Card Payment Request

Card Payment Request
Request Date*

DayMonthYear
Date
Requestor Employee Number*
Name of Requestor*
Requestor E-mail*
example@example.com
What are you requesting?*
Please Select Department*
Card Data
Card Holder E-mail:
example@example.com
Card number:
Amount*
Currency*
Currency*
Selected Currency
Do you have budget approval?

YesNo
Please attach communication below and add Budget allocation*

Cancelof
Budget Allocation
Purchase Details:
Activity/Event:
Please specify:
Second Approver
example@example.com
Is it recurring payment

YesNo
Frequency*

MonthlyYearly
Start Date*

DayMonthYear
Date
End Date*

DayMonthYear
Date
Transaction details including what you bought, who you bought it from, brief description of what it is for and period it covers.
Attach relevant receipts, invoices or quotes

Cancelof
Attach relevant Approvals if any

Cancelof
Please accept the below General Agreement terms:
-        Card usage is limited to unregistered suppliers in Emaar Misr Supplier Master Data, if Supplier is registered the payment should be handled through normal PO/AP process unless exceptional approval is granted from Cost controller.
-        Card usage should be limited only to the approved Expenditure as per request.
-        Company debit card must not be used for non-authorized or personal expenses, Card usage should be limited only to
legitimate paths.
-        Never withdraw cash using the company debit card.
Expenses settlement process:
-        Requestor is Liable and committed to provide all the supporting documents/receipts within a maximum period of 1 week after the expense is incurred.
-        Failure to submit the Supporting documents within the specific period will result in escalation to HOD and imposing a deduction with the unsubmitted receipts on the employee Salary by the end of the current month, also no further approvals for Debit card use will be granted to this employee.
Emaar Misr has the right to review your credit card use and withdraw it if there’s any inappropriate use.
Third Email
example@example.com
Fourth Email
example@example.com
Fifth Email
example@example.com
Should be Empty: