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Acknowledgement of Leave and Wages by foreign domestic worker / helper upon termination / expiry of contract.
As of [date], I have taken [number of days] of leaves during the contract period. [List of holidays.] [I am entitled to have [number of days] in leaves. / I have taken all the leaves under the contract for the period.]
[I have made [number] trips to [home country] during the contract period and you will no longer be requiring from me a return ticket to [home country].]
This document is the Acknowledgement of Leave and Wages by foreign domestic worker / helper upon termination / expiry of contract. This agreement is neutral.
Please note that there may be jurisdiction specific employment contract which is mandatory for your jurisdiction. Please check with the relevant authority in your jurisdiction.