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EAC

EXPENSE / ADVANCE CLAIM FORM

Name: Abu Talib Othman


Designation: Dean
Dept./Faculty: Head of Campus

DATE PARTICULARS AMOUNT


(Please attach original receipts) RM
7/9/2019 Payment for Publication Fee (€1,155 = RM 5592.76)
EURASIP Journal on Wireless Communications and Networking, Springer Nature Switzerland 5592.76

Total 5,592.76
Less Advance Taken (if any)
*Net Claim / Refund 5,592.76

FOR ADVANCE REQUISITION ONLY

DATE PARTICULARS
(Please attach copy of Purchase Requisition)

Total Advance Required

BUDGET ALLOCATION (For non-PR item e.g. medical)


Account Description Budgetted Committed Amount Budget Remarks

Code Amount to Date Required Balance

(RM) (RM) (RM) (RM)

Claimant / Applicant: Verified / Recommended by: Approved by:

Name: Name: Name:


Designation: Designation : Designation :
Date: Date: Date:

FOR FINANCE USE FOR HRD USE RECEIVED BY:

(Advance Requisition Only) (Medical / Maternity Only)


Approved by: Approved by:

Name: Name: Name:


Designation: Designation: Designation:
Date: Date: Date:

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