TRAVEL CASH ADVANCE REQUEST

a. Employee
Name BN Dept. Branch/Site
1 Robby Syahputra Mechanic PT. Sewatama

b. Travelling Purpose
Travelling Purpose WO# Location
1 Troubleshooting PT. ABN

c. Travelling Time
Depart 0 9 0 2 2 0 2 4 Total Travelling : days

Return

d. Detail Travelling Expense Forecast

Expense Est. Amount Explaination
1 Transport Rp 300,000.00
2 Airport Tax/Toll
3 Taxi/Ferry
4 Fuel
5 Accomodation
6 Meals
7 Stationary
8 Others
9 Intertain
Total Rp 300,000.00

Total Amount TCAR : IDR/USD 300,000.00

In words :

e. Fund Transfer Method

Cash
X Transfer , Bank : , Acc. No. Robby Syahputra
Bank : Acc. No.

Requested by, Robby Syahputra Date, 2/9/2024 Signature,

Reviewed by, Dedy Date, 2/9/2024 Signature,

Approved by, YUDIANSYAH Date, 2/9/2024 Signature,

Travel Expense Summary must be settled in 3 days after return to office

 TRAVEL CASH ADVANCE REQUEST

a. Employee
Name BN Dept. Branch/Site
1 Bakhtiar Jakarta

b. Travelling Purpose
Travelling Purpose WO# Location
TAR dari Jakarta ke Balikpapan dan ke All Site Kaltim Progress Asst
1 Bpn
Operator

c. Travelling Time
Depart 2 7 0 1 2 0 2 4 Total Travelling : days

Return

d. Detail Travelling Expense Forecast

Expense Est. Amount Explaination
1 Transport
2 Airport Tax
3 Taxi/Ferry
4 Fuel Rp 2,000,000.00 Fuel & Toll Mobil KT 1136 LP
5 Accomodation
6 Meals
7 Stationary
8 Others Rp 500,000.00
9 Intertain
Total Rp 2,500,000.00

Total Amount TCAR : IDR/USD 2,500,000.00

In words : Dua Juta Lima Ratus Ribu Rupiah

e. Fund Transfer Method

Cash
X Transfer , Bank : , Acc. No. Bakhtiar
Bank : Acc. No.

Requested by, Bakhtiar Date, 1/27/2024 Signature,

Reviewed by, Date, Signature,

Approved by, Date, Signature,

Travel Expense Summary must be settled in 3 days after return to office

 TRAVEL CASH ADVANCE REQUEST

a. Employee
Name BN Dept. Branch/Site
1 Riszeki Saputra Electrik PT. AJP

b. Travelling Purpose
Travelling Purpose WO# Location
1 Troubleshooting electrik PT. BSSR

c. Travelling Time
Depart 0 5 0 1 2 0 2 4 Total Travelling : days

Return

d. Detail Travelling Expense Forecast

Expense Est. Amount Explaination
1 Transport Rp 200,000.00 Travel dari PT. AJP - PT. BSSR
2 Airport Tax/Toll
3 Taxi/Ferry
4 Fuel
5 Accomodation
6 Meals
7 Stationary
8 Others
9 Intertain
Total Rp 200,000.00

Total Amount TCAR : IDR/USD 200,000.00

In words : Dua Ratus Ribu Rupiah

e. Fund Transfer Method

Cash
X Transfer , Bank : , Acc. No. Riszeki Saputra
Bank : Acc. No.

Requested by, Riszeki Saputra Date, 1/5/2024 Signature,

Reviewed by, DEDY H Date, 1/5/2024 Signature,

Approved by, YUDIANSYAH Date, 1/5/2024 Signature,

Travel Expense Summary must be settled in 3 days after return to office

 TRAVEL CASH ADVANCE REQUEST

a. Employee
Name BN Dept. Branch/Site
1 Rezza Aldy Mechanic Bpn

b. Travelling Purpose
Travelling Purpose WO# Location
1 On Site (menggantikan Mustapa) PT. AJP

c. Travelling Time
Depart 0 8 0 2 2 0 2 4 Total Travelling : days

Return

d. Detail Travelling Expense Forecast

Expense Est. Amount Explaination
1 Transport Rp 350,000.00 Travel dari Bpn - PT. AJP
2 Airport Tax/Toll
3 Taxi/Ferry
4 Fuel
5 Accomodation
6 Meals
7 Stationary
8 Others
9 Intertain
Total Rp 350,000.00

Total Amount TCAR : IDR/USD 350,000.00

In words : Tiga Ratus Lima Puluh Ribu Rupiah

e. Fund Transfer Method

Cash
X Transfer , Bank : , Acc. No. Rezza Aldy
Bank : Acc. No.

Requested by, Rezza Aldy Date, 1/5/2023 Signature,

Reviewed by, DEDY H Date, 1/5/2023 Signature,

Approved by, YUDIANSYAH Date, 1/5/2023 Signature,

Travel Expense Summary must be settled in 3 days after return to office

 TRAVEL CASH ADVANCE REQUEST

a. Employee
Name BN Dept. Branch/Site
1 Rezza Aldy Mechanic Bpn

b. Travelling Purpose
Travelling Purpose WO# Location
1 Pemasangan Wetend 400 PT. TMJU

c. Travelling Time
Depart 1 2 0 2 2 0 2 4 Total Travelling : days

Return

d. Detail Travelling Expense Forecast

Expense Est. Amount Explaination
1 Transport Rp 700,000.00 Travel dari Bpn - PT. TMJU (PP)
2 Airport Tax/Toll
3 Taxi/Ferry
4 Fuel
5 Accomodation
6 Meals
7 Stationary
8 Others
9 Intertain
Total Rp 700,000.00

Total Amount TCAR : IDR/USD 700,000.00

In words : Tujuh Ratus Ribu Rupiah

e. Fund Transfer Method

Cash
X Transfer , Bank : , Acc. No. Rezza Aldy
Bank : Acc. No.

Requested by, Rezza Aldy Date, 2/9/2024 Signature,

Reviewed by, DEDY H Date, 2/9/2024 Signature,

Approved by, YUDIANSYAH Date, 2/9/2024 Signature,

Travel Expense Summary must be settled in 3 days after return to office

a.

b.

c.

d.

e.
 TRAVEL CASH ADVANCE REQUEST

Employee
Name BN Dept. Branch/Site
1 Budi Hartono EM Bpn

Travelling Purpose
Travelling Purpose WO# Location
1 Troubleshooting PT. CAP

Travelling Time
Depart 2 4 1 2 2 0 2 3 Total Travelling : days

Return

Detail Travelling Expense Forecast

Expense Est. Amount Explaination
1 Transport Rp 700,000.00 Travel dari Bpn - PT. CAP (PP)
2 Airport Tax
3 Taxi/Ferry
4 Fuel
5 Accomodation
6 Meals
7 Stationary
8 Others
9 Intertain
Total Rp 700,000.00

Total Amount TCAR : IDR/USD 700,000.00

In words : Tujuh Ratus Ribu Rupiah

Fund Transfer Method

 Cash
X Transfer , Bank : , Acc. No. Budi Hartono
Bank : Acc. No.

Requested by, Budi Hartono Date, 12/26/2023 Signature,

Reviewed by, DEDY H Date, 12/26/2023 Signature,

Approved by, YUDIANSYAH Date, 12/26/2023 Signature,

Travel Expense Summary must be settled in 3 days after return to office

 TRAVEL CASH ADVANCE REQUEST

a. Employee
Name BN Dept. Branch/Site
1 Juni Driver PT. TMJU - PT. AJP

b. Travelling Purpose
Travelling Purpose WO# Location
1 Progres Penyambungan Pipa Bpn

c. Travelling Time
Depart 0 7 0 2 2 0 2 4 Total Travelling : days

Return

d. Detail Travelling Expense Forecast

Expense Est. Amount Explaination
1 Transport
2 Airport Tax
3 Taxi/Ferry
4 Fuel Rp 150,000.00 Toll Samboja - Balikpapan
5 Accomodation
6 Meals
7 Stationary
8 Others
9 Intertain
Total Rp 150,000.00

Total Amount TCAR : IDR/USD 150,000.00

In words : Seratus Lima Puluh Ribu Rupiah

e. Fund Transfer Method

Cash
X Transfer , Bank : , Acc. No. Juni
Bank : Acc. No.

Requested by, Juni Date, 2/7/2024 Signature,

Reviewed by, Date, Signature,

Approved by, Dody Date, 2/7/2024 Signature,

Travel Expense Summary must be settled in 3 days after return to office

 TRAVEL CASH ADVANCE REQUEST

a. Employee
Name BN Dept. Branch/Site
1 Robby Syahputra
Mechanic Bpn
2 Rezza Aldy

b. Travelling Purpose
Travelling Purpose WO# Location
1 Troubleshooting PT. Sewatama

c. Travelling Time
Depart 0 6 0 2 2 0 2 4 Total Travelling : days

Return

d. Detail Travelling Expense Forecast

Expense Est. Amount Explaination
1 Transport Rp 700,000.00 Travel PT. Sewatama - Bpn (utk 2 orng)
2 Airport Tax
3 Taxi/Ferry
4 Fuel
5 Accomodation Rp 1,000,000.00 Penginapan untuk 4 hari
6 Meals
7 Stationary

8 Others

9 Intertain
Total Rp 1,700,000.00

Total Amount TCAR : IDR/USD 1,700,000.00

In words : Satu Juta Tujuh Ratus Ribu Rupiah

e. Fund Transfer Method

Cash
X Transfer , Bank : , Acc. No. Robby Syahputra
Bank : Acc. No.

Requested by, Robby Syahputra Date, 2/6/2024 Signature,

Reviewed by, DEDY H Date, 2/6/2024 Signature,

Approved by, YUDIANSYAH Date, 2/6/2024 Signature,

Travel Expense Summary must be settled in 3 days after return to office

 TRAVEL CASH ADVANCE REQUEST

a. Employee
Name BN Dept. Branch/Site
1 Robby Syahputra Mechanic PT.IBP

b. Travelling Purpose
Travelling Purpose WO# Location
1 Troubleshooting PT.BSSR

c. Travelling Time
Depart 0 9 1 1 2 0 2 3 Total Travelling : days

Return

d. Detail Travelling Expense Forecast

Expense Est. Amount Explaination
1 Transport Rp 100,000.00 Travel dari PT.IBP - PT.BSSR
2 Airport Tax/Toll
3 Taxi/Ferry
4 Fuel
5 Accomodation
6 Meals
7 Stationary
8 Others
9 Intertain
Total Rp 100,000.00

Total Amount TCAR : IDR/USD 100,000.00

In words : Seratus Ribu Rupiah

e. Fund Transfer Method

Cash
X Transfer , Bank : , Acc. No. Robby Syahputra
Bank : Acc. No.

Requested by, Robby Syahputra Date, 11/9/2023 Signature,

Reviewed by, Dedy Date, 11/9/2023 Signature,

Approved by, YUDIANSYAH Date, 11/9/2023 Signature,

Travel Expense Summary must be settled in 3 days after return to office

 TRAVEL CASH ADVANCE REQUEST

a. Employee
Name BN Dept. Branch/Site
1 RISZEKI SAPUTRA ELECTRIK PT. GTB

b. Travelling Purpose
Travelling Purpose WO# Location
1 Kembali ke Balikpapan Bpn

c. Travelling Time
Depart 2 0 1 1 2 0 2 3 Total Travelling : days

Return

d. Detail Travelling Expense Forecast

Expense Est. Amount Explaination
1 Transport Rp 1,200,000.00 Pesawat dari Tarakan - Bpn
2 Airport Tax/Toll Rp 85,000.00 Taxi Pelabuhan Tarakan - Bandara Tarakan
3 Taxi/Ferry Rp 130,000.00 Speed Bunyu - Tarakan
4 Fuel
5 Accomodation Rp 100,000.00 Taxi dari Bandara Balikpapan
6 Meals
7 Stationary
8 Others Rp 100,000.00 Mess PT. GTB ke Bunyu
9 Intertain
Total Rp 1,615,000.00

Total Amount TCAR : IDR/USD 1,615,000.00

In words : Satu Juta Enam Ratus Lima Belas Ribu Rupiah

e. Fund Transfer Method

Cash
X Transfer , Bank : , Acc. No. RISZEKI SAPUTRA
Bank : Acc. No.

Requested by, RISZEKI SAPUTRA Date, 11/20/2023 Signature,

Reviewed by, DEDY H. Date, 11/20/2023 Signature,

Approved by, YUDIANSYAH Date, 11/20/2023 Signature,

Travel Expense Summary must be settled in 3 days after return to office

 TRAVEL CASH ADVANCE REQUEST

a. Employee
Name BN Dept. Branch/Site
1 Robby Syahputra EM
Bpn
2 Sugeng Driver

b. Travelling Purpose
Travelling Purpose WO# Location
1 Install / Penggantian FIP PT. ABN

c. Travelling Time
Depart 1 7 0 1 2 0 2 4 Total Travelling : days

Return

d. Detail Travelling Expense Forecast

Expense Est. Amount Explaination
1 Transport
2 Airport Tax/Toll
3 Taxi/Ferry
4 Fuel Rp 800,000.00 Fuel & Toll Mobil KT 1392 YK
5 Accomodation
6 Meals
7 Stationary
Surat Sehat (Rp 10.000) & Claim Tunjangan Site 3 HK Tanggal 17-19
8 Others Rp 235,000.00
Januari 2024 ( Rp 75.000 x 3 = Rp 225.000)
9 Intertain
Total Rp 1,035,000.00

Total Amount TCAR : IDR/USD 1,035,000.00

In words : Satu Juta Tiga Puluh Lima Ribu Rupiah

e. Fund Transfer Method

Cash
X Transfer , Bank : , Acc. No. Robby Syahputra
Bank : Acc. No.

Requested by, Robby Syahputra Date, 1/17/2024 Signature,

Reviewed by, DEDY H. Date, 1/17/2024 Signature,

Approved by, YUDIANSYAH Date, 1/17/2024 Signature,

Travel Expense Summary must be settled in 3 days after return to office

 Tambahan

TRAVEL CASH ADVANCE REQUEST

a. Employee
Name BN Dept. Branch/Site
1 Sepri Gustiawan Mechanic PT. Darma Henwa

b. Travelling Purpose
Travelling Purpose WO# Location
1 Induksi Perpanjangan Permit PT. INDEXIM

c. Travelling Time
Depart 1 8 1 2 2 0 2 3 Total Travelling : days

Return

d. Detail Travelling Expense Forecast

Expense Est. Amount Explaination
1 Transport Rp 300,000.00 Travel dari PT. Darma Henwa - PT. INDEXIM (PP)
2 Airport Tax/Toll
3 Taxi/Ferry
4 Fuel
5 Accomodation
6 Meals
7 Stationary
8 Others
9 Intertain
Total Rp 300,000.00

Total Amount TCAR : IDR/USD 300,000.00

In words : Tiga Ratus Ribu Rupiah

e. Fund Transfer Method

Cash
X Transfer , Bank : , Acc. No. Sepri Gustiawan
Bank : Acc. No.

Requested by, Sepri Gustiawan Date, 12/18/2023 Signature,

Reviewed by, DEDY H Date, 12/18/2023 Signature,

Approved by, YUDIANSYAH Date, 12/18/2023 Signature,

Travel Expense Summary must be settled in 3 days after return to office

 TRAVEL CASH ADVANCE REQUEST

a. Employee
Name BN Dept. Branch/Site
1 Budi Hartono Mechanic
Balikpapan
2 Fanny Operator

b. Travelling Purpose
Travelling Purpose WO# Location
1 Troubleshooting PT. CLS

c. Travelling Time
Depart 0 7 0 2 2 0 2 4 Total Travelling : days

Return

d. Detail Travelling Expense Forecast

Expense Est. Amount Explaination
1 Transport
2 Airport Tax
3 Taxi/Ferry
4 Fuel Rp 2,000,000.00 Fuel & Toll Mobil LV KT 8438 YS
5 Accomodation
6 Meals
7 Stationary
8 Others
9 Intertain
Total Rp 2,000,000.00

Total Amount TCAR : IDR/USD 2,000,000.00

In words : Dua Juta Rupiah

e. Fund Transfer Method

Cash
X Transfer , Bank : 9000021325841 (mandiri) , Acc. No. Budi Hartono
Bank : Acc. No.

Requested by, Budi Hartono Date, 2/7/2024 Signature,

Reviewed by, DEDY H. Date, 2/7/2024 Signature,

Approved by, YUDIANSYAH Date, 2/7/2024 Signature,

Travel Expense Summary must be settled in 3 days after return to office

 TRAVEL CASH ADVANCE REQUEST

a. Employee
Name BN Dept. Branch/Site
1 Erzal Syah Reza Mechanic
Bpn
2 Albima Juna Mechanic

b. Travelling Purpose
Travelling Purpose WO# Location
1 Troubleshooting PT. SNS

c. Travelling Time
Depart 0 7 0 2 2 0 2 4 Total Travelling : days

Return

d. Detail Travelling Expense Forecast

Expense Est. Amount Explaination
1 Transport
2 Airport Tax
3 Taxi/Ferry
4 Fuel Rp 3,000,000.00 Fuel & Toll Mobil Avanza KT 1392 YK
5 Accomodation
6 Meals
7 Stationary

8 Others

9 Intertain
Total Rp 3,000,000.00

Total Amount TCAR : IDR/USD 3,000,000.00

In words : Tiga Juta Rupiah

e. Fund Transfer Method

Cash
X Transfer , Bank : 1490012180339 (mandiri) , Acc. No. Erzal Syah Reza
Bank : Acc. No.

Requested by, Erzal Syah Reza Date, 2/7/2024 Signature,

Reviewed by, DEDY H. Date, 2/7/2024 Signature,

Approved by, YUDIANSYAH Date, 2/7/2024 Signature,

Travel Expense Summary must be settled in 3 days after return to office

 TRAVEL CASH ADVANCE REQUEST

a. Employee
Name BN Dept. Branch/Site
1 Muh Erwin Saputra Baharuddin G OSHE OFFICER
Bpn
2 Rusmawan MECHANIC

b. Travelling Purpose
Travelling Purpose WO# Location
1 Commisioning Pompa Lumpur sekaligus melengkapi Kantor Cabang Kalsel
data terkait K3 Ke Client.
2 Assembly excavator
3 sekaligus site visit ke beberapa area.

c. Travelling Time
Depart 15 2 2 0 2 4 Total Travelling : 21 days

Return

d. Detail Travelling Expense Forecast

Expense Est. Amount Explaination
1 Transport
2 Airport Tax Rp 1,000,000.00 Taxi ke bandara bpn, bandara bjb ke kantor cabang bjb
3 Taxi/Ferry
4 Fuel
5 Accomodation
6 Meals Rp 3,360,000.00 biaya makan 2 orang 1 hari 160 rb x 21 hari
7 Stationary
8 Others Rp 2,000,000.00 biaya yang tidak terencana/dana pegangan
9 Intertain
Total Rp 6,360,000.00

Total Amount TCAR : IDR/USD 6,360,000.00

In words : 5 Juta Rupiah

e. Fund Transfer Method

Cash
X Transfer , Bank : 1480016319884 ( Mandiri ) , Acc. No. Muh Erwin Saputra Baharuddin G
Bank : Acc. No.

Requested by, Muh Erwin Saputra Baharuddin Date, 2/12/2024 Signature,

Reviewed by, Dedy H. Date, 2/12/2024 Signature,

Approved by, YUDIANSYAH Date, 2/12/2024 Signature,

 TRAVEL CASH ADVANCE REQUEST

a. Employee
Name BN Dept. Branch/Site
1 Mustapa Mechanic BALIKPAPAN

b. Travelling Purpose
Travelling Purpose WO# Location
1 Troubleshooting PT. AJL

c. Travelling Time
Depart 2 9 1 1 2 0 2 3 Total Travelling : days

Return

d. Detail Travelling Expense Forecast

Expense Est. Amount Explaination
1 Transport Rp 1,200,000.00 Travel bpn - PT. AJL (PP)
2 Airport Tax
3 Taxi/Ferry
4 Fuel
5 Accomodation
6 Meals
7 Stationary
8 Others
9 Intertain
Total Rp 1,200,000.00

Total Amount TCAR : IDR/USD 1,200,000.00

In words : Satu Juta Dua Ratus Ribu Rupiah

e. Fund Transfer Method

Cash
X Transfer , Bank : , Acc. No. MUSTAPA
Bank : Acc. No.

Requested by, Mustapa Date, 11/28/2023 Signature,

Reviewed by, DEDY H Date, 11/28/2023 Signature,

Approved by, YUDIANSYAH Date, 11/28/2023 Signature,

Travel Expense Summary must be settled in 3 days after return to office

 TRAVEL CASH ADVANCE REQUEST

a. Employee
Name BN Dept. Branch/Site
1 Robi Eko Mechanic BALIKPAPAN

b. Travelling Purpose
Travelling Purpose WO# Location
1 Troubleshooting PT. IBP

c. Travelling Time
Depart 0 2 1 2 2 0 2 3 Total Travelling : days

Return

d. Detail Travelling Expense Forecast

Expense Est. Amount Explaination
1 Transport Rp 500,000.00 Travel Bpn - PT. IBP (PP)
2 Airport Tax/Toll
3 Taxi/Ferry
4 Fuel
5 Accomodation
6 Meals
7 Stationary

8 Others Rp 75,000.00 Surat Sehat

9 Intertain
Total Rp 575,000.00

Total Amount TCAR : IDR/USD 575,000.00

In words : Lima Ratus Tujuh Puluh Lima Ribu Rupiah

e. Fund Transfer Method

Cash
X Transfer , Bank : , Acc. No. Robi Eko
Bank : Acc. No.

Requested by, Robi Eko Date, 12/2/2023 Signature,

Reviewed by, DEDY H. Date, 12/2/2023 Signature,

Approved by, YUDIANSYAH Date, 12/2/2023 Signature,

Travel Expense Summary must be settled in 3 days after return to office

 TRAVEL CASH ADVANCE REQUEST

a. Employee
Name BN Dept. Branch/Site
1 Suhendri Wijaya Mechanic Bpn

b. Travelling Purpose
Travelling Purpose WO# Location
1 On Site PT. PKN

c. Travelling Time
Depart 2 6 0 1 2 0 2 4 Total Travelling : days

Return

d. Detail Travelling Expense Forecast

Expense Est. Amount Explaination
1 Transport Rp 1,200,000.00 Pesawat dari Bpn - Tarakan
2 Airport Tax/Toll Rp 300,000.00 Biaya dari Tarakan - Pelabuhan Tanjung Selor
3 Taxi/Ferry Rp 70,000.00 Taxi dari Pelabuhan Tj. Selor ke Mess PKN
4 Fuel
5 Accomodation
6 Meals
7 Stationary
8 Others
9 Intertain
Total Rp 1,570,000.00

Total Amount TCAR : IDR/USD 1,570,000.00

In words : Satu Juta Lima Ratus Tujuh Puluh Ribu Rupiah

e. Fund Transfer Method

Cash
X Transfer , Bank : , Acc. No. Suhendri Wijaya
Bank : Acc. No.

Requested by, Suhendri Wijaya Date, 1/24/2024 Signature,

Reviewed by, Dedy H. Date, 1/24/2024 Signature,

Approved by, Yudiansyah Date, 1/24/2024 Signature,

Travel Expense Summary must be settled in 3 days after return to office

 TRAVEL CASH ADVANCE REQUEST

a. Employee
Name BN Dept. Branch/Site
1 Abdul Muis EM Bpn

b. Travelling Purpose
Travelling Purpose WO# Location
1 On Site PT. BAS KE

c. Travelling Time
Depart 0 9 0 2 2 0 2 4 Total Travelling : days

Return

d. Detail Travelling Expense Forecast

Expense Est. Amount Explaination
1 Transport Rp 250,000.00 Travel dari Bpn - PT. BAS KE
2 Airport Tax/Toll
3 Taxi/Ferry
4 Fuel
5 Accomodation
6 Meals
7 Stationary
8 Others
9 Intertain
Total Rp 250,000.00

Total Amount TCAR : IDR/USD 250,000.00

In words : Dua Ratus Lima Puluh Ribu Rupiah

e. Fund Transfer Method

Cash
X Transfer , Bank : , Acc. No. Abdul Muis
Bank : Acc. No.

Requested by, Abdul Muis Date, 2/5/2024 Signature,

Reviewed by, DEDY H Date, 2/5/2024 Signature,

Approved by, YUDIANSYAH Date, 2/5/2024 Signature,

Travel Expense Summary must be settled in 3 days after return to office

 TRAVEL CASH ADVANCE REQUEST

a. Employee
Name BN Dept. Branch/Site
1 Sepri Gustiawan Mechanic Bpn

b. Travelling Purpose
Travelling Purpose WO# Location
1 On Site PT. Darma Henwa

c. Travelling Time
Depart 2 7 0 1 2 0 2 4 Total Travelling : days

Return

d. Detail Travelling Expense Forecast

Expense Est. Amount Explaination
1 Transport Rp 500,000.00 Travel dari Bpn - PT. Darma Henwa
2 Airport Tax/Toll
3 Taxi/Ferry
4 Fuel
5 Accomodation
6 Meals
7 Stationary
8 Others
9 Intertain
Total Rp 500,000.00

Total Amount TCAR : IDR/USD 500,000.00

In words : Lima Ratus Ribu Rupiah

e. Fund Transfer Method

Cash
X Transfer , Bank : , Acc. No. Sepri Gustiawan
Bank : Acc. No.

Requested by, Sepri Gustiawan Date, 1/24/2024 Signature,

Reviewed by, Dedy H. Date, 1/24/2024 Signature,

Approved by, Yudiansyah Date, 1/24/2024 Signature,

Travel Expense Summary must be settled in 3 days after return to office

No. Nama No.Rekening
1 Erzal Syah 1490012180339 (mandiri)
2 Budi H. 9000021325841 (mandiri)
3
4
5
6
7
8
9
10
11