Sample - for reference only)

Receipt for Payments upon Termination / Expiry of Contract

 

I,                __________      , ID / Passport No.                ___      , receive the following payments from my employer                ___________       on (date)                __       *in cash / by cheque/by bank autopay.

1. Wages (from                       to                      ) $                       inclusive of payment for the following :

(a) statutory holiday(s)

(dates:                       )

(b) annual leave

(from                       to                       )

(c) sick leave

(from                       to                       )

(d) others (please specify)

                     

 

2. Food allowance (from                       to                       )

$                      

3. Wages in lieu of notice

$                      

4. Untaken annual leave pay (                       days)

$                      

5. Long service payment/severance payment

$                      

6. Food and Travelling allowance

$                      

7. Payment in lieu of air-ticket / return air-ticket of
                      (Airline)

 

8. Others

(a)                      

$                      

 

(b)                     

$                      

 

Signature of Helper:

                     

Signature of Employer:

                     

(Name)

(                     )

(Name)

(                     )

 

Witnessed by (if any)

(Signature):                      

 

(Name) (                       )

 

 

* delete where appropriate