Professional Documents
Culture Documents
Important :-
1) All claims must be submitted to HRS Department within 3 calendar months from the month the expenses were
incurred. (e.g. Expenses paid in January must be submitted to HRS Dept on or before March 31).
2) Only photocopies of telephone bill are acceptable. For other claims, it must be supported with original receipts/bills.
3) Acceptance of claims are subject to existing Collective Agreements and Terms & Conditions of the Bank.
4) Claims must be verified and approved by the appropriate authorities.
5) Separate form to be used for each type of claim.
Note: Bank will not be liable to pay for any interest charged for late payment/settlement of bills by staff to any organization/company.
PARTICULARS OF CLAIMANT
Full Name
Staff No
135345
R4
Dept/Branch
PEKAN MERU
Cost Centre
MER00
Contact No (Off)
03-33924502
The claims reimbursement amount will be automatically credited into Staff Salary Crediting Account.
NACCS (KLACH / REACH / SPICKS) ALLOWANCE for the month of :
* Day
9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
At or before 6 am
Union @ RM35 per day
PG 1-4 @ RM30 per day
After 6am but before 7.30 am
Union @ RM25 per day
PG 1-4 @ RM20 per day
* Tick ( / ) whichever is applicable.
day(s) x
day(s) x
At or before 6.00 am
After 6am but before 7.30 am
RM
RM
TOTAL
= RM
= RM
RM
Note: For NACCS Allowance, do not submit individual forms to HR Services. Tabulate the individual total into Payroll Update Form.
X Telephone / Handphone
Month :
MARCH 12
RM 100
Spectacles
RM
Motor Vehicle
i) Seasonal Parking
For Tax purposes:
ii) Fuel Home-2400
Month :
RM
Month :
RM
Month :
Month :
Month :
RM
vi) Maintenance
Month :
RM
RM
Remarks :
Own Car / Pool Car (please provide license plate no) _________________
(Delete whichever is not applicable)
Card No :
GST Waiver for Principal :
Supplementary :
Card No :
Credit Card
Remarks :
Please attached credit card statement
I.C. No.:
I.C. No.:
RM
RM
TOTAL
RM 100
DECLARATION BY CLAIMANT
FOR EXPENSES CHARGED USING CREDIT CARD
Credit card No :
RHB Card :
* Non-RHB Card :
Please ( / ) whichever is applicable.
Name
Date
:
:
HRS/F0037/V2/2010
Name
Designation
:
:
Date