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: 17 Jun 2024 J. RAY MCDERMOTT, S.A. |
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Name of Seaman/Landworker: |
Rigger Jayson G. Galang |
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Address: |
674 Purok 3 Mangan Vaca Subic Zambales |
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Mcdermott Crew Badge No.: |
29L06-50/d |
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Basic Pay |
US$ |
1,034.00 |
Fixed O.T. |
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310.20 |
Leave Pay |
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155.80 |
Others (Specify) |
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0.00 |
Total |
US$ |
1,500.00 |
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Name of Allottee |
Galang, Jayson G. |
Allottee # 1 |
Relationship |
Self Allottee |
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Address |
Same as above |
Amount of (in Figures) |
$ 500.00 |
Allotment (in Words) |
Five Hundred Dollars and 00/100 |
Bank/Branch |
BDO - SM City, Olongapo |
Account # (Peso) |
007700358947 |
Signature |
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Name of Allottee |
Lourdes Marie B. Galang |
Allottee # 2 |
Relationship |
Wife |
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Address |
Same as above |
Amount of (in Figures) |
$ 1,000.00 |
Allotment (in Words) |
One Thousand Dollars and 00/100 |
Bank/Branch |
BDO - SM City, Olongapo |
Account # (Peso) |
007700358939 |
Signature |
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Employees Signature | |
Vessel Assignment | Mcdermott Derrick Barge No. 50 |
Month of Effectivity | Jun 2024 |
S.S.S. # | 02-1759763-6 |
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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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