Part Time Claim Form (plus Trf & Tcf)

BAYARAN ELAUN KEPADA PENSYARAH / TUTOR / DEMONSTRATOR MAKMAL SAMBILAN / PENSYARAH JEMPUTAN (BUKAN ANGGOTA KERJA UNIKL) Nama

: ___________________________________________________________

Alamat

: ___________________________________________________________

No K/P

:________________________

___________________________________________________________ ___________________________________________________________ ___________________________________________________________

Program/Kursus

: ___________________________________________________________

Mata Pelajaran / Tajuk Syarahan

: ___________________________________________________________

BULAN

TAHUN

JUMLAH JAM

KADAR SEJAM (RM)

RM

x x x x Jumlah Kecil Tolak (-) 1. KWSP

i) Pekerja ii) Majikan

2 SOCSO

i) Pekerja iii) Majikan

3 LHDN Jumlah Besar Kod Peruntukan : _________________ / ________

Kod yang dicajkan :

Tandatangan (Pemohon): _____________________________ Peruntukan Belanjawan Kod

Keterangan

Akaun

Amaun

Perbelanjaan

Amaun

Nota

PeruntukanTelah DiperakukanDiperlukan (RM)

Diperakukan

Kelulusan

...………………………. Nama : Jawatan :

…...…………………………. Nama Nama : & Cop : Jawatan :

Tarikh :

Tarikh:__________________________

Tarikh Tarikh : :

(RM)

Kegunaan Kewangan Semakan

(RM)

Kelulusan

…………….………………….. Nama : Jawatan :

…..………………………….. Nama : Jawatan :

Tarikh :

Tarikh :

…..…………………………..

CAMPUS / INSTITUTE : ___________________________________________________________________ Claim for Month:

Year:

Name of Lecturer: I.C. No: DATE

SUBJECT

FROM

TO

TIME FROM TO

FROM

TO

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Total No. Of. Hours

Lecturer's Signature:……………………………….

Verified by:……………………………….

NO. OF HOURS

Date:……………………………

Name:……………………………

TRF

TRAVELLING REQUISITION FORM No.

Name

Designation

Department / Faculty

DETAIL OF JOURNEY Date

Depart. Time

Arrival Time

Departure Place

Arrival Place

Mode of Travelling

Check-in date

Check-out date

Owner/Car Reg. No.

Reason for travelling:

Is Accommodation required ? Yes

Place/City

Remarks

No

Is Advance required ? Yes

No

If Advance is required, please fill up the Advance Requisition below.

Requested by :

Recommended by :

Approved by :

Name :

Name :

Name :

Designation :

Designation :

Designation :

Date :

Date :

Date : FOR ADVANCE REQUISITION ONLY

Date

Particulars

Transport KM

Accommodation

Subsistence

Other

Total

RM

RM

RM

RM

RM

Total Advance required BUDGET ALLOCATION Account

Description

Code

Budgetted

Committed

Amount

Budget

Amount

to Date

Required

Balance

(RM)

(RM)

(RM)

(RM)

Remarks

FOR HCMD USE

FOR FINANCE USE

Verified by:

Approved by:

Received by:

Name:

Name:

Name:

Designation:

Designation:

Designation:

Date:

Date:

Date:

* To be fill up individually.

TCF

TRAVELLING CLAIM FORM Name:

Staff No

:

Designation:

Grade

:

Dept./Faculty:

DATE

TIME

PARTICULARS

(Please attach receipts)

TRANSPORT

ACCOMMODATION

SUBSISTENCE

OTHER

21104

21102

21101

21199

RM

RM

RM

KM

RM

Sub Total Less Advance Taken (if any) *Net Claim / Refund BUDGET ALLOCATION Account

Description

Code

Claimant :

Budgetted

Committed

Amount

Budget

Amount

to Date

Required

Balance

(RM)

(RM)

(RM)

(RM)

Verified/Recommended by :

(Signature) Name: Date:

Approved by :

(Signature)

(Signature)

Name:

Name:

Designation:

Designation:

Date:

Date:

FOR HCMD USE ONLY Checked by:

Verified by:

(Signature)

Approved by:

(Signature)

(Signature)

Name:

Name:

Name:

Designation:

Designation:

Designation:

Date:

Date:

Date:

Remarks

TOTAL

RM