Jinny Claim

ATTACHMENT 1 for PAYMENT FORM TO FAH-AP TEAM(for more than one item/entry)

Name of Supplier / Staff (as per I/C) Supplier / Staff Contact Staff ID Supplier / Staff Requested Amount Additional Information

Email Address Number Number Account Number Currency Code Amount Project Code Vehicle Number Travelling Date From Travelling Date To

2 KHOO YEW BENG `03-56317934 8002602110 MYR 120

Invoice Number 112 Invoice Date 24/2/2015 Bank Name & Branch CIMB BANK BERHAD

Payment Description REIMBURSEMENT OF PARKING FOR MARCH 2015Company Branch Responsibility Centre Account Sub Account Optional 1 Tax Code

GL Code Block (compulsory) 1 1 1 1 0 0 0 0 4 6 3 3 5 5 1 2 2 4 1 0 0 0 0 0 0 B I O 3 0 0 09

Payment to Non-Resident Supplier (for Services ONLY) Services Rendered in Malaysia Services Rendered Outside Malaysia

B.2 GST Information (Compulsory) B.3 Additional Information (where applicable)

AR Customer Number

MX – Mixed Supplies Yes – Consumed in Malaysia Services Non Taxable Purchases R - Reimbursement (Invoice not billed to AR Client)

B.4 Inter-Company Charge Out GL Accounts & Amount (Applicable if GL code block above is charged to GL 1720726 & GL 1720729)

GL Account (Please fill up eg. 1111-0000-7051-5300056-0000)

Amount (Please fill up eg. RM 200.00)



3 KHOO YEW BENG `03-56317934 8002602110 MYR 120


Payment Description REIMBURSEMENT OF PARKING FOR APRIL 2015Company Branch Responsibility Centre Account Sub Account Optional 1 Tax Code

GL Code Block (compulsory) 1 1 1 1 0 0 0 0 4 6 3 3 5 5 1 2 2 4 1 0 0 0 0 0 0 B I O 3 0 0 09



AR Customer Number







4 JMB EMPIRE SUBANG - TOWER `03-56317934 8002622380 MYR 36


Payment Description WATER CHARGES FOR MARCH 2015 FOR UNIT A07-01)Company Branch Responsibility Centre Account Sub Account Optional 1 Tax Code

GL Code Block (compulsory) 1 1 1 1 0 0 0 0 4 6 3 3 5 3 1 0 6 3 2 0 0 0 0 0 1 2 2 4 3 0 0 09



AR Customer Number


[email protected]

Type of SuppliesPrimary Intended Use

Consumed in Malaysia?(Compulsory for Foreign Vendor)

Product Fiscal Classification

Good or Services?Product Type

Capital goods, non-capital goods, or non-taxable purchase?Product Category

R/D Indicator (Compulsory if charge to Customer)

[email protected]







[email protected]







mailto:[email protected]








5

Invoice Number Invoice Date Bank Name & Branch

Payment DescriptionCompany Branch Responsibility Centre Account Sub Account Optional 1 Tax Code

GL Code Block (compulsory)9



AR Customer Number

Please Select Please Select Please Select Please Select R - Reimbursement (Invoice not billed to AR Client)










PURPOSE: Request for new invoice payment

INSTRUCTIONS FOR COMPLETION OF PAYMENT FORM

Please use Attachment 1 for more than one item/entry.

Please use cost allocation template if you wish to allocate costs from the same vendor to different Business Units / Branches.

Please enclose a duly completed Declaration Form for Staff Advance request.

Column Details/Example

1 Operating Unit

2 Invoice Information Requestor to tick for appropriate category:(a) Name of Supplier/Staff (as per IC) Supplier's name who provides the products and services to the requestor

Staff's name who requests for the claims or advances

(b) Supplier / Staff Email Address Supplier / Staff Email Address

(c) Contact Number Supplier's / Staff's contact number

(d) Supplier / Staff Account Number Supplier / Staff Bank Account number for the payment to be credited to

(e) Bank Name & Branch Supplier / Staff Bank Name & Branch for the payment to be credited to

(f) Staff ID Number Staff ID number

(g) Requested Amount Amount needs to pay for suppliers, staff claims or staff advances (i) Currency code - Select from the drop box for Currency code for the amount requested(ii) Total amount - Total payment/claims/advances made to supplier or staff

(h) Invoice Number Invoice number e.g. Inv 5678

(i) Invoice Date Issuing date of the invoice e.g. 27-06-09

(j) Payment Description Description for the paymente.g. Purchase of Stationery

(l) Justification for Cheque Request Justification is required for all cheque request i.e Payment for Company Income Tax Installment

(m) Pay Alone

(n) Collect

3 Accounting Information

within company (funds, Islamic windows, overseas branches)(ii) Branch Code used for branches & selected HO “monoline”(iii) RC Code used for Profit & Cost Centre (iv) GL Code identifies each type of asset, liability, shareholder equity, income and expense(v) Sub Account is dependent segment to Account to allow detailed analysis(vi) Optional 1 provide flexibility for company to obtain further analysis as required

(d) Additional Information (where applicable)(i) Customer Number : to be fill in for expenses chargable to client(ii) Vehicle Number : Vehicle Plate Number e.g. BKJ 9668(iii) Travelling Date From - Starting date of travelling in DD-MM-YY formate.g. 01-07-09(iv) Travelling Date To - Ending date of travelling in DD-MM-YY format e.g. 10-07-09

4For requestor to tick on Budgeted or Non-Budgeted, Recurring or Non-Recurring for the following category:(i) Capex (IT)(ii) Capex (other than IT Capex)(iii) Non Capex Mandatory (iv) Non Capex Non Mandatory

5 Expenditure Details This section is applicable for Supplier Payment under Budgeted Expenditure(a) Approved Budget for the Year Budget approved for the year

(b) Utilised To Date Total amount utilised up-to-date (in MYR)

(c) Utilised/Payment Amount Utilised/usage that need to pay to supplier in Ringgit Malaysia (in MYR)

(d) Balance Carried Forward Balance available after deduction of utilisation from approved budget for the year in Ringgit Malaysia (in MYR)

6 Prepared by- Signature Signature of Requestor- Name Stamp Requestor official Name Stamp

7 Reviewed /Recommended by The completed form must be verified by Officer/Supervisor - Signature Signature of Officer/Supervisor- Name Stamp The Officer/Supervisor official Name Stamp

8 Approved by as per DA The completed form must be approved by HOD or as per DA- Signature Signature of HOD / as per DA- Name Stamp The HOD / as per DA official Name Stamp

Payment Form and invoices send to: RFAH AP, Level 27, Menara Bumiputra Commerce, 11 Jalan Raja Laut,50350 Kuala Lumpur.

Please ensure the Vendor's Business Registration Number(Non-Individual) /IC Number (Individual) and Email Address are provided in the Supplier Maintenance Form for new creation and maintenance of vendor details.

For Payment to Supplier: Requestor to tick on the box for appropriate category of which entity the Branch/Division belongs to

(k) Payment to Non-Resident Supplier (for Services ONLY)

To select on Services Rendered in Malaysia or Services Rendered Outside Malaysia. Services Rendered in Malaysia means the non-resident supplier has to be physically present in Malaysia to provide the service.

Click on the Pay Alone Box if you have more than 1 invoice from the same supplier and you want to pay the supplier using one cheque.

Instruction to collect cheque by Business Units from RFAH. Only Business Units are allowed to collect cheques from RFAH. No external party eg no vendor will be allowed to collect directly from RFAH

(a) GL Code Block (compulsory) Please refer to the Chart of Account in C.I.M.B Net under Workguide Page, Forms, Regional Financial Accounting Hub Section, Chart of Accout, COA 1(i) Company Code representing legal entities, as well as separate accounting entities

Type of Expenditure (as per Delegated Authority)

RFAH AP / PAYMENT FORM

PAYMENT FORM TO FAH-AP TEAM

ORIGINATING BRANCH / DIVISION : RETAIL EQUITIES / BRANCH BROKING DATE : 18/6/15

CONTACT PERSON : KOKILA SIVAPRAGASAM EMAIL: CONTACT NUMBER : 03-2619 3973

CIMB Bank [1811] CIMB Islamic [1871] CIMB Investment [1111] CIMB Investment Islamic [1121]

iCIMB (M) [1977] iCIMB (MSC) [0011] Others (pls specify)

M - A P - - - -

A. INVOICE INFORMATION:

Name of Supplier / Staff (as per I/C) YONG WOOI KEE Staff ID Number BB1

Supplier / Staff Email Address Contact Number 012-3042929

Supplier / Staff Account No. (Compulsory) 1 2 1 0 0 0 3 3 4 4 9 ###5 2 9

Bank & Branch Name CIMB BANK Invoice Number Refer Attachment

Requested Amount Currency Code MYR Total Amount 360 Invoice Date Refer Attachment

Payment Description


Paygroup Travelling Date From DD-MM-YY Travelling Date To DD-MM-YY

B. ACCOUNTING & GST INFORMATION:

B.1 GL Code Block (Compulsory) Tax Code

Company Branch Responsibility Centre Account Sub Account Optional 1 (compulsory)

1 1 1 1 0 0 0 0 4 6 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 B B 1 3 0 0 0

B.2 GST Information (Compulsory)

SR – Standard Rated Supplies Yes – Consumed in Malaysia Services Non Taxable Purchases

B.3 Additional Information (where applicable)

Project Code Vehicle Number AR Customer Number

Please Select

GL Account (Please fill up eg. 1111-0000-7051-5300056-0000)Original Invoice Number

Original Invoice Date

Amount (Please fill up eg. RM 200.00) Original Invoice Amount

Depreciation RC Location Asset Key (Project Code) Add-On (Asset No.) if any

Prepared by Reviewed / Recommended by Approved by (as per DA)

KOKILA MICHAEL CHERN PAUL GUI

FOR GROUP TAX USE ONLY

With Holding Tax Verification For Non-GST registered entity Verified By:

Deduct Borne No WHT IMS Yes Not Applicable

Gross Amount Pay to IRB IMS Amount

WHT % Pay to Vendor Accounting entry

Remarks RemarksName:

Date:

FOR FAH-AP USE ONLYData Entry 1st Authoriser 2nd Authoriser

Payment on Hold: Yes No

Reason

Held By

Date

Released By Name: Name: Name:

Date Date: Date: Date:

[email protected]

OPERATING UNIT: (please tick one of the following categories)

CAPS AP Reference (via CAPS only)

[email protected]

Click here for List of Banks & Account Length

REIMBUSMENT FOR YONG WOOI KEE





Capital goods, non-capital goods, or non-taxable purchase?

Product Category



Mandatory Information required for Credit Note

C. FIXED ASSET INFORMATION: (use attachment if required)



BANK NAME Account LengthAffin Bank Berhad 12Agro Bank 16Alliance Bank Malaysia Berhad 15AmBank (M) Berhad 13Bank Kerjasama Rakyat Malaysia Berhad 12CIMB Bank Berhad 14EON Bank Berhad 13Malayan Banking Berhad (Maybank) 12Public Bank Berhad 10RHB Bank Ber 14HSBC 12CITIBANK 10JP MORGAN 10Bank Islam 14Bank Muamalat 14Bank of America 12BSN 16Deutsche Bank 10Hong Leong Bank 11OCBC 10Standard Chartered Bank 12Sumitomo Mitsui Banking Corp 8Royal Banking of Scotland (RBS) 7-10Kuwait Finance House 12UOB 11Bank of Tokyo-Mitsubishi XXAl Rajhi XX

ATTACHMENT 1- Multiple Invoices




2 YONG WOOI KEE 012-3042929 A0314 MYR 30

Invoice Number Invoice Date 31/5/15 Bank Name & Branch MBC

Payment Description REIMBUSMENT FOR NEWSPAPERCompany Branch Responsibility Centre Account Sub Account Optional 1 Tax Code

GL Code Block (compulsory) 1 1 1 1 0 0 0 0 4 6 3 3 5 5 1 2 2 4 1 0 0 0 0 0 0 B B 1 3 0 0 09



AR Customer Number

SR – Standard Rated Supplies Yes – Consumed in Malaysia Goods Non Taxable Purchases R - Reimbursement (Invoice not billed to AR Client)







Invoice Number Invoice Date 30/4/15 Bank Name & Branch MBC

Payment Description REIMBUSMENT FOR NEWSPAPERCompany Branch Responsibility Centre Account Sub Account Optional 1 Tax Code




AR Customer Number

SR – Standard Rated Supplies Yes – Consumed in Malaysia Goods Non Taxable Purchases R - Reimbursement (Invoice not billed to AR Client)







Invoice Number Invoice Date 4-May-15 Bank Name & Branch MBC

Payment Description REIMBUSMENT FOR PARKINGCompany Branch Responsibility Centre Account Sub Account Optional 1 Tax Code




AR Customer Number

[email protected]







[email protected]







[email protected]











SR – Standard Rated Supplies Yes – Consumed in Malaysia Services Non Taxable Purchases R - Reimbursement (Invoice not billed to AR Client)







Invoice Number Invoice Date 3-Apr-15 Bank Name & Branch MBC

Payment Description REIMBUSMENT FOR PARKINGCompany Branch Responsibility Centre Account Sub Account Optional 1 Tax Code




AR Customer Number

SR – Standard Rated Supplies Yes – Consumed in Malaysia Services Non Taxable Purchases R - Reimbursement (Invoice not billed to AR Client)




[email protected]










Additional Information

Travelling Date To

REIMBUSMENT FOR NEWSPAPER

R - Reimbursement (Invoice not billed to AR Client)



Travelling Date To





Travelling Date To

REIMBUSMENT FOR PARKING

(Compulsory if charge to Customer)







Travelling Date To





Organization Name Originating Dept Code Invoice Type

Invoice Header

Vendor Name Invoice Number

Invoice Header

DR Amount CR Amount Invoice Currency

Invoice Header

Invoice Date(DD-MM-YYYY)

Description Line Number

Invoice Header Invoice Distribution

Distribution CR Amount

Invoice Distribution

Distribution DR Amount

Invoice Line Description Company Branch Number


Responsibility Center GL Code Sub GL Code Option 1 Option 2


Option 3 Tax Code Staff No/Staff Name Customer Number

Invoice Distribution Charge Back & Reporting Purpose

Client Number Vehicle Number

Charge Back & Reporting Purpose

Organization Name Originating Dept Code Invoice Type

Invoice Header CBB OU MYR 7101 STANDARD

CBB OU MYR 7101 STANDARD

Vendor Name Invoice Number

Invoice Header AIRPLUS TRAVEL SERVICES SDN BHD 7587699

AIRPLUS TRAVEL SERVICES SDN BHD 7587698

DR Amount CR Amount Invoice Currency

Invoice Header 6-Jul-09 5600 MYR

6-Jul-09 500 MYR

Invoice Date(DD-MM-YYYY)

Description Line Number

Invoice Header Invoice DistributionBP TESTING 1

2BP TESTING 1

23

Distribution CR Amount

Invoice Distribution5000.00

600.00300.00100.00100.00

Distribution DR Amount

Invoice Line Description Company Branch Number

Invoice DistributionBP TESTING 1811 0000BP TESTING 1811 0000BP TESTING 1811 0000BP TESTING 1811 0000BP TESTING 1811 0000

Responsibility Center GL Code Sub GL Code Option 1 Option 2

Invoice Distribution7101 5210152 0000 00000 00000123 5210152 0000 00000 00000124 5210152 0000 00000 00000125 5210152 00010126 5210152 0002

Option 3 Tax Code Staff No/Staff Name Customer Number

Invoice Distribution Charge Back & Reporting Purpose000 3000 Rosmaiza000 3000000 3000

30003000

Client Number Vehicle Number

Charge Back & Reporting Purpose7UUU HTY3456


Name of Supplier / Staff (as per I/C) Supplier / Staff Contact

Email Address Number

2 YONG WOOI KEE 012-3042929

Invoice Number Invoice Date 31/5/15 Bank Name & Branch

Company Branch Responsibility Centre Account

GL Code Block (compulsory) 1 1 1 1 0 0 0 0 4 6 3 3 5 5

Payment to Non-Resident Supplier (for Services ONLY) Services Rendered in Malaysia


SR – Standard Rated Supplies Yes – Consumed in Malaysia Goods







Invoice Number Invoice Date 30/4/15 Bank Name & Branch











[email protected]





[email protected]








Invoice Number Invoice Date 4-May-15 Bank Name & Branch












Invoice Number Invoice Date 3-Apr-15 Bank Name & Branch





SR – Standard Rated Supplies Yes – Consumed in Malaysia Services




[email protected]





[email protected]








Contact Staff ID Supplier / Staff Requested Amount Additional Information

Number Number Account Number Currency Code Amount Project Code

012-3042929 A0314 MYR 30

Bank Name & Branch MBC

Payment DescriptionAccount Sub Account Optional 1 Tax Code

1 2 2 4 1 0 0 0 0 0 0 B B 1 3 0 0 09

Services Rendered Outside Malaysia


AR Customer Number

Goods Non Taxable Purchases


(Please fill up eg. 1111-0000-7051-5300056-0000)

(Please fill up eg. RM 200.00)



012-3042929 A0314 MYR 30



1 2 2 4 1 0 0 0 0 0 0 B B 1 3 0 0 09



AR Customer Number



(Please fill up eg. 1111-0000-7051-5300056-0000)








012-3042929 A0314 MYR 150



1 0 0 1 4 0 0 0 0 0 0 B B 1 3 0 0 09



AR Customer Number



(Please fill up eg. 1111-0000-7051-5300056-0000)




012-3042929 A0314 MYR 150



1 0 0 1 4 0 0 0 0 0 0 B B 1 3 0 0 09



AR Customer Number

Services Non Taxable Purchases


(Please fill up eg. 1111-0000-7051-5300056-0000)








Project Code Vehicle Number Travelling Date From Travelling Date To



AR Customer Number







AR Customer Number









AR Customer Number







AR Customer Number





Jinny Claim

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