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Expense Claim Form: Format Tagihan Biaya

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Form No :

EXPENSE CLAIM FORM


Format Tagihan Biaya

*Personal ID(SAP ID) : Superior's Name :


(Nomor Induk Karyawan) (Nama Atasan)
Name : Superior's e-mail :
(Nama) (e-mail Atasan)
E-mail : Business Group :
(E-mail) (Group Usaha)
Cost Center : location :
(Cost Center) (Lokasi kerja)

Start Date End Date /Receipt


*Expense Type Business Partner**
(dd/mm/yyy) Date (dd/mm/yyyy) Curr Mata *Amount * *Location/City Country
*Jenis *Purpose/Description* Keperluan/Uraian Nama Tamu Remarks*** Keterangan***
Tgl Mulai Tgl Selesai/tgl Uang Jumlah *Lokasi/Kota Negara
Tagihan Perusahaan**
(Tgl/Blan/Yhn) terima (Tgl/Bln/Thn)

Total -
Date advance given : Jumlah
Taggal panjar Less advance given
Kurangi panjar
Net balance -
Jumlah akhir
Expense Type:
HTL - Accommodation (akomodasi) Hp - Handphone (telpon genggam) MEA2 - Meeting-Meals (Pertemuan-makan) PERD - Per diem Allowance (SPPD)
TAX - Airport Tax,etc & Fiscal (Pajak bandara,fiskal,dll) HTKT - Home Leave Ticket (tiket cuti) MOTH - Meeting-Taxi/internal/others (pertemuan-taxi/internal-lain2) PCPA - Photocopy Paper (Kertas potocopy)
CHW - Computer Hardware (Perangkat komputer) HOSP - Hospitalisation (pengobatan rumah sakit) MEA3 - Orientation (Refreshment) (penyegaran) READ - Reading Material (Bahan Bacaan)
CPH - Computer Peripherais (peralatan lain komputer) LANY - Laundry (cuti pakaian) MKEY - Others (e.g.key.duplication) (lain-lain-duplikat kunci) RLOC-Relocation Expenses (biaya pindahan)
MEDD - Dental (pengobatan Gigi) INTE - Meals-Interview (makan - interview) OINT - Overseas - Internet( luar negri-internal) REPA- Reair & Maintenance (perbaikan & perawatan)
EPWP - Employment Pass/Work Permit (Izin kerja) MEAl - Meal-OT (Makan-lembur) MED1 - Overseas- Meals(luar negri- makan) STRY - Stationsery (Peralatan kantor)
ENT - Entertaiment (entertain) MWOS - Meals-withOverseas Staff (makan-dgn staf luar) OTBT - Overseas- taxi/bus/Train/ferry (luar negri-taxi/bus/ferry) TRSE - Training / Seminar (pelatihan/seminar)
EWEL - Werfare Token (Marrieage,etc)(kesejahteraan) MED1 - Medical claim (tagihan pengobatan) HPTP - Overseas Handphone (telpon luar negri) TRNT - Trevel Transport Claim (tagihan trans perjalanan)
Air - Flight (Pesawat udara) MFLI - Meeting-Flight-(Pertemuan-pesawat) PASA - Paper Sample (Sample kertas) VISA - Visa Application Fee (Biaya permohonan visa)
TRAN - General Transport Claim (tagihan trans umum) MHOT - Meeting-Hotel (Pertemuan-hotel) PARK - Prking,ERP and Tolis (Parkir,ERP dan toll)

** Compulsory to fiil this colums for entertainment claims only


Diharuskan mengisi kolom ini hanya untuk tagihan entertainment saja
*** Fiil in the remaks column if the expense needs to be charged to other than your standard cost center
(Kolom keterangan diisi,jika biaya perlu ditagih ke cost center yang lain)
Approved by,
Disetujui oleh,

Applicant (dd/mm/yyy) Superior (dd/mm/yyy)


Pemohon (Tgl/Bln/Thn) Atasan Langsung (Tgl/Bln/Thn)

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