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GL 35, Ground floor , Block C Kelana Square , No 17, Jalan SS7/26 Kelana Jaya
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47301 Petaling Jaya Selangor | Tel : 03 - 2726 2436
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GENERAL CLAIM'S FORM
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Name :Month of claim :
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Position :
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Date Decriptions Accommodation (RM)Daily Allowance / Laundry / Meal (RM)Toll (RM)Parking (RM)Others
please specify (RM)		Mileage (in Kilometers travelled)
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Car (Rm0.70/km)Motorcycle (Rm0.70/km)
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KMRMKMRM
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*Note : Claims must be submit to Human Resource Department by 15th every month
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Accommodation
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Daily Allowance / Laundry / Meal
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Toll
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Parking
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Others :
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Mileage
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Total Claim0.00
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Prepare by : Verified by : Verified by : Approved by :
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Name : Name : Name : Name :
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Date :Date :Date : Date :
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(Application)(Head Of Department)(Human Resource)(Chief Executive Officer)
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