EAC

EXPENSE / ADVANCE CLAIM FORM

Farid Syarizal Abdul Rani
Clerk
HR Unit

Name:
Designation:
Dept./Faculty:

DATE

22-Dec-08

PARTICULARS

AMOUNT

(Please attach original receipts)

RM

35.00

Wife dental charges

Provider : Klinik Pergigian MH Ding
Receipt No 1562

Total
Less Advance Taken (if any)
*Net Claim / Refund

FOR ADVANCE REQUISITION ONLY

DATE

PARTICULARS
(Please attach copy of Purchase Requisition)

Total Advance Required

BUDGET ALLOCATION (For non-PR item e.g. medical)
Account

Description

Code

Claimant / Applicant:

Name:

Farid Syarizal Abdul Rani

Clerk
6-Jan-09

Budgetted

Committed

Amount

Budget

Amount

to Date

Required

Balance

(RM)

(RM)

(RM)

(RM)

Remarks

Verified / Recommended by:

Approved by:

Name:

Name:

Designation:

Designation :

Designation :

Date:

Date:

Date:

p
FOR FINANCE USE

FOR HRD USE

(Advance Requisition Only)

RECEIVED BY:

(Medical / Maternity Only)

Approved by:

Approved by:

Name:

Name:

Name:

Designation:

Designation:

Designation:

Date:

Date:

Date:

35.00
-

35.00

EAC

EXPENSE / ADVANCE CLAIM FORM

Farid Syarizal Abdul Rani
Clerk
HR Unit

Name:
Designation:
Dept./Faculty:

DATE

PARTICULARS

AMOUNT

(Please attach original receipts)

14-Jul-08

RM

3,000.00

Wife's maternity charges

Provider : Sri Manjung Specialist Centre Sdn Bhd
Receipt No 6072

Total
Less Advance Taken (if any)

1,200.00

*Net Claim / Refund

1,800.00

FOR ADVANCE REQUISITION ONLY

DATE

PARTICULARS
(Please attach copy of Purchase Requisition)

Total Advance Required

BUDGET ALLOCATION (For non-PR item e.g. medical)
Account

Description

Code

Claimant / Applicant:

Name:

Farid Syarizal Abdul Rani

Clerk

Budgetted

Committed

Amount

Budget

Amount

to Date

Required

Balance

(RM)

(RM)

(RM)

(RM)

Remarks

Verified / Recommended by:

Approved by:

Name:

Name:

Designation:

Designation :

Designation :

Date:

Date:

Date:

p
FOR FINANCE USE

FOR HRD USE

(Advance Requisition Only)

3,000.00

RECEIVED BY:

(Medical / Maternity Only)

Approved by:

Approved by:

Name:

Name:

Name:

Designation:

Designation:

Designation:

Date:

Date:

Date:

EAC

EXPENSE / ADVANCE CLAIM FORM

Farid Syarizal Abdul Rani
Clerk
HR Unit

Name:
Designation:
Dept./Faculty:

DATE

PARTICULARS

AMOUNT

(Please attach original receipts)

14-Jul-08

RM

265.00

Daughter medical charges

Provider : Sri Manjung Specialist Centre Sdn Bhd
Receipt No 6074

Total
Less Advance Taken (if any)
*Net Claim / Refund

FOR ADVANCE REQUISITION ONLY

DATE

PARTICULARS
(Please attach copy of Purchase Requisition)

Total Advance Required

BUDGET ALLOCATION (For non-PR item e.g. medical)
Account

Description

Code

Claimant / Applicant:

Name:

Farid Syarizal Abdul Rani

Clerk

Budgetted

Committed

Amount

Budget

Amount

to Date

Required

Balance

(RM)

(RM)

(RM)

(RM)

Remarks

Verified / Recommended by:

Approved by:

Name:

Name:

Designation:

Designation :

Designation :

Date:

Date:

Date:

p
FOR FINANCE USE

FOR HRD USE

(Advance Requisition Only)

RECEIVED BY:

(Medical / Maternity Only)

Approved by:

Approved by:

Name:

Name:

Name:

Designation:

Designation:

Designation:

Date:

Date:

Date:

265.00
-

265.00

EAC

EXPENSE / ADVANCE CLAIM FORM

Farid Syarizal Abdul Rani
Clerk
HR Unit

Name:
Designation:
Dept./Faculty:

DATE

15-Sep-08

PARTICULARS

AMOUNT

(Please attach original receipts)

RM

70.00

Wife dental charges

Provider : Klinik Pergigian Fairuz
Receipt No 1581

Total
Less Advance Taken (if any)
*Net Claim / Refund

FOR ADVANCE REQUISITION ONLY

DATE

PARTICULARS
(Please attach copy of Purchase Requisition)

Total Advance Required

BUDGET ALLOCATION (For non-PR item e.g. medical)
Account

Description

Code

Claimant / Applicant:

Name:

Farid Syarizal Abdul Rani

Clerk
13-Oct-08

Budgetted

Committed

Amount

Budget

Amount

to Date

Required

Balance

(RM)

(RM)

(RM)

(RM)

Remarks

Verified / Recommended by:

Approved by:

Name:

Name:

Designation:

Designation :

Designation :

Date:

Date:

Date:

p
FOR FINANCE USE

FOR HRD USE

(Advance Requisition Only)

RECEIVED BY:

(Medical / Maternity Only)

Approved by:

Approved by:

Name:

Name:

Name:

Designation:

Designation:

Designation:

Date:

Date:

Date:

70.00
-

70.00

EAC

EXPENSE / ADVANCE CLAIM FORM

Farid Syarizal Abdul Rani
Clerk
HR Unit

Name:
Designation:
Dept./Faculty:

DATE

PARTICULARS

AMOUNT

(Please attach original receipts)

30-Oct-08

RM

140.00

Dental charges
Provider : Klinik Pergigian Fairuz
Receipt No 1642

Total
Less Advance Taken (if any)
*Net Claim / Refund

FOR ADVANCE REQUISITION ONLY

DATE

PARTICULARS
(Please attach copy of Purchase Requisition)

Total Advance Required

BUDGET ALLOCATION (For non-PR item e.g. medical)
Account

Description

Code

Claimant / Applicant:

Name:

Farid Syarizal Abdul Rani

Clerk
31-Oct-08

Budgetted

Committed

Amount

Budget

Amount

to Date

Required

Balance

(RM)

(RM)

(RM)

(RM)

Remarks

Verified / Recommended by:

Approved by:

Name:

Name:

Designation:

Designation :

Designation :

Date:

Date:

Date:

p
FOR FINANCE USE

FOR HRD USE

(Advance Requisition Only)

RECEIVED BY:

(Medical / Maternity Only)

Approved by:

Approved by:

Name:

Name:

Name:

Designation:

Designation:

Designation:

Date:

Date:

Date:

140.00
-

140.00

EAC

EXPENSE / ADVANCE CLAIM FORM

Shaiful Fazri Munandan
Technician
Maintenance

Name:
Designation:
Dept./Faculty:

DATE

PARTICULARS

AMOUNT

(Please attach original receipts)

RM

31-Oct-08

63.00
Wife Dental Claim
Receipt No 1620

Total
Less Advance Taken (if any)
*Net Claim / Refund

FOR ADVANCE REQUISITION ONLY

DATE

PARTICULARS
(Please attach copy of Purchase Requisition)

Total Advance Required

BUDGET ALLOCATION (For non-PR item e.g. medical)
Account

Description

Code

Claimant / Applicant:

Name:

Shaiful Fazri Munandan

Technician

Budgetted

Committed

Amount

Budget

Amount

to Date

Required

Balance

(RM)

(RM)

(RM)

(RM)

Remarks

Verified / Recommended by:

Approved by:

Name:

Name:

Designation:

Designation :

Designation :

Date:

Date:

Date:

p
FOR FINANCE USE

FOR HRD USE

(Advance Requisition Only)

RECEIVED BY:

(Medical / Maternity Only)

Approved by:

Approved by:

Name:

Name:

Name:

Designation:

Designation:

Designation:

Date:

Date:

Date:

63.00
-

63.00

EAC

EXPENSE / ADVANCE CLAIM FORM

Farid Syarizal Abdul Rani
Clerk
HR Unit

Name:
Designation:
Dept./Faculty:

DATE

PARTICULARS

AMOUNT

(Please attach original receipts)

RM

Total

Less Advance Taken (if any)

*Net Claim / Refund

FOR ADVANCE REQUISITION ONLY

DATE

PARTICULARS
(Please attach copy of Purchase Requisition)

22-Dec-08

16.00

Advance payment for purchase of staff attendance card

Total Advance Required

BUDGET ALLOCATION (For non-PR item e.g. medical)
Account

Description

Code

Claimant / Applicant:

Name:

Farid Syarizal Abdul Rani

Clerk
22-Dec-08

Budgetted

Committed

Amount

Budget

Amount

to Date

Required

Balance

(RM)

(RM)

(RM)

(RM)

Remarks

Verified / Recommended by:

Approved by:

Name:

Name:

Designation:

Designation :

Designation :

Date:

Date:

Date:

p
FOR FINANCE USE

FOR HRD USE

(Advance Requisition Only)

RECEIVED BY:

(Medical / Maternity Only)

Approved by:

Approved by:

Name:

Name:

Name:

Designation:

Designation:

Designation:

Date:

Date:

Date:

16.00

EAC

EXPENSE / ADVANCE CLAIM FORM

Farid Syarizal Abdul Rani
Clerk
HR Unit

Name:
Designation:
Dept./Faculty:

DATE

30-Dec-08

PARTICULARS

AMOUNT

(Please attach original receipts)

RM

15.00

Purchase of staff attendance card

Total
Less Advance Taken (if any)
*Net Claim / Refund

FOR ADVANCE REQUISITION ONLY

DATE

PARTICULARS
(Please attach copy of Purchase Requisition)

Total Advance Required

BUDGET ALLOCATION (For non-PR item e.g. medical)
Account

Description

Code

Claimant / Applicant:

Name:

Farid Syarizal Abdul Rani

Clerk
30-Dec-08

Budgetted

Committed

Amount

Budget

Amount

to Date

Required

Balance

(RM)

(RM)

(RM)

(RM)

Remarks

Verified / Recommended by:

Approved by:

Name:

Name:

Designation:

Designation :

Designation :

Date:

Date:

Date:

p
FOR FINANCE USE

FOR HRD USE

(Advance Requisition Only)

RECEIVED BY:

(Medical / Maternity Only)

Approved by:

Approved by:

Name:

Name:

Name:

Designation:

Designation:

Designation:

Date:

Date:

Date:

15.00
-

15.00

EAC

EXPENSE / ADVANCE CLAIM FORM

Farid Syarizal Abdul Rani
Clerk
HR Unit

Name:
Designation:
Dept./Faculty:

DATE

23-Jan-09

PARTICULARS

AMOUNT

(Please attach original receipts)

RM

Purchase of staff attendance card

Total
Less Advance Taken (if any)

*Net Claim / Refund

FOR ADVANCE REQUISITION ONLY

DATE

PARTICULARS
(Please attach copy of Purchase Requisition)

Total Advance Required

BUDGET ALLOCATION (For non-PR item e.g. medical)
Account

Description

Code

Claimant / Applicant:

Name:

Farid Syarizal Abdul Rani

Clerk
23-Jan-09

Budgetted

Committed

Amount

Budget

Amount

to Date

Required

Balance

(RM)

(RM)

(RM)

(RM)

Remarks

Verified / Recommended by:

Approved by:

Name:

Name:

Designation:

Designation :

Designation :

Date:

Date:

Date:

p
FOR FINANCE USE

FOR HRD USE

(Advance Requisition Only)

RECEIVED BY:

(Medical / Maternity Only)

Approved by:

Approved by:

Name:

Name:

Name:

Designation:

Designation:

Designation:

Date:

Date:

Date:

EAC

EXPENSE / ADVANCE CLAIM FORM

Farid Syarizal Abdul Rani
Clerk
HR Unit

Name:
Designation:
Dept./Faculty:

DATE

25-Jan-09

PARTICULARS

AMOUNT

(Please attach original receipts)

RM

25.00

Medical Treatment for daughter Nur Liyana Hazirah

Provider : Klinik Sentral, Segamat
Receipt No : B0456

Total
Less Advance Taken (if any)
*Net Claim / Refund

FOR ADVANCE REQUISITION ONLY

DATE

PARTICULARS
(Please attach copy of Purchase Requisition)

Total Advance Required

BUDGET ALLOCATION (For non-PR item e.g. medical)
Account

Description

Code

Claimant / Applicant:

Name:

Farid Syarizal Abdul Rani

Clerk
1-Feb-09

Budgetted

Committed

Amount

Budget

Amount

to Date

Required

Balance

(RM)

(RM)

(RM)

(RM)

Remarks

Verified / Recommended by:

Approved by:

Name:

Name:

Designation:

Designation :

Designation :

Date:

Date:

Date:

p
FOR FINANCE USE

FOR HRD USE

(Advance Requisition Only)

RECEIVED BY:

(Medical / Maternity Only)

Approved by:

Approved by:

Name:

Name:

Name:

Designation:

Designation:

Designation:

Date:

Date:

Date:

25.00
-

25.00

EAC

EXPENSE / ADVANCE CLAIM FORM

Farid Syarizal Abdul Rani
Clerk
HR Unit

Name:
Designation:
Dept./Faculty:

DATE

24-Feb-09

PARTICULARS

AMOUNT

(Please attach original receipts)

RM

Purchase of staff attendance card and polystyrene

Total
Less Advance Taken (if any)

*Net Claim / Refund

FOR ADVANCE REQUISITION ONLY

DATE

PARTICULARS
(Please attach copy of Purchase Requisition)

Total Advance Required

BUDGET ALLOCATION (For non-PR item e.g. medical)
Account

Description

Code

Claimant / Applicant:

Name:

Farid Syarizal Abdul Rani

Clerk
24-Feb-09

Budgetted

Committed

Amount

Budget

Amount

to Date

Required

Balance

(RM)

(RM)

(RM)

(RM)

Remarks

Verified / Recommended by:

Approved by:

Name:

Name:

Mohd Zawawi Mat Tahar

Designation:

Designation :

Date:

Date:

Admin Executive

Designation :
Date:

p
FOR FINANCE USE

FOR HRD USE

(Advance Requisition Only)

RECEIVED BY:

(Medical / Maternity Only)

Approved by:

Approved by:

Name:

Name:

Name:

Designation:

Designation:

Designation:

Date:

Date:

Date:

EAC

EXPENSE / ADVANCE CLAIM FORM

Farid Syarizal Abdul Rani
Clerk
HR Unit

Name:
Designation:
Dept./Faculty:

DATE

25-Feb-09

PARTICULARS

AMOUNT

(Please attach original receipts)

RM

18.00

To order rubber stamp chop for official puposes

Total
Less Advance Taken (if any)
*Net Claim / Refund

FOR ADVANCE REQUISITION ONLY

DATE

PARTICULARS
(Please attach copy of Purchase Requisition)

Total Advance Required

BUDGET ALLOCATION (For non-PR item e.g. medical)
Account

Description

Code

Claimant / Applicant:

Name:

Farid Syarizal Abdul Rani

Clerk
25-Feb-09

Budgetted

Committed

Amount

Budget

Amount

to Date

Required

Balance

(RM)

(RM)

(RM)

(RM)

Remarks

Verified / Recommended by:

Approved by:

Name:

Name:

Mohd Zawawi Mat Tahar

Designation:

Designation :

Date:

Date:

Admin Executive

Designation :
Date:

p
FOR FINANCE USE

FOR HRD USE

(Advance Requisition Only)

RECEIVED BY:

(Medical / Maternity Only)

Approved by:

Approved by:

Name:

Name:

Name:

Designation:

Designation:

Designation:

Date:

Date:

Date:

18.00
-

18.00

EAC

EXPENSE / ADVANCE CLAIM FORM

Farid Syarizal Abdul Rani
Clerk
HR Unit

Name:
Designation:
Dept./Faculty:

DATE

PARTICULARS

AMOUNT

(Please attach original receipts)

2-Mar-09

RM

1,100.00

Claim for tuition fee

Semester Dec 08 till May 09
Universiti Teknologi MARA

Total
Less Advance Taken (if any)
*Net Claim / Refund

FOR ADVANCE REQUISITION ONLY

DATE

PARTICULARS
(Please attach copy of Purchase Requisition)

Total Advance Required

BUDGET ALLOCATION (For non-PR item e.g. medical)
Account

Description

Code

Claimant / Applicant:

Name:

Farid Syarizal Abdul Rani

Clerk
2-Mar-09

Budgetted

Committed

Amount

Budget

Amount

to Date

Required

Balance

(RM)

(RM)

(RM)

(RM)

Remarks

Verified / Recommended by:

Approved by:

Name:

Name:

Mohd Zawawi Mat Tahar

Designation:

Designation :

Date:

Date:

Admin Executive

Designation :
Date:

p
FOR FINANCE USE

FOR HRD USE

(Advance Requisition Only)

RECEIVED BY:

(Medical / Maternity Only)

Approved by:

Approved by:

Name:

Name:

Name:

Designation:

Designation:

Designation:

Date:

Date:

Date:

1,100.00
-

1,100.00

EAC

EXPENSE / ADVANCE CLAIM FORM

Farid Syarizal Abdul Rani
Clerk
HR Unit

Name:
Designation:
Dept./Faculty:

DATE

5-Mar-09

PARTICULARS

AMOUNT

(Please attach original receipts)

RM

67.00

Medical claim for daughter Nur Liyana Hazirah

Provider : Klinik Diong Mee Nee
Receipt No 06352

Total
Less Advance Taken (if any)
*Net Claim / Refund

FOR ADVANCE REQUISITION ONLY

DATE

PARTICULARS
(Please attach copy of Purchase Requisition)

Total Advance Required

BUDGET ALLOCATION (For non-PR item e.g. medical)
Account

Description

Code

Claimant / Applicant:

Name:

Farid Syarizal Abdul Rani

Clerk
6-Mar-09

Budgetted

Committed

Amount

Budget

Amount

to Date

Required

Balance

(RM)

(RM)

(RM)

(RM)

Remarks

Verified / Recommended by:

Approved by:

Name:

Name:

Mohd Zawawi Mat Tahar

Designation:

Designation :

Date:

Date:

Admin Executive

Designation :
Date:

p
FOR FINANCE USE

FOR HRD USE

(Advance Requisition Only)

RECEIVED BY:

(Medical / Maternity Only)

Approved by:

Approved by:

Name:

Name:

Name:

Designation:

Designation:

Designation:

Date:

Date:

Date:

67.00
-

67.00

EAC

EXPENSE / ADVANCE CLAIM FORM

Farid Syarizal Abdul Rani
Clerk
HR Unit

Name:
Designation:
Dept./Faculty:

DATE

27-Mar-09

PARTICULARS

AMOUNT

(Please attach original receipts)

RM

Purchase of staff attendance card

Total
Less Advance Taken (if any)

*Net Claim / Refund

FOR ADVANCE REQUISITION ONLY

DATE

PARTICULARS
(Please attach copy of Purchase Requisition)

Total Advance Required

BUDGET ALLOCATION (For non-PR item e.g. medical)
Account

Description

Code

Claimant / Applicant:

Name:

Farid Syarizal Abdul Rani

Clerk
27-Mar-09

Budgetted

Committed

Amount

Budget

Amount

to Date

Required

Balance

(RM)

(RM)

(RM)

(RM)

Remarks

Verified / Recommended by:

Approved by:

Name:

Name:

Mohd Zawawi Mat Tahar

Designation:

Designation :

Date:

Date:

Admin Executive

Designation :
Date:

p
FOR FINANCE USE

FOR HRD USE

(Advance Requisition Only)

RECEIVED BY:

(Medical / Maternity Only)

Approved by:

Approved by:

Name:

Name:

Name:

Designation:

Designation:

Designation:

Date:

Date:

Date:

EAC

EXPENSE / ADVANCE CLAIM FORM

Farid Syarizal Abdul Rani
Clerk
HR Unit

Name:
Designation:
Dept./Faculty:

DATE

PARTICULARS

AMOUNT

(Please attach original receipts)

20-Apr-09

RM

135.00

Medical claim for wife Shahizah Mohamed Kamal

Provider : Klinik Diong Mee Nee
Receipt No 06666

21-Apr-09

45.00

Medical claim for wife Shahizah Mohamed Kamal

Provider : Klinik Diong Mee Nee
Receipt No 06669

Total
Less Advance Taken (if any)
*Net Claim / Refund

FOR ADVANCE REQUISITION ONLY

DATE

PARTICULARS
(Please attach copy of Purchase Requisition)

Total Advance Required

BUDGET ALLOCATION (For non-PR item e.g. medical)
Account

Description

Code

Claimant / Applicant:

Name:

Farid Syarizal Abdul Rani

Clerk
22-Apr-09

Budgetted

Committed

Amount

Budget

Amount

to Date

Required

Balance

(RM)

(RM)

(RM)

(RM)

Remarks

Verified / Recommended by:

Approved by:

Name:

Name:

Mohd Zawawi Mat Tahar

Designation:

Designation :

Date:

Date:

Admin Executive

Designation :
Date:

p
FOR FINANCE USE

FOR HRD USE

(Advance Requisition Only)

RECEIVED BY:

(Medical / Maternity Only)

Approved by:

Approved by:

Name:

Name:

Name:

Designation:

Designation:

Designation:

Date:

Date:

Date:

180.00
-

180.00

EAC

EXPENSE / ADVANCE CLAIM FORM

Name:

Farid Syarizal Abdul Rani

Designation:

Clerk

Dept./Faculty:

HR Unit

DATE

21-Jun-09

PARTICULARS

AMOUNT

(Please attach original receipts)

RM

20.00

Petrol Pick up AGR 1908

Total
Less Advance Taken (if any)
*Net Claim / Refund

FOR ADVANCE REQUISITION ONLY

DATE

PARTICULARS
(Please attach copy of Purchase Requisition)

Total Advance Required

BUDGET ALLOCATION (For non-PR item e.g. medical)
Account

Description

Code

Claimant / Applicant:

Budgetted

Committed

Amount

Budget

Amount

to Date

Required

Balance

(RM)

(RM)

(RM)

(RM)

Verified / Recommended by:

Approved by:

Name:

Farid Syarizal Abdul Rani

Name:

Designation:

Designation :

Date:

Clerk
23-Jun-09

Date:

Name:

Remarks

Mohd Zawawi Mat Tahar

Admin Executive

Designation :
Date:

p
FOR FINANCE USE

FOR HRD USE

(Advance Requisition Only)

(Medical / Maternity Only)

RECEIVED BY:

Approved by:

Approved by:

Name:

Name:

Name:

Designation:

Designation:

Designation:

Date:

Date:

Date:

20.00
-

20.00

EAC

EXPENSE / ADVANCE CLAIM FORM

Name:

Farid Syarizal Abdul Rani

Designation:

Clerk

Dept./Faculty:

HR Unit

DATE

21-Jun-09

PARTICULARS

AMOUNT

(Please attach original receipts)

RM

20.00

Petrol Pick up AGR 1908

Total
Less Advance Taken (if any)
*Net Claim / Refund

FOR ADVANCE REQUISITION ONLY

DATE

PARTICULARS
(Please attach copy of Purchase Requisition)

Total Advance Required

BUDGET ALLOCATION (For non-PR item e.g. medical)
Account

Description

Code

Claimant / Applicant:

Budgetted

Committed

Amount

Budget

Amount

to Date

Required

Balance

(RM)

(RM)

(RM)

(RM)

Verified / Recommended by:

Approved by:

Name:

Farid Syarizal Abdul Rani

Name:

Designation:

Designation :

Date:

Clerk
23-Jun-09

Date:

Name:

Remarks

Mohd Zawawi Mat Tahar

Admin Executive

Designation :
Date:

p
FOR FINANCE USE

FOR HRD USE

(Advance Requisition Only)

(Medical / Maternity Only)

RECEIVED BY:

Approved by:

Approved by:

Name:

Name:

Name:

Designation:

Designation:

Designation:

Date:

Date:

Date:

20.00
-

20.00

EAC

EXPENSE / ADVANCE CLAIM FORM

Farid Syarizal Abdul Rani
Clerk
HR Unit

Name:
Designation:
Dept./Faculty:

DATE

17-Jun-09

PARTICULARS

AMOUNT

(Please attach original receipts)

RM

59.00

Medical claim for daughter Nur Liyana Hazirah

Provider : Klinik Diong Mee Nee
Receipt No 07085

Total
Less Advance Taken (if any)
*Net Claim / Refund

FOR ADVANCE REQUISITION ONLY

DATE

PARTICULARS
(Please attach copy of Purchase Requisition)

Total Advance Required

BUDGET ALLOCATION (For non-PR item e.g. medical)
Account

Description

Code

Claimant / Applicant:

Name:

Farid Syarizal Abdul Rani

Clerk
15-Jul-09

Budgetted

Committed

Amount

Budget

Amount

to Date

Required

Balance

(RM)

(RM)

(RM)

(RM)

Remarks

Verified / Recommended by:

Approved by:

Name:

Name:

Mohd Zawawi Mat Tahar

Designation:

Designation :

Date:

Date:

Admin Executive

Designation :
Date:

p
FOR FINANCE USE

FOR HRD USE

(Advance Requisition Only)

RECEIVED BY:

(Medical / Maternity Only)

Approved by:

Approved by:

Name:

Name:

Name:

Designation:

Designation:

Designation:

Date:

Date:

Date:

59.00
-

59.00

EAC

EXPENSE / ADVANCE CLAIM FORM

Farid Syarizal Abdul Rani
Clerk
HR Unit

Name:
Designation:
Dept./Faculty:

DATE

PARTICULARS

AMOUNT

(Please attach original receipts)

5-Aug-09

RM

1,200.00

Claim for tuition fee

Semester July till December 09
Universiti Teknologi MARA

Total
Less Advance Taken (if any)
*Net Claim / Refund

FOR ADVANCE REQUISITION ONLY

DATE

PARTICULARS
(Please attach copy of Purchase Requisition)

Total Advance Required

BUDGET ALLOCATION (For non-PR item e.g. medical)
Account

Description

Code

Claimant / Applicant:

Name:

Farid Syarizal Abdul Rani

Clerk
5-Aug-09

Budgetted

Committed

Amount

Budget

Amount

to Date

Required

Balance

(RM)

(RM)

(RM)

(RM)

Remarks

Verified / Recommended by:

Approved by:

Name:

Name:

Mohd Zawawi Mat Tahar

Designation:

Designation :

Date:

Date:

Admin Executive

Designation :
Date:

p
FOR FINANCE USE

FOR HRD USE

(Advance Requisition Only)

RECEIVED BY:

(Medical / Maternity Only)

Approved by:

Approved by:

Name:

Name:

Name:

Designation:

Designation:

Designation:

Date:

Date:

Date:

1,200.00
-

1,200.00

EAC

EXPENSE / ADVANCE CLAIM FORM

Farid Syarizal Abdul Rani
Sr. Clerk
HR Unit

Name:
Designation:
Dept./Faculty:

DATE

29-Jun-09

PARTICULARS

AMOUNT

(Please attach original receipts)

RM

15.00

Purchase of staff attendance card

Receipt no : 48450
Provider : LingBros Sports

Total
Less Advance Taken (if any)
*Net Claim / Refund

FOR ADVANCE REQUISITION ONLY

DATE

PARTICULARS
(Please attach copy of Purchase Requisition)

Total Advance Required

BUDGET ALLOCATION (For non-PR item e.g. medical)
Account

Description

Code

Claimant / Applicant:

Name:

Farid Syarizal Abdul Rani

Sr. Clerk
1-Sep-09

Budgetted

Committed

Amount

Budget

Amount

to Date

Required

Balance

(RM)

(RM)

(RM)

(RM)

Remarks

Verified / Recommended by:

Approved by:

Name:

Name:

Mohd Zawawi Mat Tahar

Designation:

Designation :

Date:

Date:

Admin Executive

Designation :
Date:

p
FOR FINANCE USE

FOR HRD USE

(Advance Requisition Only)

RECEIVED BY:

(Medical / Maternity Only)

Approved by:

Approved by:

Name:

Name:

Name:

Designation:

Designation:

Designation:

Date:

Date:

Date:

15.00
-

15.00

EAC

EXPENSE / ADVANCE CLAIM FORM

Farid Syarizal Abdul Rani
Sr. Clerk
HR Unit

Name:
Designation:
Dept./Faculty:

DATE

PARTICULARS

AMOUNT

(Please attach original receipts)

12-Oct-09

RM

101.00

Medical claim for wife Shahizah

Provider : Klinik Diong Mee Nee
Receipt No 08035

17-Oct-09

20.00

Medical claim for daughter Nur Liyana Hazirah

Provider : Klinik Diong Mee Nee
Receipt No 08088

Total
Less Advance Taken (if any)
*Net Claim / Refund

FOR ADVANCE REQUISITION ONLY

DATE

PARTICULARS
(Please attach copy of Purchase Requisition)

Total Advance Required

BUDGET ALLOCATION (For non-PR item e.g. medical)
Account

Description

Code

Claimant / Applicant:

Name:

Farid Syarizal Abdul Rani

Sr. Clerk
19-Oct-09

Budgetted

Committed

Amount

Budget

Amount

to Date

Required

Balance

(RM)

(RM)

(RM)

(RM)

Remarks

Verified / Recommended by:

Approved by:

Name:

Name:

Mohd Zawawi Mat Tahar

Designation:

Designation :

Date:

Date:

Admin Executive

Designation :
Date:

p
FOR FINANCE USE

FOR HRD USE

(Advance Requisition Only)

RECEIVED BY:

(Medical / Maternity Only)

Approved by:

Approved by:

Name:

Name:

Name:

Designation:

Designation:

Designation:

Date:

Date:

Date:

121.00
-

121.00

EAC

EXPENSE / ADVANCE CLAIM FORM

Farid Syarizal Abdul Rani
Sr. Clerk
HR Unit

Name:
Designation:
Dept./Faculty:

DATE

21-Jul-10

PARTICULARS

AMOUNT

(Please attach original receipts)

RM

15.00

Purchase of staff attendance card

Receipt no : 49241
Provider : LingBros Sports

Total
Less Advance Taken (if any)
*Net Claim / Refund

FOR ADVANCE REQUISITION ONLY

DATE

PARTICULARS
(Please attach copy of Purchase Requisition)

Total Advance Required

BUDGET ALLOCATION (For non-PR item e.g. medical)
Account

Description

Code

Claimant / Applicant:

Name:

Farid Syarizal Abdul Rani

Sr. Clerk
18-Aug-10

Budgetted

Committed

Amount

Budget

Amount

to Date

Required

Balance

(RM)

(RM)

(RM)

(RM)

Remarks

Verified / Recommended by:

Approved by:

Name:

Name:

Mohd Zawawi Mat Tahar

Designation:

Designation :

Date:

Date:

Admin Executive

Designation :
Date:

p
FOR FINANCE USE

FOR HRD USE

(Advance Requisition Only)

RECEIVED BY:

(Medical / Maternity Only)

Approved by:

Approved by:

Name:

Name:

Name:

Designation:

Designation:

Designation:

Date:

Date:

Date:

15.00
-

15.00

EAC

EXPENSE / ADVANCE CLAIM FORM

Name:

Farid Syarizal Abdul Rani

Designation:

Sr. Clerk

Dept./Faculty:

HR Unit

DATE

23-Sep-10

PARTICULARS

AMOUNT

(Please attach original receipts)

RM

140.00

Mileage claim MIMET - Ipoh - MIMET

Immigration Department for cancellation of expartriate working pass
100 km x RM0.70 x 2

Total
Less Advance Taken (if any)
*Net Claim / Refund

FOR ADVANCE REQUISITION ONLY

DATE

PARTICULARS
(Please attach copy of Purchase Requisition)

Total Advance Required

BUDGET ALLOCATION (For non-PR item e.g. medical)
Account

Description

Code

Claimant / Applicant:

Name:

Farid Syarizal Abdul Rani

Sr. Clerk

Designation:
Date:

8-Oct-10

Budgetted

Committed

Amount

Budget

Amount

to Date

Required

Balance

(RM)

(RM)

(RM)

(RM)

Remarks

Verified / Recommended by:

Approved by:

Name:

Name:

Mohd Zawawi Mat Tahar

Designation :

Admin Executive

Date:

Designation :
Date:

p
FOR FINANCE USE

FOR HRD USE

(Advance Requisition Only)

(Medical / Maternity Only)

RECEIVED BY:

Approved by:

Approved by:

Name:

Name:

Name:

Designation:

Designation:

Designation:

Date:

Date:

Date:

140.00
-

140.00

WEEKLY WORK REPORT FOR NEW STAFF

Name:

Id No :

Designation:

Date of Joined Sect./Unit :

Dept./Faculty:

Activities, tasks, duties, responsibilities:

List four major activities, tasks, duties, etc. you were involved in during the week. For each item, check the appropria
participation (you may check more than one level for each item). In the last column, record an ESTIMATE of the amo
(hours, minutes) you spent on each activity during the week.

Observed
No.

Description of activity, task, duty or responsibility

Performed
with
supervision

List one thing that went particularly well this week (area of improvement, new task , etc.)
List one thing that was the most challenging this week (issue, problem, difficulty, etc.).
List one way you can improve your job performance

Day
Monday
Tuesday

Date

Time In (available Time Out

in office/ lab )
(from office/ lab)

Hours

Performed
alone

Wednesday
Thursday
Friday

Reported by :

Verified by:

Checked by:

Ap

Name:

Name:

Name:

Name:

Designation:

Designation :

Designation :

Designation :

Date:

Date:

Date:

Date:

OJT

REPORT FOR NEW STAFF

n during the week. For each item, check the appropriate level of
). In the last column, record an ESTIMATE of the amount of time

Performed Time Spent Supervisor

alone
Initial

please ( x )

Approved by:

Designation :