Wage Receipt

 

I, _______________________________________________________, ID / Passport No. _________________________, acknowledge receipt of payment of the following items 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 ____________) $_______________

 

Received by

(Name) : __________________________________________________

 

Witnessed by (if any)

(Name) : __________________________________________________

 

* delete where appropriate