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WAGE RECEIPT
Date:……………………..
Domestic Helper Name
:…………………………………………………..
ID/Passport Number
:…………………………………………………..
Employer Name
:…………………………………………………..
Domestic Helper Contract Number
:…………………………………………………..
Details HK$
Wages (From………………..to………………..)
Inclusive of
(i) Statutory Holiday(s) (Date:………………………………………………)
(ii) Annual Leave (From………………..to………………..)
(iii) Sick Leave (From…………..……..to…..……………..)
(iv) Others (Pls. Specify)……………………………………………………..
………………………………………………………………………………………
Food Allowance (From…………………..to…..……………....)
TOTAL
Paid By Cash/ Cheque
Bank Cheque Number:………………………………………
Received By (Signature)
:………………………………………
Name :………………………………………
Employer (Signature) :………………………………………
Name :………………………………………