
Arrival Date Tanggal Lamanya
06 Juni 2015
Kedatangan
Applied by Approved by Acknowledged by
Diajukan oleh Disetujui oleh Diketahui oleh

(ARMAND) (Line Manager) (Regional Project Manager)

Please transfer to (for advance) :

Name of Bank & Branch
Name of Employee Amount Transferred (Rp.) Bank Account No.
Address
ARMAND BCA Rp 1,710,000 0255483698

Flight Ticket / Hotel Reservation

Flight Ticket Hotel
Booking Code (1) - Own Booked or Booked by Company Reservation No. (1) - Own Booked or Booked by Company
Date & Flight No. : Check-in date : 04 Juni 2015
Destination : Check-out date : 06 Juni 2015
Date & Flight No. : Hotel Name : Penginapan Waisai Indah
Destination : Hotel Area : Waisai , papua Barat
Invoice No : Invoice No :
Price : Price : 700,000
Booking Code (2) - Own Booked or Booked by Company Reservation No. (2) - Own Booked or Booked by Company
Date & Flight No. : Check-in date :
Destination : Check-out date :
Date & Flight No. : Hotel Name :
Destination : Hotel Area :
Invoice No : Invoice No :
Price : Price :

Trip details (should be fill in, if cash advance required) Rp 1,710,000

Meal Allowance Rp 150,000

Taxi (Home - Airport - Hotel - Airport - Home) Rp 200,000
Gasoline Rp 100,000
Toll & Parking
Rent Car/motor cycle Rp 300,000
Public Transportation Rp 260,000

KETERANGAN PERJALANAN DINAS MDS

Tanggal Nama Toko Tujuannya
05 juni 2015 Agung celluler Kunjungan Rutin
05 juni 2015 Polaris selluler Kunjungan Rutin

3E8430LBI - Microsoft
 3E8430LBI - Microsoft

Note: BTA yang di gunakan untuk ijin beli ticket dan pemesanan hotel wajib di lampirkan pada saat claim perjalanan dinas.

3E8430LBI - Microsoft
 APPLICATION FOR BUSINESS TRIP
PERMOHONAN PERJALANAN DINAS

Employee No. (ID)* PT. Microsoft Indonesia

Homebase* SORONG , PAPUA Department*
Project Name*
Name* Nama ARMAND
Hand Phone No.
Destination*
Position
Tujuan waisai
Travelling Service
Kendaraan yang digunakan kapal laut
Purpose
Cash Advance (Rp.) - (If required)
Keperluan visite store
Departure Date
11 Juni 2015
Tgl Keberangkatan Duration
Arrival Date Tanggal Lamanya
13 Juni 2015
Kedatangan
Applied by Approved by Acknowledged by
Diajukan oleh Disetujui oleh Diketahui oleh

(ARMAND) (Line Manager) (Regional Project Manager)

Please transfer to (for advance) :

Name of Bank & Branch
Name of Employee Amount Transferred (Rp.)
Address
ARMAND BCA Rp 1,710,000

Flight Ticket / Hotel Reservation

Flight Ticket Hotel
Booking Code (1) - Own Booked or Booked by Company Reservation No. (1) - Own Booked or Booked by Company
Date & Flight No. : Check-in date :
Destination : Check-out date :
Date & Flight No. : Hotel Name :
Destination : Hotel Area :
Invoice No : Invoice No :
Price : Price :
Booking Code (2) - Own Booked or Booked by Company Reservation No. (2) - Own Booked or Booked by Company
Date & Flight No. : Check-in date :
Destination : Check-out date :
Date & Flight No. : Hotel Name :
Destination : Hotel Area :
Invoice No : Invoice No :
Price : Price :
Trip details (should be fill in, if cash advance required)

Meal Allowance
Taxi (Home - Airport - Hotel - Airport - Home)
Gasoline
Toll & Parking
Rent Car/motor cycle
Public Transportation

KETERANGAN PERJALANAN DINAS MDS

Tanggal Nama Toko Tujuannya
12 juni 2015 Agung celluler Kunjungan Rutin
12 juni 2015 Polaris selluler Kunjungan Rutin

Note: BTA yang di gunakan untuk ijin beli ticket dan pemesanan hotel wajib di lampirkan pada saat claim perjalanan dinas.
SS TRIP
N DINAS

soft Indonesia
Microsoft

08119443322

Area suppervisior

Rp 1,710,000

3 hari

Acknowledged by
Diketahui oleh

(Regional Project Manager)

Bank Account No.

0255483698

Hotel
Booked or Booked by Company
11 Juni 2015
13 Juni 2015
Penginapan Waisai Indah
Waisai , papua Barat

700,000
Booked or Booked by Company
 Rp 1,710,000

Rp 150,000
Rp 200,000
Rp 100,000

Rp 300,000
Rp 260,000

Tujuannya

pirkan pada saat claim perjalanan dinas.

 APPLICATION FOR BUSINESS TRIP
PERMOHONAN PERJALANAN DINAS

Employee No. (ID)* PT. Microsoft Indonesia

Homebase* SORONG , PAPUA Department*
Project Name*
Name* Nama ARMAND
Hand Phone No.
Destination*
Position
Tujuan waisai
Travelling Service
Kendaraan yang digunakan kapal laut
Purpose
Cash Advance (Rp.) - (If required)
Keperluan visite store
Departure Date
25 Juni 2015
Tgl Keberangkatan Duration
Arrival Date Tanggal Lamanya
27 Juni 2015
Kedatangan
Applied by Approved by Acknowledged by
Diajukan oleh Disetujui oleh Diketahui oleh

(ARMAND) (Line Manager) (Regional Project Manager)

Please transfer to (for advance) :

Name of Bank & Branch
Name of Employee Amount Transferred (Rp.)
Address
ARMAND BCA Rp 1,710,000

Flight Ticket / Hotel Reservation

Flight Ticket Hotel
Booking Code (1) - Own Booked or Booked by Company Reservation No. (1) - Own Booked or Booked by Company
Date & Flight No. : Check-in date :
Destination : Check-out date :
Date & Flight No. : Hotel Name :
Destination : Hotel Area :
Invoice No : Invoice No :
Price : Price :
Booking Code (2) - Own Booked or Booked by Company Reservation No. (2) - Own Booked or Booked by Company
Date & Flight No. : Check-in date :
Destination : Check-out date :
Date & Flight No. : Hotel Name :
Destination : Hotel Area :
Invoice No : Invoice No :
Price : Price :
Trip details (should be fill in, if cash advance required)

Meal Allowance
Taxi (Home - Airport - Hotel - Airport - Home)
Gasoline
Toll & Parking
Rent Car/motor cycle
Public Transportation

KETERANGAN PERJALANAN DINAS MDS

Tanggal Nama Toko Tujuannya
26 juni 2015 Agung celluler Kunjungan Rutin
26 juni 2015 Polaris selluler Kunjungan Rutin

Note: BTA yang di gunakan untuk ijin beli ticket dan pemesanan hotel wajib di lampirkan pada saat claim perjalanan dinas.
SS TRIP
N DINAS

soft Indonesia
Microsoft

08119443322

Area suppervisior

Rp 1,710,000

3 hari

Acknowledged by
Diketahui oleh

(Regional Project Manager)

Bank Account No.

0255483698

Hotel
Booked or Booked by Company
25 Juni 2015
27 Juni 2015
Penginapan Waisai Indah
Waisai , papua Barat

700,000
Booked or Booked by Company
 Rp 1,710,000

Rp 150,000
Rp 200,000
Rp 100,000

Rp 300,000
Rp 260,000

Tujuannya

pirkan pada saat claim perjalanan dinas.

Please transfer to (for advance) P6-2015 :
Name of Bank & Amount Transferred
Name of Employee
Branch Address (Rp.)
ARMAND BCA Rp 5,130,000
2015 :
Bank Account No.

0255483698