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EXPENSES CLAIM FORM

Date: ____ / __ / __ Vou No.: ______


NAME: LOS/COST CENTRE: STAFF ID:
SIGNATURE: Date: ____ / __ / __
I certify that these expenses have been incurred wholly & necessarily in performing my duties and are claimed in
accordance with the employment handbook.

No. Expense details Job No. Date Description USD


$
$
$
$
$
$
$
$
$
$
$
TOTAL CLAIM $
PLUS:AMOUNT B/F $
LESS:CASH ADVANCES $
NET AMOUNT PAYABLE $
* For Finance Department use only:
Checked By Date Checked By ____ / __ / __
(Manager) (Director) Date
Checked By Date Checked By ____ / __ / __
(Accounting Manager) (GM) Date

Director President / GM CHR


        

  Signature/Date ____________________   Signature/Date   Signature/Date


____________________ ____________________
 

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