3E8430LBI - Microsoft

APPLICATION FOR BUSINESS TRIP

PERMOHONAN PERJALANAN DINAS

Employee No. (ID)* PT. Microsoft Indonesia

Homebase* Sorong Department* Microsoft
Project Name*
Name* Nama ARMAND
Hand Phone No. 08119443322
Destination*
Position Area suppervisior
Tujuan Makassar
Travelling Service
Kendaraan yang digunakan Pesawat
Purpose
Cash Advance (Rp.) - (If required) Rp 500,000
Keperluan Mudik Lebaran
Departure Date
Tgl Keberangkatan Tgl 19 Juli 2015 Duration
Arrival Date Tanggal Lamanya
Kedatangan Tgl 26 Juli 2015 7 Hari
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 500,000 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 :
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) 500,000

Meal Allowance
Taxi (Home - Airport - Hotel - Airport - Home) 500,000
Gasoline
Toll & Parking
Rent Car
Public Transportation

3E8430LBI - Microsoft
 3E8430LBI - Microsoft

Remarks :
Perjalanan Mudik dengan Anak dan Istri

Remarks :
Perjalanan Mudik dengan Anak dan Istri

3E8430LBI - Microsoft
 3E8430LBI - Microsoft

Business Travel Report

Employee Data
Name* :
Employee No :
Position :
Department* :
Homebase * :
:
: -
: -
For Flight Ticket & Accommodation, in remark coloumn, please write :
Company (if expense paid by company) , 3 : Booked by third party (if expense paid by 3rd party) , 4 : Paid by Credit Card (if expense paid by Cl

Travel Data D
No. Destination / Project Date
Name of Area : Daily Allowance
1 Dep. date : 26-Dec-14 Time :
Arr. date : 28-Dec-14 Time :
Name of Area :
2 Dep. date : Time :
Arr. date : Time :
Name of Area : Accommodation
3 Dep. date : Time :
Arr. date : Time :
Name of Area :
4 Dep. date : Time :
Arr. date : Time : Transportation (for flight ticket only)
Name of Area :
5 Dep. date : Time :
Arr. date : Time :
Name of Area : Local Transportation (Car rental, speedbo
6 Dep. date : Time :
Arr. date : Time :
Name of Area :
7 Dep. date : Time :
Arr. date : Time :
Name of Area : Gasoline / Parking / Toll
8 Dep. date : Time :
Arr. date : Time :
Name of Area :
9 Dep. date : Time :
Arr. date : Time : Communication (fax, internet, post, couri
Name of Area :
10 Dep. date : Time :
Arr. date : Time :

3E8430LBI - Microsoft
 3E8430LBI - Microsoft

Name of Area :
11 Dep. date : Time : Others
Arr. date : Time :
Name of Area :
12 Dep. date : Time :
Arr. date : Time :

BALANCE = (+)
Submitted by : Approved by :

Name (Employee) Line Manager

3E8430LBI - Microsoft
 3E8430LBI - Microsoft

ss Travel Report
Duration of Travel
Name of Project* :
Name of Region* : -
Dep. date/time* : /
Arr. date/time* : /
Annual leave taken during the trip: Days

Cash Advance Taken (Rp.) 500,000

1 : Own Booked (if expense paid by your self) , 2 : Booked by

id by Credit Card (if expense paid by Client's credit Card)

Description of Settlement
Remarks Amount (IDR)
wance 0.00

odation 0.00
0

ation (for flight ticket only) 0.00

nsportation (Car rental, speedboat, motor, etc.) 0.00

/ Parking / Toll -

-
-
-
cation (fax, internet, post, courier, etc.) -

-
-

3E8430LBI - Microsoft
 3E8430LBI - Microsoft

-
0.00

-
-
-
Total Expenses 0.00
BALANCE = (+) if to be paid out to employee & (-) if to be return to company (500,000.00)
Approved by : Checked by :

Line Manager IMS (Branch off PIC)

3E8430LBI - Microsoft
 3E8430LBI - Microsoft

Date
/ / / / / / / / / /
Gasoline
Parking
Toll

3E8430LBI - Microsoft
 3E8430LBI - Microsoft

Date
/ / / / / / / / Total
-
-
-
-

3E8430LBI - Microsoft
DATA KARYAWAN MUDIK
No. Nama Status Tempat tanggal Lahir
1 ARMAND Suami 12 Oktober 1985
2 Nurliah Istri 20 Juni 1989
3 Afifah Khairunnisa Anak 21 Januari 2014

Plant Mudik :
Berangkat Sorong - Makassar , Tgl 19 July 2015
Kembali Makassar - Sorong , Tgl 26 July 2015
 No. Tlpn Alamat
Jl. Malino , Km. 30 , Desa Bili Bili
08119443322 Kec. Bonntomarannu , Kab. Gowa
- Makassar , Sulawesi selatan