... . .

~;~~~li~91the ~h;1;PPi~~ ;g~

. T-· ··.·.··· ':. .. ·: ~0/-f:':~
·'
v · .. ·\L.1 !' .>1 'rP.hUippin~ . ··. , ·•.... .... .·. t i<
.< .·;~~~~" py~r~~~~ < .·.··· Departrnent<)f Labdr and. Employmenf /'. ·. .. · •····.·•· ..·. -/. . . ..
BFO Building, Ortigas Avenuecor. EDSJ\. 11J1a11daluyof"lg City 1501
-=mlll~Yrn~11t . Website: wW\fV.poe~.gov.~fr .· E~rri~il: i~f~@pcie~.gd~.ph
· Administration Hotlines: 722-1144, · · 722~1155 · ·

A.Employer_.~.-'
. .~~."-.-'----'--------'----~-

. Vi~af-Jun1lj~'r~~l1~dby the Saud.i M inistry of Labor _ _ _ __

- - - - - - - - - - - - - - - - - -: t.J.-=J!
:~!
City:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Civil Status: _ _ _ _ _--.,--,----,-,--,--------

. Number of family members and their ages:~·--------

7
- - - - - - - - " - - - - - - - :4. =
- 4..;:,_\;o.\\
--.~.,-L.:;,,.-.·,.~I ihi1 I
: :Oy.o~l ..11.,P! ..l.k>
Contact Numbers: ----------------
:..::i'Jt...Q;~l e-~)

Telephone N u m b e r ' - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - : W.."lcJI ~.J
- - - - - - - - - - - - - - - - -: Ji..r.JI ri.J
Mobile Nu.mber

Email Address
: ~_,_fo.\I .l;_EI
----------'-----~--
· Represented in the Kingdom of Saudi Arabia by:

Saudi Recruitment ·Ager1cy _ _ _ _ _ _ _ _ _ _ __

- - - - - - - - - - - - ' - - - - - - - -:l~l~J
Address _ _ _ _ _ _ _ _ _ _ _ _ _,--_ _ __

Contact Numbers _ _ _ _ _ _ _ _ _ _ _ _ _ __
- - - - - - - - - - - - - - - - - : w:il-*11 t5J
8_ Name of Worker; - - - - - - - - - - - , - - - - - ' -
_______:J...WI t"'"'l -Y
Position:.:..__ _ _ _ _ _ _ _ _ _ _ _ _ _ __
--------~-----
: ~.jl! i 4--JI

- - - - - - - - - - - - - -:Mill i) ~\fa.J
Addr~ss in the P h i l i p p i n e s - - - - - - - - - - - - 5 •· -' ~ - '!,I
_ _ _:<...ii I_x-\i ~.).
• _ _ _ _ _ _ _ _•· --=<-<=>- - :UWI
CiVil Status: _ _ _ _ Contact Numbers._ _ _ _ _ _ __

Passport Number _ _ _ Date and Place of Issue _ _ __

Name of next of k i n - " - " - - - - - - - - - - - - - -

Address and Contact numbers of next of kin. _ _ _ _ _ __

Represented in the Phiiippines by;

 .:M~A~~::~~tt;,~::t(:~\.'.:. t;
-cSf~~~~~/~f(a~i~fk~d~rhplbyment
BFO Building, Ortig~s
Avenue
.
EDSA, car. Mandaiuyong City 1501
. ... · . .

. Website: www.poea.gov.ph E-mail: info@poea.gov.ph

Hotlines: 722-1144, 722-1155 ·

I
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co~t~<l N~rrib~r~ ~--------------~

Vo!uritarilv binding therm elves to the following terms and conditions: I

\ • J_d\ ~.r-1 r

1. Site of En;iployment: I . · "- · 1

. . ~\ ,y. U..WI I J.,.WI •.Jj~ i-~;'Ll ~ ~: :fu.\\ o;..i.. -2
1 2. Contract Duration : Two years effective from the date Of '-
' departure of the worker from the Philippines. The monthly salary -~_w JS--4 ~i >~4-> ~ ~~j ~l)i i~J 'I
shall start upon actual reporting to work.
. . J.-...JI '-;-1'>-L... U:H JLl:i)'I ty: <r'"'L..i~! i;~t y..:!ljll ~3
\
3. The. h·a·· y7e.ho.ld
·.··.·..service worker and the employer agree on a
monthly salary of$ . which is in accordance with the
Ir.,?~I . •l_,_s1I ~l.jl
...,.,._:;!.)! cu-~ c) ~. yy..11 LL.WI /~W\J ,.
~ ,~ ! y .i
. .
.
1 laws and regulations prevailing in both countries. '-»' · ·J (::-A • · - · •. JA .) .J , .. . _• ..
.6.;~i ~ . .,r ~ _rl; ['

l 4. The_employer. shall open. a bank. account for the .Hs:rv in KSA,

~WI I ~hn '-~' -~. ~~ C.~ . ~l y.::..L:a \ .....~ -4
~_....._..y. tfi1\_;-!J. ~.'Y ~~~~I ~_rl\ "51...JI ~ 9fa.11
I
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subject to SAMA rules and regulations and shall deposit regularly ~t,p - .:Ll . , 'I tj,.Lll l J..,WI Lii t'-"'-' · •.l_;=-;.l\ .>!iii
every end of the month the salary of the HSW to the said • ~ -Y"' · · · · · · _) ~- i.'~J Lj
1
,1 l 1
account. The passbook or deposit slip or their ec1ufvaleilt shall be '-=-' .• .;, H fo.l f .: .; ~J . ~1 _;~l y\._,_.,,Jt .} ('U;:;Jl-1 ~ JS
given to tneHsw and remain_ in ~is/her ciistody_ The ~;;,ployer ~ ~ 3 ~y:..ll .U.0.hll L,~_u_,.~ L. _,I tl~~I ~j ) ~.I
1
'I

1
shall help the HSW to remit his/her salary througn proper \ ;i__kl_,J\ I ~l..:J! ;,~L.:_J\ ,.,~ J-=11' --=-'-'-"';:. ,~. L.S. t_,_:; -, .,,._
banking channels. I .· .
·. ~IJ;.;JI -9~I G\yill ye ~l.J.J J!p-:; ~ 9 fall
~~ ·· '· · ·. · '-·· ·' I 1

. 'I (8) UC- JS> 'i 4.L.lfa~i.JUA~y.JI :U..Wl / J,.W\ ~-5 .

. ~~-;wkL 1
5. The hou$ehold service worker shall be provided with continuous rest of I I
atleasd house per day. · j . t-°"'·}:1\.} hlJ r..I:! uc. ~':I: ~I_; f'-Y- -61
6. Rest day: Atleasrone(l) rest day per wee!\. • 1 t 1._l
~ii fl.lli.ui')I! 41ill '->Jj oj_,.~Jl_J :.>""-'! t}_y. ._.-J1 .,_.J~I Jiill-7 ,
~-' .4.33_, ~ A.1..WI / J,.WI ~_ji ut_,..;,,,.J ,,iW\ ~~J ~
7 . . Free transPortation ta the site of employffient and back to the point of
origin upcr. expir3t:on of contract :::nd ensure the. \\'Ork.er'~ timely
~i isl)& ;';:1•\l .U...Wi I J.,W\ O.l_f> J fa W,:..ILS.:i J,.u.li '-:""-L..
repatriation. In case o.f termination for reasons not attributable to the , 9jLJI :U.,,Wi / J..WI c}J e.-Ji 'Y. •-)-~t.;_ ~I ~WJ :Uh<.?-' I
\h/orker, th.e employer shall bear the cost of repatriation of the worker to
• .~l~e Philif?pines. ' .' . , ~)L.Ji LJS.dl ~-~! :(l.,W!jJ..,hll :.);!Ab,.~! ~L..,, ~-8 I

' ·. · . I...... ,... ~~~ ..:~~,,, "~,~~,,1

·1· 8. -""~.);,,P,\ti·y·;.r.~. h.al'. prov!dethe household servicewo:kersuitable and I' ~.J~ ~~~ ~; i r~ ~~. '.~· ; ~;
· .·._ .'.",·.:_ . ~:a1~1t~ry~JV.!':"'&quane-rsaswellasadE-qliatefoodoreqmv.atehtn1onetary ~ -.1 • .)~ ~ ~J
't,; ~t1
Y.'. -~ . .. ~J - ·
I;

.; •. , ;!l~,;~"q7· · .• . . . 't ;;__.,._ ~.l.o 'i.jl..,) ~L.;,,,il c,~\ ._.Jj >.iy.11 ._}:,.. ~_jW\ "-kW! -10 .

·. . .
.·· f Fo·· ra.• t~.~p~a61e.>mecf!ca~ reasons, the HSW shall be :_~lowed to restshall
·. '· . shall.. continue to receive his/her
and
regular salary. 1 ne employer
_.L.... t_fi:i>
.. . ..·
~\:; C"", <L..i;. C.~ ~ c.= L,-~. (30) J~ _r..'.l i I
. .. _ ·. •. _ .. ·_ . , . •. _ . · . .- . .
<· ··· sh~·~'d2.:~ tfrt:· _m2di.c.alc:;;::p2nses. 1
· c.# _;:~~'il '='2J 4..:c._..~} 4.Jh ~3 .. ~~~ ~_;.:l.l~ :i~_.ceJ l.:-1~.l I
.. '· .:, '·· ' . . ~\..._;,,) ~ ~lj 13 ... ; ~ 4J}3 J.=11
J:· .. ·.- : J . . ::_

. . ~O: ;.. <:.. ... .is.. e!)titledtoreturntothePhilippinestospendhis/her

.:<.:;.:>..·· .,,TheJ-!SW .. . . ·I i_h
·
J,,.:,.. u
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.

.·. pa~dy~ca,i'.o~-!~a..>.'e b~thir~y {30) days for <!very tv.:oye~rs of service with , ~ ~ (_;-u:~ ~~! ._.lJ 2~1 ~>l. ~ ~J ~_µ..JI li.Wi
a - ~?·?..m_ ~ ~.tr:µ.~c~nom)• class t!tket. !n ca~e of h!s/ ner aes~re to contin~C? ! ~ !'" ~t ~ _.= ~ ·~;.""· ! . U· : ~ ·· • . h .. _ ~ . .~ .. 1
:; :~~j~~:l:i~tfie employer, he/she is entilled lo an additional one-1 ~i~~~~:~~~i ~~J~~w~J~~:z.1 .

\.)
 Y.' · ,/{~~'..t: .. ' ' - .. -:·;.-. ,.,_ ' ·-· ' -., .. '- -

<· ~~$~~W&~f£!~~~~0M~t." :w ''·:':' ·;;,":•·····.·. .

'·.;<Elf'.P B~ildirig, ()rtjg-as j\vef1ue.cor~· ED$A;·Mancia.IuyopgCity 1501' •·
Websit~.: wy.iw.poea.gov.ph ·E-tnail: inf~@poea '. goJ:pti
Hotlines: 722-1144,722~1155 ··· ·· · ·· · ··· ··· ·· ·.·. · ·

~ihll~~ig~lE£;::1:':.;~;~b~:f~1~:h;.:;~~~~at!h: I .~ ~· w· ~1 <<<2 :;}~i :~~..I

0

u µ• 1
f-1 ·· .
.~~-:-~~?~ry:>3~)€-ga!ly p6ssible and •Nithout undue def;jy, in r.ase { L~' .-~ · ~ ~- .~ _ : .~ Y ~ ..:u - · _er- ~ .·
1
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· - -'· .. .-· :. • - .

'.~.~i.f.'.?· o·f r~m

}."·.·'7. r.··.e·" P.a.···t/.· •. .. a ins is not possible, the same may. be.dispos<>d of
}fte(obt.ammg the approval of one of the HSW's next of kin or by the
I ~I -\;.lJ=-.dl w~I t.o..JJ tlJ-!ll 4-.i'h) . ~.1~_;h ~ .I
· :
1
. :4.,L.....2!_; ~1.S!J.i
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s ~~~~ I . . . . . - !
>Y ·Ci j' .·.·.·•·.·•.··. . .•·<, ·••.·... · · · . · Ic.,-i~I 0.J.l J-Jr t,cO.!.J Jl u.w1 / J..>W1. c.,-iJy\ 4-lh .~ -n \
l -... .; - . ..·. . . . . . .--- . '•l ~l.:; u,;i'\S:i ~ L.~~ ~y.J\ ~b.11 .:2~ •. •;<" iJ\.PJ_,.,;.. I
.. .. . l·n·'·c.··ase.o·r
li contractmg · ?.tspute
parties maynett
. .veenthe.emp!oye
refer the dispute 1o.r th<> rn.e
ano appropriate H~v-:, 111etw~.·
Saudi C" ·. · '! ·..=. 1· ~r
.' ; 'I•. '-'-'"= 1 . ,..,,,~ 1 ._,_,_,
... .. <
. ... '.l.5.:i . · · ~. I~
..•·· •.:i·.1.c· •I ·.Jl 4.i.c
.I WI; 1 WJ.i u;
, · ·..Lr' i.· ,...,.,
· I
"uthorities for ~onciliation 3nd/or resolution. , .:\.!L,,,J\' ,,~ ~, '"~ ..,..,,,J\ ~1~':11...J:&J d.=J\ ~L..,,, L,"-'
. 11· _.. . ~~- 1 ' • . • -~~,

13. in i:ase the household service Work<>r runs away or refuses to w'o rk
without . valid causes; the Philippine recruitment agenq sha.11 be
resµonsi~fe in having him/her replaced or in returning the accrued wff
I GWI J_,.......Y. J_.,.,Ji c.,=.L... ,)L.....tJ ~ J,;;l_,L...Jl u~ J
~WI .l~I -14
l!
of :~cr~~~ment to ~1~/her_ en:'ployer,_a; per_ agr~~".'e~t betwe~n the \. ... . ~ J:.tt ~ tt.~..st.!'
ernptover, th.eSCJUdt Kecrwtrr1t:1) t Ag~nc:y~ff1di:he Pn1hppme R~cru1tiY1~r1t 1· ~.~· · ~ . ' -"
~.L..c.3 ~- , ~ _k.. 4 <t _ . t\ , _§ U
· · ·• • ~
. tj.l~\ ('\~';/\ ~
~ . _. · ' ·, ~
'~l
. :·.· ·.' _.... ....,, _ · · I!
I Agency. t:' 0;, .. ;;!4

I,. ""'""""'""~ · . . .. !'"·"'' ~~~,~,~~,~~~:'.;~~,-; I

· ."..The re·s
l.I arrival
. player.rega...r.d.in·..g· the ·. departur..e an. d 1.1,S! A,J fa\ ~Li.c. ~.J J,c..J\ ~l...:> t,;.ll ~jWI ~1 J..=:i "- C::
· p. ons.ib·1.·l.ity. of informing the em
of the HSW in the Kingdom Of Saudi Arabia shall be that of the
I
Philippine Recruitment Agency in coordination with the Saudi Rem1itment . ·, !

1 ·~gency. ;;.J,..Wi ~l..1;,;JI y.:il.}I 0-"> ~ <Jl J....,JI ...,_,...L.- ~ 'Y 7.l '

~ ~ _,;I.§'-;-'~~ ~
.

jl_HJ .uµ 4._;...U;..;.J 9 I

I~~;::,,';::1=r~'.:~ ;~~:~
I . .
m=b••<. ood ,,, e;w '''" '"~ °"' . . I
0l.J ' :i,_,i,y..JI
. ~IAAll Y'IJJ .,,,_.... _,; wt.,_;JI

I n,,,~"''!!'"•0<\"''"'°' "''POl0Y~C''
o "'' ;~mod•<olwo~hold II ::;::; ~;C)~1C"~::f-£2~~ I
·1
· ~~~~=h~;{!t;~ic~1:.f~~::rd.e~u~::.~~;~:d~~;:~~.,f~~el:~;~ft~::~:~s~~::~
deductions must be reflected in the HSW's payslip.
I · .:\;l_jW\ ;l.Lh.!\ :Oj_p. ,_j- ~li)'I ·~_, _fa,:11 jl~c;.. ufo - J
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·· . .
, . .~•',~ :L:J"'-J ~411 u~';/4 ~y.Jr .U..Wi ~ - j
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e, T.h e ernploy~r s~all
pay th. ~ cost of t~e hous:hold s.er~ice _work~r's . "° ...,,;, .~.\l 4:L=. ~ .ill.1_, ~.iiJ!li\\ ~I_,;,.J~
residence per.m1t ( 1qama) , exit/re-entry visa, and ttnal exit visa, mcludmg -
· 1 the renewal> and pt;nalties resulting from delays.
· ·1'

~
_ . \

';<tii_,-.:iy.:l Jl_j'l! ..iS....ilt

• • • . -

I~ Wlfa~I ~t....:>c~-
. I • _I . .h •1'

. ~rift";!<._;_,~ .
' f. The pass pp.rt and work permit ( iqama) of the worker shall remain in '14.hlll Ll.ll • 11 I' - \ . , . - ·· .1. ck. .- .< ... 15 ,.

I .
his/h.er possession,
..
·

g. The household service worker shall be allowed to freely communicate \

·
,
· .)-;? ~ ." ~ .1.2. '--' F '-'"' •.J"l ~ _.h.l U""": -
. a2>.1;\ill ~.:. y...J\ ~I
I
with his/her family and the Philippine Embassy Consulate on his/her C~-' _,1 ~.1.<:.11 ul,l_;h....;=,';ll .} y_r>-ll y_,..;.; Uk..~ -16
I
1I
personal expt?nses or account.

11. The emp_loyer shall explain to the members of his household the
provisions of this cont! act and ensure that these are obser vetl.
f •

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·I1s- Any provision of this Standard Employment Contract may be altered,. ,L..,~I ~) ~I ~ ~_)WI ~
Il :UL.o:.Jli 'i,J ... ;l.,L;Wi .)3 ..fu..il <0'.?ij -17 ~ II
! amended ~lJb>tit!.!ted !.J<'lL:Jl ...slil: :....:~i . e',(, J . .<:.::..Li J.,uli w,,,,L,,, r ,$.;
or
Working Committee.
thrn<.!gh the Sau<li-Phil!p;>!ne Jo!nt Technical
j · "" · · " · . ... • I
. I A~1.xJ\.J ~~~ ~~ f ...~. 3 ~ :.l~?Ll ~:iJ~l "1:!1 ~~'.
16- The worker shaii be repatriated at the employer's expense in the event w\.eL=.ll ~ [':!~ ~-' . ~ ~t;..... ,_..k. ~~~_,kl\

\_)
 lamrty, qr in case the 1-"-'arker ·
ar, ·ci·..111 disturo2-nce· er major natura·i ca_ 1·i l>-4 -~ ~- "S.L~~ .· ~ti u~ts ~~i wLl~Ls .-~J. _,~_i _. ·1. ·
s ~ffers. ·fro-~1 ~~riOus _iiln!?ss or _wor~ i.n]~~y_ rr:1edicalfy ' pr~~~~- to render . ··· · - · · ·_ · ..-. ·
him/her ln .ca°pabte of . Cprnp~eting
. . ~cr:
the ~~~~i-- · .. ·. . . ~.-·
..·11.. .;...,.--L~..J. ;;_,sJ·,,;.;__J
· · · · .1~.~y.11~
. ·1 · ·

·.·. ,.·. ' ' ' '• ' ' I- 1 ,1;;<J ~jWI ~WI~ 0li>';l~--~II~ ~~ tfa= . -18 ·1· ·_·.
1

I.17-Afterthe expi~aticn
of the contr~ct andt~eHSW d~siL to return to the r >.,;:
Philippines, H1e employer shall presen~ the bank state..;ent of the HSW to ,. f'l£w.';/1 ~.}Jaji ~L,,
4 :i~:'~ 11 i-:t~;;\\ _;1:;).wi
~Jj P::.fu.lr ~~ Jjii_ ,}J I
.:U,..:.JY. 0 ~~\ ;;_..li'j\ -'£Lh, U,0 .'
L.£.l a.Ui\
l Saudi Recruitment Agency, andtfie employ e r and the worker shall then sign
a final settlement. Sue~ ba ~ k sta~emen~ and pi~of uf settlement r.1ay be i

!submitted as evidence!~ the PhHiP:pi11:sand in the KS~; '

'
1.. ~ -~~ )'l .f:lj ;Z:-!_;=jl_, ~~'j\ ~.\.-'Ltli!X:~l~• l·,·:. , .
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. ~·. · .

I ih; ''"'"" ~,,,,,, ~"'"~''' the.renewed

~a.,,, ;;, I\· ·
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;i. m•y '" ,;",.;, ;,, '"'

I his/her emolove.r, Should the contract be renewed; a· tool/ of . ,.•, < :
. 1; ··" '· ..·",.
. I:~~=Y:;~~ ::u;~~:~tt~~:~t 1;e::J~;~~,i~.~ Embas~dconsul~te by I". the .~ '. · \::· >, ·.
I. . : ·. · -> .. . " 1>- ~j1Al1~~r~1 · ft1J~f4"{ ·. ' ..
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