ABCDEFGHIJKLMNOPQRSTUVWXYZ
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EXPENSE CLAIM FORM
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NAME:
DEPT:
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NRIC:
VEH NO.:
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DateReason
Journey-To & From
Mileage (km)TravelFoodOthers
Total (RM)
15
0.00
16
0.00
17
0.00
18
0.00
19
0.00
20
0.00
21
0.00
22
0.00
23
0.00
24
0.00
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26
TOTAL (RM)0.000.000.000.00
27
28
29
Note:Refer to the rate below for mileage claim
30
BIKECARRATES
31
32
45
60
Local journey
(Within 40km one way)
33
c/kmc/km
34
4550Outstation Journey
(Outside 40km one way)
35
Staff:c/kmc/km
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40
Approved by: Date:
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100