REFUND PROCESSING FORM

DATE : 20-Jun-23

FROM Name:SYAHMI RAMZI

Dept: NATIONAL

To : Refund Officer

Re : Submission for Refund

With reference to the above, we enclose herewith the original documents for your action.
We confirm that the calculation is correct and will be responsible for any miscalculation on my part.

Document Details
Passenger Name : RAMASAMY/KARTHI MR
Invoice Number: SHI0838126
Ticket No: 2329669555718
Original Sector : LBU - BKI - KUL
Used Sector:

Reason For Refund Tick (x) approriate column

Voluntary Refund : ( ) plse attached printout fare calculation together with tax
Involuntary Refund: ( ) return flight cancelled by airlines
Waiver Code : ( ) System Approval By Authoriser
Approve Credit Note
(system approval according to FAM polic
Refund Calculation MYR MYR
Selling Price Payment Instruction
Airline Nett/Gross Fare: 482.00 Fare : 545 Payee name:
Less Used Fare : Tax : 110.42 (as per invoice)
655.42
Add Refundable Tax: 106.64 Less DIALOG E & C SDN BHD
Used Fare : 0
Less Airline Charges Used Tax : 0 Refund Amount :
Cancellation/Admin Fees : 250.00
No show Fees: 0.00 Airline Charges 250 Mode of refund : Plse (X)
Airline Penalty : 0.00 0
Recall Commission : 0.00 Fulfillment Fees 50 Cheque
Others HTT Handling Fees : 30 Bank Account No.
Refundable amount 338.64 Other Fees : Bank Name:
from Airlines : Accountholder Name
Amt Refund to pax : 325.42 (plse submit supporting doc if differ from

Refundable tax Credit card (last 4 digits):

(Breakdown) : (pls insert full card details into SF)
(revert to originated card)
Remark :
Credit Note
 (To retain for further instruction)
P/S -Plse advise customer in writing that waiver ticket will takes more than 6 months to process.
Confirm all dues are fully
settled ?

Submission by: Verify By: Yes

Not Yet
Name : SYAHMI RAMZI Name :
horiser

ng to FAM policy)

E & C SDN BHD

325.42

doc if differ from Invoice)

XXXX6491
s into SF)
uction)

X
WETR*2
ELECTRONIC TICKET RECORD CRS CODE:7766
INV: CUST:0D0039 PNR:DCJMZH
TKT:2329669555715 ISSUED:13JUN23 PCC:C5S8 IATA:20300394
NAME:MOHDYACOB/RAHMATBINMR
NAME REF: TOUR ID:MYA8X1023
FORM OF PAYMENT FCI: 4
1 INVAGT
CPN A/L FLT CLS DATE BRDOFF TIME ST F/B STAT
1 MH 3048 Y 16JUN LBUBKI 1955 OK YWINGS/A8X OPEN
NVB: NVA:31JAN24 BAG:25K
2 MH 2639 S 16JUN BKIKUL 2145 OK SBX1YMY/A8X OPEN
NVB:16JUN23 NVA:16JUN23 BAG:25K

FARE MYR482.00
TOTAL MYR588.64

FARE CALCULATION
LBU MH BKI131.00MH KUL351.00MYR482.00END

TAX BREAKDOWN
TAX 11.00MY TAX 32.64D8 TAX 1.00H8 TAX 62.00YQ
TAX 22.00MY TAX 21.87D8 TAX 2.00H8 TAX 24.00YQ
A5H H-I/-----15JUN23/CHRIS-----
A5H H-I/WANI REQ CANX LBU-BKI-KUL ON 16JUN N SEND FOR REFUND
XS MH3048Y 16JUN LBUBKI*SS/HK3 1955 2030 /DCMH*6R24EG/E
XS MH2639S 16JUN BKIKUL*SS/HK3 2145 0020 17JUN 6
/DCMH*6R24EG/E
X3S* SSR TKNE MH HK1 LBUBKI3048Y16JUN/2329669555715C1
-MOHDYACOB/RAHMATBINMR
X3S* SSR TKNE MH HK1 LBUBKI3048Y16JUN/2329669555717C1
-LAWRENCE/ROBERTOANAK MR
X3S* SSR TKNE MH HK1 LBUBKI3048Y16JUN/2329669555718C1
-RAMASAMY/KARTHI MR
X3S* SSR TKNE MH HK1 BKIKUL2639S16JUN/2329669555715C2
-MOHDYACOB/RAHMATBINMR
X3S* SSR TKNE MH HK1 BKIKUL2639S16JUN/2329669555717C2
-LAWRENCE/ROBERTOANAK MR
X3S* SSR TKNE MH HK1 BKIKUL2639S16JUN/2329669555718C2
-RAMASAMY/KARTHI MR ¥

MD«

R- C/WANI 1726HRS 15JUN23 ¥

3T0I 3T0I*AC2 0426/15JUN23
V FARE BASIS AP FARE-OW FARE-RT BK SEASON MINMAX RTG
1 ¤ YWINGS - 137.00 274.00 Y --- -/ - 5007
PASSENGER TYPE-ADT AUTO PRICE-YES
FROM-LBU TO-BKI CXR-MH TVL-16JUN24 RULE-MYWM TPFDRPV/918
FARE BASIS-YWINGS NORMAL FARE DIS-N VENDOR-ATP
FARE TYPE-ER OW-ECONOMY RESTRICTED
MYR 137.00 5007 E01OCT16 D-INFINITY FC-YWINGS FN-5B
SYSTEM DATES - CREATED 17JUN18/0725 EXPIRES INFINITY

16.PENALTIES
CHANGES

BEFORE DEPARTURE
CHANGES PERMITTED FOR REISSUE/REVALIDATION.
NOTE - TEXT BELOW NOT VALIDATED FOR AUTOPRICING.
NO CHANGE PENALTY CHARGE FOR
REISSUE/REVALIDATION. PAY FARE DIFFERENCE ABOVE
CHARGE WILL APPLY PER DOCUMENT.
- UPSELL
CALCULATE AND COLLECT THE DIFFERENCE BETWEEN
BOOKED FARE AND FARE OF NEW BOOKING AND APPLY
CHANGE PENALTY CHARGE OF ORIGINAL BOOKING
CLASS IF APPLICABLE. AFTER UPSELLING A TICKET
THE CANCELLATION/REFUND RULES OF THE ORIGINAL
TICKET WILL STILL APPLY.
- REROUTE
DIFFERENCE IN FARE PLUS CHANGE PENALTY CHARGE
AS PER ABOVE IF APPLICABLE.
- GO SHOW
ALLOWED AT FOC FOR TRAVEL ON EARLIER FLIGHTS OR
DATE.
.
NOTE
A. FULL REFUND PERMITTED IN THE CASE OF FLIGHT
DISRUPTION BY AIRLINE.
B. CANCEL/CHANGE WITH REASON CIQ REJECTION
- MUST PROVIDE RELEVANT DOCUMENTS
- CANCEL/CHANGE PERMITTED FOC
- AND/OR REFUND PERMITTED WITH FEE
C. YR TAX IS APPLICABLE FOR TICKETS ISSUED OTHER
THAN BY MH OFFICES OR IBE SUBMITTED FOR
SUBSEQUENT RE-ISSUANCE IE. GDS TICKETS.
D. CHILD PASSENGER AND INFANT OCCUPYING A SEAT
PAYS ADULT PENALTY. INFANTS NOT OCCUPYING A
SEAT PAY 10PCT OF ADULT PENALTY.
E. UMNR SERVICE CHARGE MYR50 PER SECTOR.
 F. DISABLE UMNR NO CHARGE WITH PROVISION TO
PRODUCE OKU CARD.

AFTER DEPARTURE
CHARGE MYR 75.00 FOR NO-SHOW.
NOTE - TEXT BELOW NOT VALIDATED FOR AUTOPRICING.
NO CHANGE PENALTY CHARGE FOR
REISSUE/REVALIDATION. PAY FARE DIFFERENCE ABOVE
CHARGE WILL APPLY PER DOCUMENT.
- UPSELL
CALCULATE AND COLLECT THE DIFFERENCE BETWEEN
BOOKED FARE AND FARE OF NEW BOOKING AND APPLY
CHANGE PENALTY CHARGE OF ORIGINAL BOOKING
CLASS IF APPLICABLE. AFTER UPSELLING A TICKET
THE CANCELLATION/REFUND RULES OF THE ORIGINAL
TICKET WILL STILL APPLY.
- REROUTE
DIFFERENCE IN FARE PLUS CHANGE PENALTY CHARGE
AS PER ABOVE IF APPLICABLE.
- GO SHOW
ALLOWED AT FOC FOR TRAVEL ON EARLIER FLIGHTS OR

V FARE BASIS AP FARE-OW FARE-RT BK SEASON MINMAX RTG

4 ¤ SBX1YMY - 746.00 S --- -/12M 704
PASSENGER TYPE-ADT AUTO PRICE-YES
FROM-BKI TO-KUL CXR-MH TVL-16JUN24 RULE-MYEZ TPFDRPV/918
FARE BASIS-SBX1YMY NORMAL FARE DIS-N VENDOR-ATP
FARE TYPE-ER RT-ECONOMY RESTRICTED
MYR 746.00 0704 E13APR22 D-INFINITY FC-SBX1YMY FN-12
SYSTEM DATES - CREATED 12APR22/1020 EXPIRES INFINITY

16.PENALTIES
CHANGES

ANY TIME
CHARGE MYR 100.00 FOR REISSUE/REVALIDATION.
NOTE - TEXT BELOW NOT VALIDATED FOR AUTOPRICING.
1ST TIME CHANGE FOC EITHER FOR OUTBOUND/INBOUND.
SUBSEQUENT CHANGE ONWARDS CHANGE FEE APPLIES.
FOC IF REISSUE TO HIGHER CABIN.
-----------------------------------------------
UPSELL-
CALCULATE AND COLLECT THE DIFFERENCE BETWEEN
BOOKED FARE AND FARE OF NEW BOOKING AND APPLY
CHANGE PENALTY CHARGES OF ORIGINAL BOOKING CLASS.
AFTER UPSELLING A TICKET THE CANCELLATION/REFUND
RULES OF THE ORIGINAL TICKET WILL STILL APPLY THE
 ORIGINAL NON-REFUNDABLE AMOUNT REMAINS NON
REFUNDABLE.ALL OTHER RULES WILL APPLY AS PER THE
NEW TICKET
--------------------------------------------------
REROUTE-
DIFFERENCE IN FARE PLUS CHANGE PENALTY CHARGES AS
PER ABOVE.RESIDUAL BALANCE VALUE TO BE CONVERTED
INTO EMD FOR FURTHER TRANSPORTATION
-------------------------
IF TICKET IS BEING CANCELLED DUE TO VISA
REJECTION BY EMBASSY FULL REFUND PERMITTED.
DOCUMENTARY EVIDENCE TO BE SUBMITTED. ADMIN
PENALTY OF USD50 APPLIES

CANCELLATIONS

ANY TIME
CHARGE MYR 250.00 FOR CANCEL/REFUND.
NOTE - TEXT BELOW NOT VALIDATED FOR AUTOPRICING.
FULLY UNUTILIZED TICKETS - CHARGE MYR250 FOR
CANCEL/REFUND
-------------------------------------------------
PARTIALLY UNUTILIZED TICKETS - CHARGE MYR250 FOR
CANCEL/REFUND .

CHANGES/CANCELLATIONS

ANY TIME
CHARGE MYR 200.00 FOR NO-SHOW.
NOTE - TEXT BELOW NOT VALIDATED FOR AUTOPRICING.
NOSHOW PENALTY APPLY AFTER FLIGHT DEPARTED BASED
ON SCHEDULED TIME DEPARTURE ABOVE CHARGE WILL
APPLY PER DOCUMENT
-------------------------------------------------
FOR TICKET REISSUANCE/CHANGES -NO SHOW FEE WITH
CHANGE FEE PLUS ANY FARE DIFFERENCE WILL APPLY.
FOR TICKET CANCELLATIONS - NO SHOW PENALTY CHARGES
PLUS CANCELLATION PENALTY CHARGES WILL APPLY.
--------------------------------------------------
CHILD PASSENGER AND INFANT OCCUPYING A SEAT PAYS
ADULT PENALTY. INFANTS NOT OCCUPYING A SEAT PAY
10PCT OF ADULT PENALTY
-------------------------------------------------
EMD FOR FURTHER TRANSPORTATION IS TO BE USED AS
PART PAYMENT ONLY ON MH APPLICABLE FARES ONLY