TO : THE IMMIGRATION DEPARTMENT
(EXTENSION SECTION)
FR : (EMPLOYER)
RE : TERMINATION OF CONTRACT
HELPER'S NAME:
I/D NO.:
DATE:
It's to certify that with IMMEDIATE EFFECT. contract signed between the above HELPER and myself is cancelled. I have already given back the following items to her :
1) BALANCE OF SALARY
( X DAYS X HK$3580 x 12 / 365)
**** HK$
2) ONE MONTH NOTICE / ONE MONTH SALARY IN LIEU OF ONE MONTH NOTICE***** HK$
3) PAID ANNUAL LEAVES
( YMONTHS/12 X 7 days = Zdays)
( ZDAYS X HK$3580 x 12 / 365) ***** HK$
4) PAYMENT IN LIEU OF AIR TICKET / RETURN AIR TICKET OF ( XYZ AIRLINE ) ***** HK$
5) TRAVELLING ALLOWANCE (to the place of origin) ***** HK$
TOTAL AMOUNT: ***** HK$
PLEASE SIGN FOR YOUR RECEIPT OF THE ABOVE ITEMS.
EMPLOYER:
DATE:
HELPER:
DATE:
IT'S TO CERTIFY THAT IHAVE RECEIVED ALL THE BALANCE OF SALARY & ONE MONTH NOTICE / ONE MONTH SALARY IN LEIU OF NOTICE. I DECLARE NO CLAIM AGAINST MY EMPLOYER