Schedules of Salary Payment and Loan Repayment

Name of Employer: ____________________________________ Name of FDW: ________________________________ Annex B
Monthly Salary of FDW: ____________________________________ Total amount of Loan (including loan for placement fee:) ________________________________

  Schedule of Salary Payment   Schedule of Loan (including loan for placement fee) Repayment
Month/Year Date of Salary Payment FDW Acknowledgement (signature) Monthly Loan Repayment* Date of Repayment Employer's Acknowledgement (Signature) FDW Acknowledgement (Signature)
1              
2              
3              
4              
5              
6              
7              
8              
9              
10              
11              
12              
13              
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15              
16              
17              
18              
19              
20              
21              
22              
23              
24              
** Total Amount   _____________________________

* Delete rows where necessary.
** The total amount should be filled in at the point of acknowledging this schedule, and it shall be the sum total of the monthly loan repayments.

I hereby declare that I understand and agree with the monthly salary and total amount of loan indicated above

Name of FDW: _____________________________________
Employer Name _______________________________
Signature: _________________________________________ Signature: _____________________________________

Witnessed by
EA Representative (Name): __________________________
Signature: ________________________________________ (annex_b.htm)