MILEAGE CLAIM FORM
(For Private Car/Motorbike)
DATE
FROM
TO
PURPOSE
PROJ C
ODE
KM
AMOUNT
(THB)
APPROVED
Total (THB)
Submitted by : ______________________ Verified by Dept Head : ______________________
Department : ______________________ Date : ______________________
Date : ______________________
Notes:
Mileage Claim for Private Car is VAT / KM
Mileage Claim for Private Motorbike is VAT / KM
* All mileage claims must be submitted with an expense claim form and verified by department head.