Wages Receipt

I, ______________________, ID no./passport no. ________________, acknowlege receipt of payment of the following items from my employer ____________________________ on __________________ in cash/ cheque / autopay :

1. Wages ( from _________ to _________) $ ____________

(a) Statutory holidays (dated: _________ total _____ days) $ _____________

(b) Annual leave (from ______ to ______) $ _____________

(c) Sick leave (from ______ to ______ ) $ _____________

(d) Others ___________ $ _____________

2. Food allowances (from ______ to _______) $_____________

3. Transportation allowances ( from _____ to _____ ) $_____________

Total Amount of payment : HK$_________________

Received by: ___________________ Employee's name: ______________________

Paid by : _______________________ Employer's name : _____________________

Witness by : __________________ Witness's name : _______________________
 
Date of received : _________________