Ref No : ETP 003

APPENDIX XVI: ETP CLAIM BREAKDOWN FORM

ENGINEERING TEAM PROJECT (ETP)

STUDENT'S CLAIM FORM (CONSUMABLES) & OTHERS

A. PAYMENT DETAILS

Name:

Student ID: Contact No.

Account Number: (bank's name)

Email address: I/C No. or Passport No.

Project Title:

Cost Center No. 015230-002 Group Number:

B. DETAILS OF PURCHASE

Purpose of claims: Month:

DATE RECIEPT NO. NAME OF ITEMS AMOUNT (RM)

TOTAL CLAIM:

ENDORSED BY:
PREPARED BY: VERIFIED BY: REVIEWED BY:
(HEAD OF DEPARTMENT,
(STUDENT) (SUPERVISOR) (ETP COORDINATOR)
MECHANICAL ENGINEERING)

SIGNATURE

NAME & STAMP

ETP COMMITTEE USE

BUDGET APPROVED: RM BUDGET USED: RM BUDGET REMAINING: RM

FINANCE DEPARTMENT USE

PROCESSED BY CHECKED BY APPROVED BY

SIGNATURE

NAME

Note : Please attach all receipts together with this form.

 Ref No : ETP 003
APPENDIX XVI: ETP CLAIM BREAKDOWN FORM

ENGINEERING TEAM PROJECT (ETP)

JUSTIFICATION FOR ITEMS PURCHASE & THEIR RETURN TO ETP STORE

A. GROUP DETAILS

SEMESTER

GROUP NUMBER

GROUP LEADER

B. JUSTIFICATION OF PURCHASE & RETURN PURPOSES

REMARKS
NAME OF ITEMS JUSTIFICATION
(ASSETS/CONSUMABLES)

FOR JUSTIFICATION OF PURCHASE PURPOSES FOR RETURN PURPOSES

ACCEPTED BY:
PREPARED BY: VERIFIED BY: (TECHNOLOGIST, REVIEWED BY:
(STUDENT) (SUPERVISOR) MECHANICAL (ETP COORDINATOR)
ENGINEERING)
DATE

SIGNATURE

NAME & STAMP