Administrative Measures for Expenditure

Attachment 5

Application Form for Official Trip

Name MUHAMMAD HILMI
Application
Department / Division
PO
Position LAB ENGINEER

Project Description Training / Meeting / Business trip / Other

Purposes ATTENDING MEETING WITH PHE OSES

Number(s) of
To Country / City RANCAMAYA BOGOR 1 (ONE)
person(s)

Departure Date 9 APRIL 2021 Return Date 10 APRIL 2021

Route JAKARTA - RANCAMAYA - JAKARTA

Comments of
Department / Division
Date:

Comments of HR
Date:

Approval by
President Director
Date:

Remark Employee out of country should prior approval.

PT. COSL INDO/FC-W-02-2013 Page 13 of 14

 Administrative Measures for Expenditure

Attachment 4

List for Reimbursement of Expenses from Business Trip Personnel

Employee going business trip: Date of going business trip:

Actual
Standard Standard
Payment Conversion
Items/Amount Days Persons (Original Amount Remarks
(Original of Money
Currency) (Total)
Currency)
9 & 10
Trip Allowance 2 1 APRIL 2021

Breakfast -

Lunch -

Dinner 1 1 9 APRIL 2021

Miscellaneous
1 1
Expenses

Accommodation -

Petty Cash -

Others -

Total

Exchange Rate: Date of Reimbursement: 12 APRIL 2021

Checked by: Prepared by: MUHAMMAD HILMI

Approved by:

PT. COSL INDO/FC-W-02-2013 Page 12 of 14