I, HELPER_NAME, acknowledges the following under the Domestic Helper Contract (No. IDNO), that I have received from my employer ACCOUNT_FIRST_NAME ACCOUNT_LAST_NAME in PAYMENT the following amount on 29 October 2025:
| ITEMS | CURRENCY | |
| 1. | Salary from START to END | SALARY |
| 2. | Payment in lieu of Notice | NOTICE |
| 3. | Unused Annual Leave - HOLIDAYS Days | LEAVE |
| 4. | Food and Travelling Allowance | ALLOWANCE |
| 5. | One Way Ticket Back Home | TICKET |
| 6. | Others | OTHER |
| Total | TOTAL |
________________________ 29 October 2025
Helper’s name and signature
HELPER_NAME
________________________ 29 October 2025
Employer’s name and signature
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