TRAVEL   REQUEST   FORM - PROJECT

NAME : AGUS KRISTANTO HP NO. : 082134615874

DEPARTMENT : RNP NPM Huawei Telkomsel CJ 2015
DESIGNATION : Rigger
PROJECT CODE : 15-RNP-HWI-TSL-12-005

CITY
FLIGHT DATE PURPOSE OF TRIP
FROM TO

Semarang cilacap 21-Nov-16 Site Audit CLP119ML1_TUGUPERTAMINA

cilacap semarang 26-Nov-16 Site Audit CLP001ML1_CILACAP1

Site Audit CLP050ML1_SIDAKAYA

Site Audit CLP645ML1_STOCILACAPML

Employee's Signature : Approved by TL / RPM : Approved by PM / HOD / Dir :

(only for project)

AGUS KRISTANTO Dwi Ferdiansah Sukarwi

Date : 21-Nov-16 Date : 21-Nov-16 Date : 21-Nov-16
 TIME SHEET
Name : AGUS KRISTANTO
Designation : Rigger
Department : RNP NPM Huawei Telkomsel CJ 2015
Project Code : 15-RNP-HWI-TSL-12-005

Work Time
Date Area Work Description Confirmed by Triyana
Start Finished

22-Nov-16 cilacap Site Audit CLP119ML1_TUGUPERTAMINA 9:00 18:00

23-Nov-16 cilacap Site Audit CLP001ML1_CILACAP1 9:00 18:00

24-Nov-16 cilacap Site Audit CLP050ML1_SIDAKAYA 9:00 18:00

25-Nov-16 cilacap Site Audit CLP645ML1_STOCILACAPML 9:00 18:00

Checked by : Laksmi Approved by TL : Dwi Ferdiansah

Signature : Signature :

Date 14-Nov-16 Date 14-Nov-16

Instruction:
1) Please ensure that all DATE and CODE are correctly filled
2) Please
3) All ensure
TL/PM thatcheck
- Please WORKcarefully
DESCRIPTION andcorrectness
to ensure WORK TIME ofare correctly and
assignment filledworking days
when approving the Timesheet.
PETTY CASH VOUCHER Voucher No:
Date:
Project Code 15-RNP-HWI-TSL-12-005

Date Particulars Amount (IDR) Name (in block) Dept / Cost Centre

21-Nov-16 Hotel and Meels Cilacap 135,000 AGUS KRISTANTO Rigger

Hotel and Meels Site Audit

22-Nov-16 135,000
CLP119ML1_TUGUPERTAMINA Cilacap

Hotel and Meels Site Audit CLP001ML1_CILACAP1

23-Nov-16 135,000
Cilacap

Hotel and meels Site Audit CLP050ML1_SIDAKAYA

24-Nov-16 135,000
Cilacap

Hotel and Meels Site Audit

25-Nov-16 CLP645ML1_STOCILACAPML Cilacap 135,000 Claimant's Signature

28-Nov-16

Approved by Team Leader Date

28-Nov-16

Dwi Ferdiansah
Date

Approved by Finance Date

Cash Received Date

Total Amount 675,000

Terbilang Seratus tiga puluh lima ribu rupiah

Debit Amount (IDR) Credit Amount (IDR)

Prepared by :AGUS KRISTANTO Checked by : Laksmi Posted by :

Date : 28-Nov-16 Date : 28-Nov-16 Date :