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    Borang TNT & Honorarium Kosong

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    Grant Russell
    This document is a claim form for election commission officers in Pahang for travel reimbursement during elections. It requests the officer's personal details and bank account information. It then lists the dates, locations traveled, and kilometer amounts. Payment rates are referenced for items like honorarium, phone allowance, and travel allowance based on kilometers. The total claim amount is calculated and requires signatures from managing officers to verify claims before the election office approves and processes payment.

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    Download as PDF, TXT or read online from Scribd

    Borang TNT & Honorarium Kosong

    Uploaded by

    Grant Russell
    1K views1 page
    This document is a claim form for election commission officers in Pahang for travel reimbursement during elections. It requests the officer's personal details and bank account information. It then lists the dates, locations traveled, and kilometer amounts. Payment rates are referenced for items like honorarium, phone allowance, and travel allowance based on kilometers. The total claim amount is calculated and requires signatures from managing officers to verify claims before the election office approves and processes payment.

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    Borang Tnt & Honorarium Kosong

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    This document is a claim form for election commission officers in Pahang for travel reimbursement during elections. It requests the officer's personal details and bank account information. It then lists the dates, locations traveled, and kilometer amounts. Payment rates are referenced for items like honorarium, phone allowance, and travel allowance based on kilometers. The total claim amount is calculated and requires signatures from managing officers to verify claims before the election office approves and processes payment.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    1K views1 page

    Borang TNT & Honorarium Kosong

    Uploaded by

    Grant Russell
    This document is a claim form for election commission officers in Pahang for travel reimbursement during elections. It requests the officer's personal details and bank account information. It then lists the dates, locations traveled, and kilometer amounts. Payment rates are referenced for items like honorarium, phone allowance, and travel allowance based on kilometers. The total claim amount is calculated and requires signatures from managing officers to verify claims before the election office approves and processes payment.

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    BORANG TUNTUTAN PETUGAS SURUHANJAYA PILIHAN RAYA (SPR)

    PEJABAT PILIHAN RAYA NEGERI PAHANG


    PILIHAN RAYA UMUM (PRU) KE ………… PILIHAN RAYA KECIL (PRK) …………...…………

    NAMA(HURUF BESAR) : …………..…………………………………………………………………………………………………………………………….


    NO. K/P : …………..…………………………………………………………………………………………………………………………….
    ALAMAT PEJABAT : …………..…………………………………………………………………………………………………………………………….
    ..…………..…………………………………………………………………………………………………………………………….
    ALAMAT RUMAH : …………..…………………………………………………………………………………………………………………………….
    ..…………..…………………………………………………………………………………………………………………………….
    NAMA BANK : ………………………………………… NO. AKAUN BANK : ………..…….…………………………………
    NO. H/P : ………………………………………… ALAMAT EMAIL : ………..…….…………………………………
    Jawatan Petugas semasa PRU/PRK : …………...………………………………………………………………………………………………………..
    Alamat Bertugas semasa PRU/PRK : …………...………………………………………………………………………………………………………..
    ..…………...………………………………………………………………………………………………………..
    TUNTUTAN PERJALANAN
    TARIKH KENYATAAN TUNTUTAN KILOMETER
    Bertugas bermula dari tarikh pengumuman pilihan raya
    …………….. Bertolak dari ………………………………………………………………………………………………….. ………………………..km
    ke ………………….…………………………………………………………………………………………………
    …………….. Bertolak dari ………………………………………………………………………………………………….. ………………………..km
    ke ………………….…………………………………………………………………………………………………
    …………….. Bertolak dari ………………………………………………………………………………………………….. ………………………..km
    ke ………………….…………………………………………………………………………………………………
    Bertugas pada hari pilihan raya
    …………….. Bertolak dari ………………………………………………………………………………………………….. ………………………..km
    ke ………………….…………………………………………………………………………………………………

    JUMLAH KILOMETER …………………….km

    BIL BUTIRAN KADAR AMAUN (RM) RUJUKAN


    1 Honorarium RM………………………………. LAMPIRAN A
    2 Elaun Telefon RM60 / RM50 /RM20 LAMPIRAN B
    3 Elaun Perjalanan RM14 / RM28 / RM42 / RM56 / RM70 / RM84 LAMPIRAN C

    JUMLAH TUNTUTAN RM……………………………….


    Saya mengaku bahawa tuntutan di atas adalah benar bagi urusan rasmi PRU/PRK dan bertanggungjawab terhadapnya.

    Disahkan oleh Pegawai Pengurus / PPP

    Tandatangan penuntut : ………………………………………… Tandatangan : …………………………………………………..

    Tarikh : ………………………………………… Cap Pegawai :

    Tarikh : …………………………………………………..

    Pengesahan Pejabat Pilihan Raya

    Tandatangan : ………………………………………………….. Cap Pegawai :


    Tarikh : …………………………………………………..

    ** Jika kenyataan tuntutan tidak mencukupi, sila gunakan 2 helai lampiran ini.

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