RECRUITMENT ALLOWANCE CLAIM FORM

A) PERSONAL DETAILS

Tick as applicable (Mr/Mrs/Ms/)

Name:_________________________________________

Surname:____________________________________ Date of Birth :

_________________________________

ID No:

_____________________________________

___

Cell No:

_____________________________________

__

Email Address:
____________________________________________________________________________________

B) RECRUITEE DETAILS
Names of Recruited members 8.____________________________
_________________________
1.__________________________________________
__________ 9.____________________________
_________________________
2.__________________________________________
__________ 10.___________________________
_________________________
3.__________________________________________
__________

4.__________________________________________
__________

5.__________________________________________
__________

6.__________________________________________
__________

7.
____________________________________________
________
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Commencement Month of deduction _______________________
_____________________________
______
_____________________________
_______________________
_____________________________
______
_____________________________
_______________________
_____________________________
______
_____________________________

_____________________________

C) CLAIMANT’S AMOUNT: P__________________________

Amount in Words: ____________________________________________________________________

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Date: ___________________________ Signature: _______________________ Contact:
____________________________

D) EWALLET DETAILS
Cellphone number to be paid into: ________________________

_____________________________________________________________________________________

FOR OFFICIAL USE ONLY

E) Checked & Recommended by:

1.Name:________________________________________Position:_________

__________________

Signature:__________________________________________Date:_________

_________________

F) Manager’s Remarks: Approved: ________ Rejected: ________

2.Name: _____________________________________ Surname:

______________________ Date:____________________________

Manager’s
Comments:____________________________________________________________________
______________________

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