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: 22 Jun 2024
J. RAY MCDERMOTT, S.A. |
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| Name of Seaman/Landworker: |
Rigger Leaderman Ferdinand B. Garcia |
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| Address: |
Santan St. Saint Joseph, Subdivision Orani, Bataan |
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| Mcdermott Crew Badge No.: |
24K58-120/da |
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| Basic Pay |
US$ |
2,482.00 |
| Fixed O.T. |
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744.60 |
| Leave Pay |
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373.40 |
| Others (Specify) |
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0.00 |
| Total |
US$ |
3,600.00 |
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| Name of Allottee |
Desiree S. Garcia |
Allottee # 1 |
| Relationship |
wife |
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| Address |
same as anove |
| Amount of (in Figures) |
$ 2,750.00 |
| Allotment (in Words) |
Two Thousand Seven Hundred Fifty Dollars and 00/100 |
| Bank/Branch |
BDO - Balanga Bataan Branch |
| Account # (Peso) |
011900063288 |
| Signature |
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| Name of Allottee |
Julia B. Marra |
Allottee # 2 |
| Relationship |
mother |
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| Address |
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| Amount of (in Figures) |
$ 200.00 |
| Allotment (in Words) |
Two Hundred Dollars and 00/100 |
| Bank/Branch |
BPI - Olongapo Branch |
| Account # (Peso) |
8785-81127-6 |
| Signature |
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| Name of Allottee |
Garcia, Ferdinand B. |
Allottee # 3 |
| Relationship |
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| Address |
same as above |
| Amount of (in Figures) |
$ 650.00 |
| Allotment (in Words) |
Six Hundred Fifty Dollars and 00/100 |
| Bank/Branch |
BDO - Bataan-Orani |
| Account # (Peso) |
011900092237 |
| Signature |
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| Employees Signature | |
| Vessel Assignment | Mcdermott Derrick Barge No. 50 |
| Month of Effectivity | |
| S.S.S. # | 02-0969939-3 |
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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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