Fillable Printable Acknowledgment of Wage Receipt

Acknowledgment of Wage Receipt

Date:

Re: Acknowledgment of Wage Receipt

Reference Number:

D.H. Contract No.:

I, , holder of

Passport Number

, hereby acknowledge the receipt of the following amount of

salary, compensations and fight ticket from my employer .

1. Salary: HKD

2. One Month Salary Payment in Lieu HKD

3. Annual Leave: (From

to ) HKD

4. One-Way Fight Ticket back to Place of Origin: HKD

5. Traveling Allowance: HKD

Total: HKD

Acknowledge and Received by

Employee:

Passport Number: