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: 26 May 2024
J. RAY MCDERMOTT, S.A. |
|
| Name of Seaman/Landworker: |
Medical Officer Roderick D. Silverio |
|
| Address: |
5 Redwood St. B-09 L-6G West Fairview Park Subd. Brgy. Fairview QC MM 1118 |
|
| Mcdermott Crew Badge No.: |
24N79 |
|
| Basic Pay |
US$ |
5,875.00 |
| Fixed O.T. |
|
1,762.50 |
| Leave Pay |
|
882.50 |
| Others (Specify) |
|
0.00 |
| Total |
US$ |
8,520.00 |
|
|
| Name of Allottee |
Silverio, Roderick D. |
Allottee # 1 |
| Relationship |
Self Allotee |
 |
| Address |
Same as above |
| Amount of (in Figures) |
$ 4,700.00 |
| Allotment (in Words) |
Four Thousand Seven Hundred Dollars and 00/100 |
| Bank/Branch |
BDO - SM North, Edsa |
| Account # (Peso) |
670621676 |
| Signature |
|
|
|
| Name of Allottee |
Roderick D. Silverio or Sarah S. Silverio |
Allottee # 2 |
| Relationship |
joint account |
 |
| Address |
Same as above |
| Amount of (in Figures) |
$ 3,820.00 |
| Allotment (in Words) |
Three Thousand Eight Hundred Twenty Dollars and 00/100 |
| Bank/Branch |
BDO - ABS-CBN -Mother Ignacia |
| Account # (Dollar) |
105630236866 |
| Signature |
|
|
|
|
|
|
| Employees Signature | |
| Vessel Assignment | Mcdermott Derrick Barge 32 |
| Month of Effectivity | Jun 2024 |
| S.S.S. # | 3374900671 |
|
|
| 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 |
|
|