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Document number FRM-CNB-02-00

BUSINESS TRIP EXPENSES REPORT Created date 01 June 2022


(LPPD) Revision to 00
Number of page 1

No. /PETS-SITE/SPPD/IX/2019
Name/ID :

Position/Grade : Bank :

Department : Branch :
Departure date : Time: Account number :
Return date : Time: Total : Rp.

Charges by PT :

Cash Advance Amount (if


: Spelled:
any)
(cash advance nominal is filled in by cash advance user)

NO EXPENDITURE DETAILS TOTAL (Rp) COST CODE NOTE

TOTAL
CASH ADVANCE (IF ANY)
*BALANCE or Difference of Less/More*

Prepared by: Acknowledge by: Checked by: Approved by:

Employee Related Supervisor HR Supervisor Head of Finance Department

Note :
* Cross the unnecessary ones
This form must be accompanied by an Business Trip Order & a copy of the cash advance application (if any)

Employees LPPD must be acknowledged by their supervisors at least Dept Manager

Especially for overseas business trip, the Business Trip Expenses Report must be signed by the relevant Board of Directors
The Business Trip declaration must be made a maximum of 14 (fourteen) working days after the Business Trip, by submitting the LPPD to the Dept. Finance

This publication may not be reproduced, stored in the system, transferred in any form by any means, electronic, mechanical, photocopying,
recorded or otherwise without the permission of PT PUNCAK EMAS TANI SEJAHTERA.

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