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: RECRUITMENT PARTNERS, L. P. |
|
Name of Seaman/Landworker: |
Assistant Derrickman Ergil L. Bautista |
|
Address: |
1075 Zone 8 Sta. Monica Hagonoy, Bulacan |
|
Basic Pay |
US$ |
1,540.00 |
Fixed O.T. |
|
1,155.00 |
Leave Pay |
|
385.00 |
Others (Specify) |
|
0.00 |
Total |
US$ |
3,080.00 |
|
|
Name of Allottee |
Vea Anne C. Bautista |
Allottee # 1 |
Relationship |
Wife |
|
Address |
1075 Zone 8 Sta. Monica Hagonoy, Bulacan
(90% of the Total Pay) |
Amount of (in Figures) |
$ 2,278.95 |
Allotment (in Words) |
Two Thousand Two Hundred Seventy Eight Dollars and 95/100 |
Bank/Branch |
BDO - Malolos Bulacan Branch |
Account # (Peso) |
010590090186 |
Signature |
|
|
|
Name of Allottee |
Bautista, Ergil L. |
Allottee # 2 |
Relationship |
|
|
Address |
1075 Zone 8 Sta. Monica Hagonoy, Bulacan
(10% of the Total Pay) |
Amount of (in Figures) |
$ 801.05 |
Allotment (in Words) |
Eight Hundred One Dollars and 05/100 |
Bank/Branch |
BDO - Malolos Bulacan Branch |
Account # (Peso) |
010590095331 |
Signature |
|
|
|
|
|
Employees Signature | |
Vessel Assignment | Noble Don Taylor |
Month of Effectivity | |
S.S.S. # | 34-1591313-2 |
|
|
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 |
|
|