Client Company Contact

Client Company :

Client Com. Address : Client Com. Contact No. :

I hereby certify that that hours shown below have been worked by me during the specified dates and are certified as being correct by an authorised representative of the
abovenamed Client.

Candidate NRIC : Month :

Candidate Name : Candidate :

(as in NRIC) Signature

Tick Option Applicable X Contract Monthly Temp Have you finished the assignment Yes No X
Work Time For Internal Use Only
Date
Day Breaks Total Hours Allowance Normal Total Overtime
dd/mm Started Ended
Hours 1.5 2.0 3

Grand Total of Hours Worked (Excluding Breaks) 0.0 0.0 0.0 0.0
Client Company: Please complete this section
The signatory approval contained hereunder certifies that the hours quoted/leave taken are correct, that work was performed to satisfactory standard and that payment will be made within the specified terms. It is agreed that the
client will not entrust KELLY SERVICES with the responsibilities such as handling cash, negotiables or other valuables without written permission of KELLY SERVICES, which only be granted if an employee's specific duties
neccessitate such. In view of the services rendered by KELLY SERVICES, it is agreed that Clients will not offer temporary/ permanent jobs to the KELLY SERVICES employee assigned to them. Should the client wish to offer
temporary/ permanent employment to any KELLY SERVICES employee who has worked for the Client, the client shall pay to KELLY SERVICES a liquidation fee. Further terms and conditions of business are contained on the
reversed side of your copy.

Client Signatory Approval & Company Stamp Designation and Signatory