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. T-· ···.·.·· ':. .. ·: ~0/-f:':~ ... . . ·' v · . . ·\L.1 !' .>1 'rP.hUippin~ . ··. ~;~~~li~91the ~h;1;PPi~~ , ·•...... ·. ;g~ t i< Departrnent<)f Labdr and. Employmenf /'. ·. ... ·· •····.·•· ..· . -/...... < .· ; ~~~~" py~r~~~~ < .·.··· BFO Building, Ortigas Avenuecor. EDSJ\. 11J1a11daluyof"lg 1501 -=mlll~Yrn~11t . Website: wW\fV.poe~.gov.~fr .· E~rri~il: i~f~@pcie~.gd~.ph · Administration Hotlines: 722-1144, 722~1155 · · · ·

A.Employer_.~.-'. . ~~ . "-. -'----'------'----~-

. Vi~af-Jun1 lj~'r~~l1~ dby Saud.i M inistry of Labor _____

------: t.J.-=J! :~! City: ______- 4..;:,_\;o.\\ Civil Status: _____--.,--,----,-,--,------7 ------"------:4=. --.~.,-L.:;,,.-.·,.~I ihi1 I . Number of family members and their ages:~· ------: :Oy.o~l ..11.,P! ..l.k> Contact Numbers: ------:..::i'Jt...Q;~l e-~)

Telephone Number'------: W.."lcJI ~ .J Mobile Nu.mber ------: Ji..r.JI ri.J Email : ~_,_fo.\I .l;_EI ------'-----~-- · Represented in the Kingdom of by:

Saudi Recruitment ·Ager1cy ______

Address ______,-- ____ ------'------:l~l~J Contact Numbers ______------: w:il-*11 t5 J WI -Y 8_ Name of Worker; ------,-----'- ______: J... t"'"'l

Position:.:..______: ~.jl! i 4--JI ------~-----

------:Mill i) ~\fa .J

Addr~ss in the Philippines------5 ___:<...ii I_x- \i ~.).• ______•· --=<-<=>-•·· -' ~ - '!,I- :UWI CiVil Status: ____ Contact Numbers. ______

Passport Number ___Date and Place of Issue ____

Name of next of kin-"-"------

Address and Contact numbers of next of kin. ______

Represented in the Phiiippines by; .:M ~A~ ~::~~tt;,~::t(:~\.'.:. t ;

--c Sf~~~~~/~f(a~i~f k~d~rhplbyment . . ... · . . BFO Building, Ortig~s Avenue car. EDSA, Mandaiuyong City 1501

. Website: www.poea.gov.ph E-mail: [email protected] Hotlines: 722-1144, 722-1155 ·

I ;,;','.;i"i :i.JG..i\ _.i.F·~ ;lJ!.5.J l l co~t~

\ • J_d\ ~.r-1 r 1. Site of En;iployment: I . · "- · 1 . . ~\ ,y. U..WI I J.,.WI •.Jj~ i-~;'Ll ~ ~: :fu.\\ o;..i.. -2 1 2. Contract Duration : Two years effective from the date Of '- ' departure of the worker from the Philippines. The monthly salary -~_w JS--4 ~i >~4-> ~ ~~j ~l)i i~J 'I shall start upon actual reporting to work. \ . . J.-...JI '-;-1'>-L... U:H JLl:i)'I ty: !iii every end of the month the salary of the HSW to the said • ~ -Y"' · · · · · · _) ~- i.'~J Lj 1 1 1 ,1 account. The passbook or deposit slip or their ec1ufvaleilt shall be l '-=-' .• .;, H fo.l f .: .; ~J . ~1 _;~l y\._,_.,,Jt .} ('U;:;Jl-1 ~ JS 'I given to tneHsw and remain_ in ~is/her ciistody_ The ~;;,ployer ~ ~ ~y:..ll .U.0.hll L,~_u_,.~ L. _,I tl~~I ~j ) ~.I 1 3 shall help the HSW to remit his/her salary througn proper \ ;i__kl_,J\ I ~l..:J! ;,~L.:_J\ ,.,~ J-=11' --=-'-'-"';:. ,~. L.S. t_,_:; -, .,,._ 1 banking channels. I .· . ·· '· · ·. · '- ·· ·' ~~ I ·. ~IJ;.;JI -9~I G\yill ye ~l.J.J J!p-:; ~ 9 fall

. 'I (8) UC- JS> 'i 4.L.lfa~i.JUA~y.JI :U..Wl / J,.W\ ~-5 .

. ~~-;wkL 1 5. The hou$ehold service worker shall be provided with continuous rest of I I atleasd per day. · j . t-°"'·}:1\.} hlJ r..I:! uc. ~':I: ~I_; f'-Y- -61

6. Rest day: Atleasrone(l) rest day per wee!\. • t 1._l ~ii1 fl.lli.ui')I! 41ill '->Jj oj_,.~Jl_J :.>""-'! t}_y. ._.-J1 .,_.J~I Jiill-7 , ~-' .4.33_, ~ A.1..WI / J,.WI ~_ji ut_,..;,,,.J ,,iW\ ~~J ~ 7 . . Free transPortation ta the site of employffient and back to the point of ~i isl)& ;';:1•\l .U...Wi I J.,W\ O.l _f> J fa W,:..ILS.:i J,.u.li '-:""-L.. origin upcr. expir3t:on of contract :::nd ensure the. \\'Ork.er'~ timely . In case o.f termination for reasons not attributable to the , 9jLJI :U.,,Wi / J..WI c}J e.-Ji 'Y. •-)-~t.;_ ~I ~WJ :Uh<.?-' I \h/orker, th.e employer shall bear the cost of repatriation of the worker to • . ~l~e Philif?. ' . ' . , ~)L.Ji LJS.dl ~-~! :(l.,W!jJ..,hll :.);!Ab,.~! ~L..,, ~-8 I ' ··.. · . I...... ,. ... ~~~ ..:~~,,, "~,~~,,1 ·1· 8. -"" ~.);,,P,\ti· y· ;.r.~. h. al'. prov!dethe household servicewo:kersuitable and I' ~.J~ ~~~ ~; i r~ ~~. '.~ · ; ~; 't,; ~ t1 I; · .·._ .'.",·.:_ .. ~:~1t~ry~JV.!':"'&quane-rsaswellasad E-qliat efo o doreqmv.atehtn1onetary ~ -.1 • .)~ ~ ~J Y. '. -~ .... ~J -· .; •. , ;!l~,;~" q7· · .• . . . 't ;;__.,._ ~.l.o 'i.jl..,) ~L.;,,,il c,~\ ._.Jj >.iy.11 ._}:,.. ~_jW \ "-kW! -10 . .· · f Fo··· ra.•t~ . ~p~a61e.>mecf!ca ~ reasons, the HSW shall be :_~lowed to rest and _.L.... t_fi:i> ~\:; C"", .. ;.. <:...... ·I i_h J,,.:,.. u ·u::. ':i ~ J.=il <...=L . & • "\.! .11 ;;,..,'\.:,.. _j 11 . ~O: :;.: ·· .,,TheJ-!SW . is. e!)titledtoreturntothePhilippinestospendhis/her · - -" u J - WJ - . • J . '-.: - . .·. pa ~dy~ca,i'.o~-!~a..>.' e b~thir~y {30) days for l. ~ ~J ~_µ..J I li.Wi a - ~?· ?..m_ ~ ~.tr:µ . ~c~nom)• class t!tket. !n ca~e of h!s/ ner aes~re to contin~C? ! ~ !'" ~ t ~ _ .= ~ ·~;.""· ! . U· : ~ ·· • . h .. _ ~ . .~ .. 1 :; :~~j~~:l:i~tfie employer, he/she is entilled lo an additional one-1 ~i~~~~:~~~i ~~J~~w~J~~:z.1 .

\.) Y.' · ,/{~~ '..t: .. ' ' -.. -:·;.-. ,.,_ ' ·-· ' -., .. '- -

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0 u µ• w· f-1 ·· . ~ihll~~ig~lE£;::1:':.;~;~b~:f~1~:h;.:;~~~~at!h: I .~ ~· ~1 <<< 2 :;}~i :~~ 1 I 1 . ~~ -:-~~ ?~ry :>3~)€-ga!ly p6ssible and •Nithout undue def;jy, in r.ase { L~' . -~ · ~ · ~- - -'· .. .-· 1 .~ _ : . • : . ~ - . Y ~ ..:u - · _ er - ~ .· .. 1 }.." ·.·'7. r.···. e··" P. a.···t/ .· •.'. ~. ~i. f.'.? · o· f r~m.. a ins is not possible, the same may. be.dispos<>d of I ~I -\;.lJ=-.dl w~I t.o..JJ tlJ-!ll 4-.i'h) .. ~. 1~ _;h ~ .I }fte(obt.ammg the approval of one of the HSW's next of kin or by the · : . :4.,L.....2!_; ~1.S!J.i 1 s ~~~~ I . . . . . - ! >Y ·Ci j' .· .·.·•·. ·• .· ·· ...... •·<, ·••.··.. . . · · · . · Ic.,-i~I 0.J.l J-Jr t,cO.!.J Jl u.w1 / J..>W1. c.,-i Jy\ 4-lh . ~ - n \ l -.. . .; - . .. ·...... --- . '•l ~l.:; u,;i'\S:i ~ L.~~ ~ y.J\ ~b.11 .:2~ •. •;<" iJ\.PJ _,.,;.. I

li .. .. . l·n·'·c.·a se.o·r· ?.tspute nett. .veenthe.emp!oye .r ano rn.e 1· ... ·. · '! ·..=..'; 'I•. '-'-'"= . ,..,,, 1._,_,_,. . '. l.5.:i.. <..• •.:i.1.c· I · l 4.i.c. I WI;·. 1 WJ.i i.· ,...,., contractmg parties may refer the dispute 1o th<> appropriateH~v-:, 111etw~ Saudi.· C"~ r . · · 1~. I~ ~ .. ·· · • .J , · . Lr' u; · I "uthorities for ~onciliation 3nd/or resolution. , .:\.!L,,,J\' ,,~ ~, '"~ ..,..,,,J\ ~1~':11...J:&J d.=J\ ~L..,,, L,"-' . 11· _.. . ~~- 1 ' • . • -~~,

13. in i:ase the household service Work<>r runs away or refuses to w'ork ~WI .l~I -14 ! without . valid causes; the Philippine recruitment agenq sha.11 be I l resµonsi~fe in having him/her replaced or in returning the accrued wff GWI J_,...... Y. J_.,.,Ji c.,=.L... ,)L.....tJ ~ J,;;l _,L...Jl u~ J of :~cr~~~ment to ~1~/her_ en:'ployer,_a; per_ agr~~".'e~t betwe~n the \. ... . ~ J:.tt ~ tt.~.. st.!' ~ .L..c.3 ~ - , ~ _k.. 4 t,;.ll ~jWI ~1 J..=:i "- C:: I l.arrival of the HSW in the Kingdom Of Saudi Arabia shall be that of the I Philippine Recruitment Agency in coordination with the Saudi Rem1itment . ·, !

1 ·~gency. .. ;;.J,..Wi ~l..1;,;JI y.:il.}I 0-"> ~

·1· ~~~~=h~;{!t;~ic~1:.f~~::rd.e~u~::.~~;~:d~~;:~~.,f~~el:~;~ft~::~:~s~~::~ I I deductions must be reflected in the HSW's payslip. · .:\;l_jW\ ;l.Lh.!\ :Oj_p. ,_j- ~li)'I ·~_, _fa,:11 jl~c;.. ufo -J I . . I · · , . 'I ) ' .~•',~ :L:J"'-J ~411 u~';/4 ~y.Jr .U..Wi ~ - j I' e, T.he ernploy~r s~all pay th. ~ cost of t~e hous:hold s.er~ice _work~r's . "° ...,,;, .~.\l 4:L=. ~ .ill.1 _, ~.iiJ!li\\ ~I_,;, .J~ Iresidence per.m1t ( 1qama) , exit/re-entry visa, and ttnal exit visa, mcludmg - · 1 the renewal> and pt;nalties resulting from delays. ·1' _ . \ • • • . - t . I • _ I . .h •1' · ~ ';c~- . ~rift";!<._;_,~ .

'f. The pass pp.rt and work permit ( iqama) of the worker shall remain in '14.hlll Ll.ll • 11 I' - \ ., . - ·· .1. ck. .- . < ... 15 ,. his/h.er possession, · · · .)-;? ~ ." ~ .1.2. '--' F '-'"' •.J"l ~ _.h.l U""": - I. . . , . a2>.1;\ill ~.:. y...J\ ~I g. The household service worker shall be allowed to freely communicate \ I with his/her family and the Philippine Embassy Consulate on his/her C~-' _,1 ~.1.<:.11 ul,l_;h....;=,';ll .} y_r>-ll y_,..;.; Uk..~ -16

personal expt?nses or account. f • • .a • , • • ••~ • • ... •• ... • • • -~ • ....., I 1 11. The emp_loyer shall explain to the members of his household the i ~~~~-:1 ~.)·-::~ ~;~~l~ l ~::~~~~~: I . (.,; T ' •'• . .. (.;; .J • ' ,, provisions of this cont! act and ensure that these are obser vetl. i

·I 1s- Any provision of this Standard Contract may be altered,. I ,L..,~I ~) 'i,J ...~I ~ ~_)WI ;l.,L;Wi ~ .)3 ..fu..il <0'.?ij ~ -17 I ! amended or ~lJb>tit!.!ted thrn<.!gh the Sau!ne Jo!nt Technical l :UL.o:.Jli !.J<'lL:Jl . ..slil: :....:~i . e ',(, J ...<:.::..Li J.,uli w,,,,L,,, r ,$.; I Working Committee. j · "" · · " · . ... • I . I A~1.xJ\.J ~~~ ~~ f ...~ . 3 ~ :.l~?Ll ~:iJ~l "1:!1 ~~'. 16- The worker shaii be repatriated at the employer's expense in the event w\.eL=.ll ~ [':!~ ~-' . ~ ~t;..... ,_..k. ~~~_,kl\ \_) 1 1 ar, ·ci·. .111 disturo2-nce· er natura·i ca_lamrty, qr in case the -"-'arker · 1·i l>-4 - ~ ~- "S.L~~ . · ~ti u~ts ~~i wLl~Ls .-~J . _,~ _i _. ·. · s ~ffers. · fro-~1 ~~riOus _i iln!?ss or _wor~ i .n]~~y_ rr:1edicalfy ' pr~~~~ - to render . ··· · - · · ·_ · ..-. · him/her ln .ca°pabte of. Cprnp~eting. the ~~~~i-. -~cr: · .. ·. . . ~.-·..·11 .. .;...,. --L~. .J . ;;_,s J· ,,;.;__J·· ····· .1~. ~y.11~. ·1 · · 1 ·.·.. , .· . ' ' ' ''• '' ' I- 1 ,1;;';l~ --~II~ ~~ tfa= . -18 · 1· ·_·. 4 11 I17-Afterthe expi~aticn of the contr~ct andt~eHSW d~siL to return to the r >. ,;: :i~:'~ i-:t~;;\\ _;1:;).wi ~Jj P: :.fu.lr ~~ Jjii_ ,}J I .Philippines, H1e employer shall presen~ the bank state..;ent of the HSW to ,. f'l£w.';/1 ~.}Jaji ~L,, .:U,..:.JY. 0 ~~\ ;;_..li'j\ -'£Lh, U,0 . ' Saudi Recruitment Agency, andtfie employer and the worker shall then sign L.£.l a.Ui\ la final settlement. Sue~ ba ~ k sta~emen~ and pi~of uf settlement r.1ay be i ' ' - _, !submitted as evidence!~ the PhHiP:pi11:sand in the KS~; ' 1.. ~ - ~~ )'l.f:lj ;Z:-!_;=jl_, ~~'j\ ~.\-'.Ltli!X:~l~ • l·,·:. ,,.

. ~ ·. · . 1

;i. ih; ''"'"" m•y '" ,;",.;, ;,, '"' < : ; ' .. II his/her emolove.r, Should the contract~,,,,,, be renewed; ~ "'"~''' a· tool/ of the~ a.renewed.,,, ;;, I\·· ·· . ,.•, . 1 ··" · ·",. the > , .. I:~~=Y:;~ ~ ::u; ~~:~tt~~:~t 1;e::J~;~~,i~ .~ Embas~dconsul~te by I" .. .~ '. ·· \::· ' .. ·. I . . : ·. · -> .. . " 1>- ~j1Al1~~r~1 · ft1J~f4"{ ·.· '": : _,,. , ·. t I'''.'''"'""""""'""''"'"" ' I .,,;,.,, ~i w.;Q ~~--" ·--...,...~~

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