DGE BTA Form.xls

APPLICATION FOR BUSINESS TRIPPERMOHONAN PERJALANAN DINAS

Employee No. (ID) Cost Center

Homebase Medan Department

Name / Nama Ade Juanda Project Name Carry Over Indosat

Position PE Hand Phone No. 8116141482/085609111256

Jakarta

Medan 28-Februari-2015

(Applicant) (Zone Manager) (Project Manager)

Name of Employee Name of Bank & Branch Address Bank Account No.

Trip details (should be fill in, if cash advance required) Site Name PO No. Remark

Flight Ticket / Hotel ReservationFlight Ticket Hotel

Booking Code (1) - Booked by Company Reservation No. (1) - Own Booked or Booked by Company

Flight Date : 27-Feb-15 Check-in date :

Departure : Medan Check-out date :

Departure Time : Hotel Name :

Arrival : Jakarta Hotel Area :

Arrival Time : Invoice No :

Price : Price :

Booking Code (2) - Booked by Company Reservation No. (2) - Own Booked or Booked by Company

Flight Date : Check-in date :

Departure : Check-out date :

Departure Time : Hotel Name :

Arrival : Hotel Area :

Arrival Time : Invoice No :

Price : Price :

The signature valid only for the process of business travel documents for DGE employees

KeteranganFungsi BTA : (di isi oleh karyawan ybs atau diwakili oleh Project Admin)1. untuk ijin sebelum melakukan perjalanan dinas2. untuk permintaan advance3. untuk permintaan reservasi flight ticket

Destination Tujuan

Email Address (office & private) ade.juanda.ci2@gmail.com

Travelling Service Kendaraan yang digunakan

Network Number / WBS No

Purpose Keperluan

Cash Advance (Rp.) (If required)

Departure & Arrival Date Tgl Keberangkatan & Kedatangan

Duration Lamanya

Applied by Diajukan oleh

Approved by Disetujui oleh

Acknowledged by

Diketahui oleh

Acknowledged by Diketahui

oleh

(Regional Project Manager)

Please transfer to (for advance purpose only) :

Amount Transferred (Rp.)

* *

*

*

Wajib di isi ID DGE atau KOKARDE (bukan ID NSN)

Tuliskan tgl & bulan keberangkatan yang sesuai dengan jadwal (tidak berlaku surut kebelakang)

harus di ttd oleh kary ybs atau bisa diwakili oleh Admin Project

harus mendpt approval ZM/Team Leader

harus mendpt approval RPM

Untuk menghindari salah transfer, sebaiknya lampirkan dengan copy buku tabungan dari kary ybs (bagi kary yang baru pertama kali meminta advance dari DGE

Trip Details - boleh di isi & boleh tidak di isi, tergantung dari kebijaksanaan RPM masing-masing di area

isi dengan nilai advance yang diminta dan kosongkan bila tidak ada advance

Wajib di isi (dapat ditanyakan kepada ZM/RPM/ PM ybs)untuk pembookingan biaya BT

Wajib di isi karena bila HP tidak aktif, maka akan dihubungi via email (bila ada masalah)

Wajib di isi dengan no HP yang masih aktif agar mudah dihubungi (bila ada masalah)

Untuk permintaan reservasi FT lewat perusahaan, maka data-datanya harus dituliskan disini

Untuk Hotel (diberikan oleh pihak ketiga / karyawan bayar sendiri , maka data-datanya harus dituliskan disini

harus mendpt approval PM

DGE BTR Form.xls

Business Travel Report

Employee Data Duration of Travel Name : Name of Project : Indosat

Employee No : Name of Region : Medan

Position : Dep. date/time : 29-Nov-13 / 6:00 OPENCost Center : Arr. date/time : 3-Dec-13 / 15:00 OPENHandphone No. : Annual leave taken during the trip: 0 Days

Homebase : Jakarta

Cash Advance Taken (Rp.) 2,000,000 WBS No. :

GIC No. :

Travel Data Description of Settlement

No. Destination / Project Date Remarks Amount (IDR)

1

Name of Area : Surabaya Daily Allowance

Dep. date : 29-Nov-13 Time : 6:00 29-Nov-13 1D x 90.000 90,000

Arr. date : 3-Dec-13 Time : 13:00 30 Nop - 2 Des 13 3D x 80,000 240,000

2

Name of Area : Bandung 3-Dec-13 1D x 65.000 65,000

Dep. date : 5-Dec-13 Time : 6:00 5-Dec-13 1D x 60.000 60,000

Arr. date : 5-Dec-13 Time : 18:00 -

3

Name of Area : Accommodation

Dep. date : Time : 29 - 30 Nop 13 1N x 350.000 Own booked 350,000

Arr. date : Time : 30 Nop - 3 Des 13 3N x 120,000 360,000

4

Name of Area : -

Dep. date : Time : -

Arr. date : Time : Transportation (for flight ticket only)

5

Name of Area : 29-Nov-13 40,000

Dep. date :

Time : 3-Dec-13

-

Arr. date : Time : -

6

Name of Area : -

Dep. date : Time : Local Transportation (Car rental, speedboat, motor, etc.)

Arr. date : Time : 29-Nov-13 Taxi to Soetta Airport 150,000

7

Name of Area : 3-Dec-13 Taxi to Juanda Airport 150,000

Dep. date : Time : 3-Dec-13 Taxi from aiport to home 150,000

Arr. date : Time : -

8

Name of Area : Communication (fax, internet, post, courier, etc.)

Dep. date : Time : 3-Dec-13 Pengiriman dokumen 30,000

Arr. date : Time : -

9

Name of Area : -

Dep. date : Time : -

Arr. date : Time : Others

10

Name of Area : -

Dep. date : Time : -

Arr. date : Time : -

11

Name of Area : -

Dep. date : Time : -

Arr. date : Time : -

12

Name of Area : -

Dep. date : Time : -

Arr. date : Time : -

Total Expenses 1,685,000 BALANCE = (+) if to be paid out to employee & (-) if to be return to company (315,000)

Submitted by : Acknowledged by : Approved by :

Name of employee Zone Manager Project Manager

The signature valid only for the process of business travel documents for DGE employees

For Flight Ticket & Accommodation, in remark coloumn, please write : 1 : Own Booked (if expense paid by your self) , 2 : Booked by Company (if expense paid by company) , 3 : Booked by third party (if expense paid by 3rd party) , 4 : Paid by Credit Card (if expense paid by Client's credit Card)

FT Jakarta - Surabaya (booked by company) + Airport Tax

FT Surabaya - Jakarta (booked by company) + Airport Tax (Lost)

***

OPEN , harus dituliskan apabila pada bulan berikutnya (4 Des) karyawan masih berada di luar Home Base, bila tidak dikosongkan saja

OPEN , harus dituliskan apabila pada bulan sebelumnya (28 Nop) karyawan sudah berada di luar Home Base, bila tidak dikosongkan saja

harus di isi apabila karyawan mengambil advance pada bulan ybs , bila tidak dikosongkan saja

Semua biaya yang diklaim harus dituliskan dalam kolom Description

harus di ttd oleh PM

harus di ttd oleh ZM/ Team Leader

harus di ttd oleh kary ybs atau diwakili oleh Admin Project ybs

No WBS harus di isi (dpt ditanyakan kpd ZM/RPM/PM ybs) untuk pembookingan biaya

Jika menggunakan pesawat, diisi 2 jam sebelum jam boarding yg tertera di boarding pass

Jika menggunakan pesawat, diisi 2 jam setelah pesawat tiba di bandara

DGE Receipt Submission Form.xls

Business Travel Report - Expenses Receipts

Name : Cost Center : ID:

(choose one only)

Accomodation Communication Miscellaneous / Others Transportation Postage/Courier Service

Signature: Page : of

This page contains receipts of :

Total (this page) Rp :

Employee's signature

DGE BOP Form.xls

Untuk ongkos-ongkos berikut ini tidak terdapat bon ongkos pengganti asliONGKOS - COST (Rp.)

No genuine vouchers exist for the following cost

29-Nov-13 Taxi Menara Mulia - Bandara Soekarno Hatta 150,000

3-Dec-13 Taxi office - Bandara Juanda 150,000

3-Dec-13 Taxi Bandara Juanda - rumah 150,000

Name of Employee & Signature 450,000

The signature valid only for the process of business travel documents for DGE employees

BON ONGKOS PENGGANTI (BOP) Cost Substitute Voucher

Name of Project Manager & Signature

Jumlah / Total

*

*

DGE - Material Purchased List.xls

Name of employee :

Position :

Project Name :only for Project Purpose

WBS No. or GIC No.:

No. Date Description Qty Price Total

1 0 - -

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

TOTAL -

Applied by Approved by

Applicant Project Manager / LM

Date : Date :

The signature valid only for the process of business travel documents for DGE employees

LIST OF MATERIAL PURCHASED

*

*

DGE - Material Purchased List.xls

*