<p> Receipt for payment upon termination / Expiry of contract</p><p>I, ______. ID / passport No.______</p><p>Received the following payment from my employer______</p><p>On (date) ______. In cash / by cheque / by bank autopay.</p><p>1. Wages (form ______to ______) $ ______</p><p>Inclusive of payment for the following: (a) Statutory holiday(s) ( date(s): ______)</p><p>(b) Annual leave (from ______to ______)</p><p>(c) Sick leave (from ______to ______)</p><p>(d) Others (please specify) ______</p><p>2. Food allowance (from______to ______) $ ______</p><p>3. Wages in lieu of notice $ ______</p><p>4. Untaken annual leave pay (______days) $ ______</p><p>5. Long service payment / severance payment $ ______</p><p>6. Food and Travelling allowance $______</p><p>7. Payment in lieu of air-tick / return air-tick of</p><p>______(Airline) $ ______</p><p>8. Others (a) ______$ ______(b)______$ ______</p><p>Total amount:HK $______</p><p>Signature of Helper______Signature of Employer______</p><p>(Name):______(Name):______</p>