「一次性前線回收業員工資助計劃」津貼簽收表格 OFRSS Subsidy Sign-off Summary

本公司華達維修拖運服務公司 (項目編號:OFRSS-2223-27-A655) 於 2022 年 2 月至 6 月89期間持續運作，並於以下期間由以下東主／員工90協助前線回收運作。

申請人並未有為相關申請表內的人士申請或收到第六輪「防疫抗疫基金」的資助。
Our company Wah Tat Motor Vehicle & Drayage Services Co (Application number: OFRSS-2223-27-A655) maintains operation from Feb to Jun 20221, and hired the
following owner(s) / staff for frontline recycling operation. The applicant is not applying for or receiving subsidies from AEF 6.0 schemes on behalf of the persons stated in
the application form.
中文/ 英文姓名 香港身份證號碼 (首 4 個字母及 請在申領的月份加上“”號及簽署 總津貼金額 (HK$)
流動電話號碼
Chinese / English 號碼) Hong Kong Identity Card Please put a “” and sign-off in the month(s) applying for (HK$2,000 x 月份數目)
Mobile Phone
Name (HKID) Number (First 4 subsidy Total subsidy amount
Number
alphanumeric characters) (HK$2,000 x no. of
以上資料需與申請表相符 The above information must align with 2月 3月 4月 5月 6月 簽署 months)
application form Feb Mar Apr May Jun Signature
例子:陳小明 A123 9123 4567      10,000

例子:陳老闆 B234 9123 6789      10,000

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如個別員工於 2022 年 2 月 21 日至 3 月 20 日入職，申請企業需向秘書處索取另一份表格填寫資料。Please fill in another table provided by the Secretariat if the employee(s) was/were newly employed
from 21 February 2022 to 20 March 2022.
90
所有獲資助的員工必須為同一僱主連續工作四星期或以上，而每星期最少工作 18 小時。All staff received subsidies must be employed continuously by the same employer for four weeks or more, with at
least 18 hours worked in each week.
倘有任何虛假資料申報，可能會導致終止資助協議、退還已收取的基金撥款及面對刑事檢控。
Any false declaration would lead to termination of the funding agreement, refund of any funds given, and the possibility of criminal charges.
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 中文/ 英文姓名 香港身份證號碼 (首 4 個字母及 請在申領的月份加上“”號及簽署 總津貼金額 (HK$)
流動電話號碼
Chinese / English 號碼) Hong Kong Identity Card Please put a “” and sign-off in the month(s) applying for (HK$2,000 x 月份數目)
Mobile Phone
Name (HKID) Number (First 4 subsidy Total subsidy amount
Number
alphanumeric characters) (HK$2,000 x no. of
以上資料需與申請表相符 The above information must align with 2月 3月 4月 5月 6月 簽署 months)
application form Feb Mar Apr May Jun Signature

總額 Total amount:

如個別員工於 2022 年 2 月 21 日至 3 月 20 日入職，資助期限是 2022 年 3 月- 7 月（同樣是 5 個月(合共$ 10,000)），申請企業需向秘書處索取另

一份表格填寫資料。
For employment from 21 February 2022 to 20 March 2022, the assistance period is also 5 months from Mar to Jul 2022 (total $ 10,000). Please contact the
Secretariat and fill in the information in another table.

公司蓋章: 獲授權代表姓名:
Company Chop: Name of authorized person:
獲授權代表簽署: 日期:
Signature of authorized person: Date:

倘有任何虛假資料申報，可能會導致終止資助協議、退還已收取的基金撥款及面對刑事檢控。
Any false declaration would lead to termination of the funding agreement, refund of any funds given, and the possibility of criminal charges.
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