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
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| Allotment Instruction Form | | ETD:
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| Name of Seaman/Landworker: |
Robert C. Relano |
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| Address: |
1176 Santan Road Andagao Kalibo Aklan. Philippines.5600 |
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| Basic Pay |
US$ |
1,965.00 |
| Fixed O.T. |
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589.50 |
| Leave Pay |
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295.50 |
| Others (Specify) |
Daily Rate US$95 per day |
0.00 |
| Total |
US$ |
2,850.00 |
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| Name of Allottee |
Razel T. Relano |
Allottee # 1 |
| Relationship |
Wife |
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| Address |
same as above |
| Amount of (in Figures) |
$ 1,830.00 |
| Allotment (in Words) |
One Thousand Eight Hundred Thirty Dollars and 00/100 |
| Bank/Branch |
BDO - Kalibo Branch |
| Account # (Peso) |
005580294507 |
| Signature |
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| Name of Allottee |
Relano, Robert C. |
Allottee # 2 |
| Relationship |
Self Allottee |
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| Address |
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| Amount of (in Figures) |
$ 1,020.00 |
| Allotment (in Words) |
One Thousand Twenty Dollars and 00/100 |
| Bank/Branch |
BDO - Robinson's Galleria |
| Account # (Peso) |
004950487518 |
| Signature |
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| Employees Signature | |
| Vessel Assignment | |
| Month of Effectivity | Dec 2023 |
| S.S.S. # | 0734085061 |
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| File Copies | Master
Crewmember
Principal
201 File
Accounting |
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| Rev. 2.1 May 2003 | OPS/GEN-007 |
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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.
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Employee's signature over printed Name |
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