Phongsavanh Insurance (APA) Co.

Ltd /APA-ADM /18

HR & Admin Department Vientiane capital, Date 05/02/2018

Cash Advance Request

To : Gerry Callaghan, Chief Executive Officer of Phongsavanh Insurance (APA) Co.,Ltd
Subject ………………………………………………………………………………………………..

- According to ……………………………………………………………………………………………….

On behalf of HR & Admin Department of Phongsavanh Insurance (APA), we would like to request for
payment of ……………….Kips, which is for ………………………………………………………………… , Please see below:

No Description Quantity Price Amount Budget Cost

2
Total THB :
Grand Total KIP :
Amount in words:

Remark : …………………………………………………………………………………………………………………………………………

Prepared by: Verified by: Approved by:

________________

Vanarly Saiychanthachon Bounna Phoumalavong Gerry CALLAGHAN

Admin officer HR & Admin Manager CEO

For Finance use only

Prepared by: Verified by:

Date:………………………………. Date:………………………………….

Comment:…………………………………………………………………………………………………………………………………………

Phongsavanh Insurance (APA) Co. Ltd /APA-AMD/18

HR & Admin Department Vientiane capital, Date07/02/2018
 Cash Advance Liquidation

To : Gerry Callaghan, Chief Executive Officer of Phongsavanh Insurance (APA) Co.,Ltd

Subject: …………………………………………………………………………………………

- According to …………………………………………………………………….

On behalf of HR & Admin Department of Phongsavanh Insurance (APA), we will summary for
payment of ……………………. Kips, which is …………………………………………………………………. ,of Phongsavanh
Insurance (APA) Co. Ltd., Please see the details below

N. Description Requested Actual Amount Balance

Amount (KIP) (KIP)
1 .

Total:

Prepared by: Verified by: Approved by:

________________
Vanarly Saiychanthachon Bounna Phommalavong Gerry Callaghan
Admin officer HR & Admin Manager CEO