OSOM Employee Claims

Employee Information

Employee Full Name *

Designation *

Phone *

OSOM Email *

Claim Details

Type of Claim *

Month of Claims *

Description of Expense *

Claim Receipts *

Upload Receipts

Total Claims *

Bank Details (For Reimbursement)

Bank Name *

Account Holder Name *

Bank Account Number *

Declaration & Signature

Employee Signature *

I confirm that the above information is accurate and the claim is valid as per OSOM Sdn. Bhd. policy.