Form No

EXPENSES CLAIM F006-140-000

EMPLOYEE NAME Mark Lester M. Ramirez POSITION: Completion Manager DEPT/ JOB NO 5716

PLACE of TRAVEL Kuantan - SG and Vice versa TRAVEL DATES

FOREIGN LOCAL CURRENCY RECEIPT

DATE DETAILS CURRENCY NET $ GST TOTAL$ COST CODE ATTACHED

Exchange Rates Used: TOTAL $0.00 $0.00 $0.00

Less private costs

Less cash advance

Plus cash returned

BANK DETAILS Claimed amount

Bank:

Branch: Comments / Adjustments:

BSB: Employee signature / /

A/C Name:

A/C Number: Approved by Manager / /

Form F006-140-000 Rev 3