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