Ea Form 2018 PDF

PRIVATE SECTOR Employee’s
(C.P.8A - Pin. 2017) MALAYSIA

INCOME TAX
Statement of Remuneration
Employee’s Income Tax No.
EA
Serial No. ……………………………………. STATEMENT OF REMUNERATION FROM EMPLOYMENT ………………………………………………………………………..…
Employer’s No. E …………………………………….
200210406G FOR THE YEAR ENDED 31 DECEMBER …………..
2017 LHDNM Branch …………………………...….............….
THIS FORM EA MUST BE PREPARED AND PROVIDED TO THE EMPLOYEE FOR INCOME TAX PURPOSE
A PARTICULARS OF EMPLOYEE
1. Full Name of Employee/Pensioner (Mr./Miss/Madam) ……………………....………………………………………………………………………………………………………………...…………………
MOHD FIRDAUS AKMAL BIN SHAFFIE
2. Job Designation …………………………………………………………………………………..

OILER 3. Staff No./Payroll No. ……………………………………….…………………………
20150246
4. New I.C. No. …………………………………………………………………………………..
900325065413 5. Passport No. ………………………………………………………….………
A32714767
.19573201
6. EPF No. ………………………………………………………………………………….. 7. SOCSO No. ………………………………………………………….………
900325065413
8. Number Of Children 9. If the period of employment is less than a year, please state:
Qualified For Tax Relief ………………………………………………………………… (a) Date of commencement ………………………………………………………….………
(b) Date of cessation ………………………………………………………….………
EMPLOYMENT INCOME, BENEFITS AND LIVING ACCOMMODATION
B (Excluding Tax Exempt Allowances/Perquisites/Gifts/Benefits) RM
1. (a) Gross salary, wages or leave pay (including overtime pay) …………………………………….
61,364.20
(b) Fees (including director fees), commission or bonus …………………………………….

0.00
(c) Gross tips, perquisites, awards/rewards or other allowances (Details of payment: ………………………………..………………) 4,127.50
…………………………………….
(d) Income Tax borne by the Employer in respect of his Employee …………………………………….
(e) Employee Share Option Scheme (ESOS) benefit …………………………………….
(f) Gratuity for the period from ………………………………..……………… to ………………………………..……………… …………………………………….
2. Details of arrears and others for preceding years paid in the current year
Type of income (a) …………………………………….
(b) ……………………………………. …………………………………….
3. Benefits in kind ( Specify: ………………………………………………………………………………………………………………………………………………………….………) …………………………………….
4. Value of living accommodation provided (Address: ………………………………………………………………..…………………………………….…………) …………………………………….
5. Refund from unapproved Provident/Pension Fund …………………………………….
6. Compensation for loss of employment …………………………………….
C PENSION AND OTHERS

1. Pension …………………………….………
2. Annuities or other Periodical Payments …………………………………….
TOTAL 65,491.70
D TOTAL DEDUCTION
1. Monthly Tax Deductions (MTD) remitted to LHDNM …………………………………….
2. CP 38 Deductions …………………………………….
3. Zakat paid via salary deduction …………………………………….
4. Total claim for deduction by employee via Form TP1 in respect of:
(a) Relief RM ………………………………………..……
(b) Zakat other than that paid via monthly salary deduction RM ………………………………………..……
5. Total qualifying child relief …………………………………….
E CONTRIBUTIONS PAID BY EMPLOYEE TO APPROVED PROVIDENT/PENSION FUND AND SOCSO

1. Name of Provident Fund ………………………………………………………………………………………………………………………………………………………………………………………………………….………
EPF
Amount of compulsory contribution paid (state the employee’s share of contribution only) 6856.00
RM …………………………………..…………
2. SOCSO : Amount of compulsory contribution paid (state the employee’s share of contribution only) 152.50
RM …………………………………..…………
F TOTAL TAX EXEMPT ALLOWANCES / PERQUISITES / GIFTS / BENEFITS RM …………………………………...…………
Name of Officer Uganathan Raman

………………………………………………………………………………………………….…………………
Pegawai
Designation ………………………………………………………………………………………………….…………………
Head of HR Sea Services
Name and Address of Employer Eaglestar Shipmanagement (S) Pte Ltd
………………………………………………………………………………………………….…………………
11 North Buona Vista Drive, #15-07 The Metropolis
………………………………………………………………………………………………….…………………
Tower 2, Singapore 138589, Singapore, Singapore -
+60322753976
138589
Date …………………………………………………………….
01/Jun/2019 Employer’s Telephone No. ………………………………………………………………………………………………….…………………

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PRIVATE SECTOR Employee’s

(C.P.8A - Pin. 2017) MALAYSIA

2. Job Designation …………………………………………………………………………………..

(b) Fees (including director fees), commission or bonus …………………………………….

C PENSION AND OTHERS

E CONTRIBUTIONS PAID BY EMPLOYEE TO APPROVED PROVIDENT/PENSION FUND AND SOCSO

F TOTAL TAX EXEMPT ALLOWANCES / PERQUISITES / GIFTS / BENEFITS RM …………………………………...…………

Name of Officer Uganathan Raman

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