Client Company : Client Contact:

Client Full Address :

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.

Staff NRIC: Month:

Full Name as per IC: Signature

Work Time For PERSOLKELLY Internal Use

Date
Day Breaks Total Hours Allowance Normal Total Overtime
dd/mm Started Ended
Hours 1.5 2
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Grand Total of Hours Worked (Excluding Breaks) 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 PERSOLKELLY with the responsibilities such as handling cash, negotiables or other
valuables without written permission of PERSOLKELLY, which only be granted if an employee's specific duties neccessitate such. In view of the services rendered by PERSOLKELLY, it is
agreed that Clients will not offer temporary/ permanent jobs to the PERSOLKELLY employee assigned to them. Should the client wish to offer temporary/ permanent employment to
any PERSOLKELLY employee who has worked for the Client, the client shall pay to PERSOLKELLY a liquidation fee. Further terms and conditions of business are contained on the
reversed side of your copy.

Client/Manager Signatory Approval Designation of Signatory