Employee Reimbursement Form

GL Code
(Gode Listing for Reference Only)
Upload Receipts*

Upload a File
(Please glue ALL original receipts into A4 paper and number it as per above submitted list sequence. Name Receipt File as YYYYMM_FullName) Cancelof
Total Amt Excl GST*
Total GST*
Total Amt Incl GST
HOD
Approval By: ________________________
Prepared by: _________________________
Checked by: _________________________
I certify*

I certify that all information entered above is valid and true.
Remark: Please Print Form First Before Submit Form (Print Horizontal and Double Sided)
Note: 1.Please indicate name of staff sharing with WHERE APPLICABLE.

        2.Please specify customer entertained on the receipt itself.

          3.Please specify foregin currency (FC) involved and the exchange rate.

          4.Please attached all receipts and supporting document.

          5.Please submit valid Full Tax Invoice for single receipt more than RM 500 or your claim will not be paid.
Should be Empty: