Personal Expense Claim (PEC) Form

PT. GREEN ASIA FOOD INDONESIA

Name: Muhammad idris Department: Sales Designation: BDM Jakarta Date: 7-Feb-22 (dd/mm/yy)

Mileage*/Public Transport
Date Fuel/ Tol/ Mobile Phone #Exchange
No. Business Purpose/Full Description of Claim Project Name Mileage Meal Others Subtotal #Total in IDR
(dd/mm/yy) From To Amount Parking Charges Rate
(KM Claimed)

10-Jan-22 Spanduk Q1 2022 99,000 - 99,000

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To be filled by Finance
To be filled by Requesting Group/Department To be filled by HR Departments To be filled by GM
Departments Total Claimed Expenses in IDR(employee): 99,000.00
Submitted by Verified by Department Manager Verify by HR Department Verify by Finance Manager Approved by GM

(Name/signature/date)