Pacific Seamen Services, Inc.
3F Unit 33, 34 & 35 Columbia Tower, Ortigas Avenue Mandaluyong City
Telephone Nos.: (632) 7444546 * (632) 7268927 Fax Nos.: (632) 7444548
|
|
|
|
Allotment Instruction Form | | ETD: 02 Sep 2024 Tschudi Shipmanagement A.S |
|
Name of Seaman/Landworker: |
Motorman Shielo A. Elisan |
|
Address: |
Juarez Residence Purok Mabinuligon Octavio Village Cannery Site Polomoloc South Cotobato |
|
Basic Pay |
US$ |
1,103.00 |
Fixed O.T. |
|
330.90 |
Leave Pay |
|
166.10 |
Others (Specify) |
|
0.00 |
Total |
US$ |
1,600.00 |
|
|
Name of Allottee |
Wennie J. Elisan |
Allottee # 1 |
Relationship |
Wife |
|
Address |
same as above |
Amount of (in Figures) |
$ 800.00 |
Allotment (in Words) |
Eight Hundred Dollars and 00/100 |
Bank/Branch |
BDO - Gen. Santos |
Account # (Peso) |
3290159153 |
Signature |
|
|
|
Name of Allottee |
Elisan, Shielo A. |
Allottee # 2 |
Relationship |
Self Allottee |
|
Address |
|
Amount of (in Figures) |
$ 800.00 |
Allotment (in Words) |
Eight Hundred Dollars and 00/100 |
Bank/Branch |
BDO - Gen. Santos |
Account # (Peso) |
6230085126 |
Signature |
|
|
|
|
|
Employees Signature | |
Vessel Assignment | SAGA |
Month of Effectivity | Aug 2024 |
S.S.S. # | 09-1984478-4 |
|
|
File Copies | Master Crewmember Principal 201 File Accounting |
|
|
Rev. 2.1 May 2003 | OPS/GEN-007 |
|
|
I, , pursuant to Section 8 of the Standard Terms
and Conditions Governing the Employment of Filipino Seafarers, hereby instructs Pacific Seamen Services, Inc. to deposit at least
80% of my basic salary to any authorized Philippine Bank.
|
|
|
|
|
|
Employee's signature over printed Name |
|
|