CLAIM FORM
CF-70564
| Jobfile | : | 12507225 |
| Employee name | : | CV BERLIAN SUMBER CAHAYA |
| Department name | : | WORK PERMITS |
| Expenses for period ending | : | Sep 25 |
| Item Category | Description | Remark/ Invoice No | Date | Total |
| UMUM | MATERAI 10000 | MATERAI 10000 | 2025-09-04 | 10,000.00 |
| WORK PERMIT-CREW HANDLING | FUTURE SYNTHETIC for KARIMUN. SKKOA for ELAVARASAN SUBRAMANIYAN | FUTURE SYNTHETIC for KARIMUN; SKKOA for ELAVARASAN SUBRAMANIYAN | 2025-09-04 | 2,094,200.00 |
| Total | IDR | 2,104,200.00 | ||
| Less Cash Advance | IDR | 0.00 | ||
| Less Company Paid | IDR | 0 | ||
| Due to Staff | IDR | 2,104,200.00 | ||
| I certify that the above information is complete and true and in compliance with Company policy. |
|||
| Employee Signature | Date | Reviewed by Finance Department | Date |
| CV BERLIAN SUMBER CAHAYA | 04 Sep 25 | ||
| Immediate Superior Signature | Date | Received by | Date |
| YENNY WILLIM | |||