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CLAIM FORM

CLAIMED BY : Shahid Amirul bin Shari


DESIGNATION : Internship
MONTH CLAIM : Disember
DATE : 1/12 –
21/12
ACCT NO. & BANK : 156169385578 (Maybank) / 06082023714732 (Bank Islam)
IC NO. : 020314-16-0129
PARTICULARS AMOUNT (RM)
1. 1 Dis 2022 ( Office – KLN ) 15
2. 2 Dis 2022 ( Office – KLN ) 15
3. 5 Dis 2022 ( Office – KLN ) 15
4. 6 Dis 2022 ( Office – KLN ) 15
5. 7 Dis 2022 ( Office – KLN ) 15
6. 8 Dis 2022 ( Office – KLN ) 15
7. 9 Dis 2022 ( Office – KEMAS HQ ) 15
8. 21 Dis 2022 ( Office – KLN ) 15

TOTAL : RM 120
Fill in this portion if previous advance was made Claim by :

Amount Advanced RM
Recommended by :
Amount Spent RM
Amount Due / Refund RM
Approved by :

Note : Supporting documents must be submitted together with this claim form.

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