PROJECT CLAIM FORM
EMPLOYEES NAME:
PROJECT NAME :
DATE: ____
ORDER STATUS :
CONFIRMED
GENERAL INQUIRY
PRODUCT DEVELOPMENT
SAMPLE PAYMENT REFUNDABLE :
YES / NO
PRE PRODUCTION SAMPLE ROUND:
DATE
BILL NO.
DESCRIPTION
PURPOSE
Sub Total
Less Advance
Employees Signature:
Checked By:
Date:
Approved By:
Date:
Mode of Payment
Net Amount Due AED
: Online Trf / Western Union/ Paypal
Shipping Details
:
Shipping Cost
:
Quality Standard Document :
Our Pre Qualification Form : YES / NO
Confidentiality Agreement : YES / NO
Supplier Status
: NEW / OLD
If New - Business Card
: YES / NO
Note: Please attach receipts for listed expenses, sign the form and send to the Ms. Sam for approval
DATE: ________________
AMOUNT
(USD/AED)
ESI/DE Scarf Breakdown of Fees
Supplier: YiWu JRS Knitting Factory
Attn: Mr. Jerry Wong
for ESI Scarf:
30% DP
70% Balance
TOTAL:
less
for DE Scarf: (ORDER CANCELLED)
30% DP
for TOTAL PAYMENT:
70% Balance (for ESI Scarf)
less
Remaining
Payables:
$5,225.00
$1,773.70
$3,451.30
$362.00 (REFUND)
$3,451.30
$362.00 (DE Scarf 30% payment)
$3,089.30
0% payment)