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INSTITUTE FOR INTEGRATED ENGINEERING (IIE)
UNIVERSITI TUN HUSSEIN ONN MALAYSIA
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FIELD WORK ASSISTANT CLAIM FORM
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A. PERSONAL DETAILS
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1.
Name
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2.
Matric No.
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3.
I/C No.
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Account Bank No.
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Address
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H/P No.
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B. CLAIM DETAILS
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1.
Type of Activity
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2.
Appointment Duration
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3.Job Details (Please complete the table in Attachment 1)
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4.
Month of Claim
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5.
Amount of Claim
:RM
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I hereby certify that the informations given in this application is correct.
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Applicant Signature
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Date :
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C. APPROVAL BY HEAD OF RESEARCHER
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This is to certify that the tasks in the Attachment 1 has been peformed by the applicant.
This allowance shall be paid by vot no. ______________
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Date :
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Head of Researcher
(Signature and Official Stamp)
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D. APPROVAL BY DEPUTY REGISTRAR
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Approve / Not Approve
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Date :
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Deputy Registrar / Asst. Registrar
(Signature and Official Stamp)
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ATTACHMENT 1
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DATEDETAILS OF ACTIVITYDURATIONHOURPAYMENT
(RM)
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FROMTO
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AMOUNT
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Certified By:
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Date :