. 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 City 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 the 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 Address : ~_,_fo.\I .l;_EI ----------'-----~-- · Represented in the Kingdom of Saudi Arabia 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~<l N~rrib~r~ ~--------------~ I --------------·~:: I Vo!uritarilv binding therm elves to the following terms and conditions: I \ • 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: <r'"'L..i~! i;~t y..:!ljll ~3 3. The. h·a··· y7e.ho.ld·.··.··. .service worker and the employer agree on a Ir.,?~I ...,.,._:;!.)! cu-~ c) ~ . yy..11 LL.WI /~W\J ,. monthly salary of$ . which is in accordance with the . •l_,_s1I ~l.jl ~ ,~ ! y .i . 1 laws and regulations prevailing in both countries. '-»' · · J (::-A • · - · •. JA .) .J , .. _ • .. .6.;~i ~ . .,r ~ _rl; [' l ~WI I ~hn '-~' - ~. ~~ C.~ . ~l y.::..L:a \ .....~ -4 I 4. The_ employer. shall open. a bank. account for the .Hs:rv in KSA, ~_....._..y. tfi1\_;-! J. ~.'Y ~~~~I ~_rl\ "51...JI ~ 9fa.11 I' subject to SAMA rules and regulations and shall deposit regularly ~t,p - .:Ll .. , 'I tj,.Lll l J..,WI Lii t'-"'-' · •.l_;=-;.l\ .>!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 house 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 repatriation. 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?pines. ' . ' . , ~)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; · .·._ .'.",·.:_ .. ~:a1~1t~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"", <L..i;. C.~ ~ c.= L,-~. (30) J~ _r..'.l i I ·. ·. '· .. shall.. continue to receive his/her regular salary. 1 ne employer shall .. ..· . .. _ ·. •. _ .. · _ . , . •. _ . · .. .- . .. <· ··· sh~·~'d2. :~ tfrt:· _m2di. c.alc:;;::p2nses. 1· c.# _;:~~'il '='2J 4..:c._..~} 4.Jh ~3 .. ~~~ ~_;.:l.l~ :i~_.ceJ l.:-1~.l I .. '· .:, '·· '. ~\..._;,,) ~ ~lj 13 ... ; ~ 4J}3 J.=11 J:· .. ·.- : J . ::_ .....: <.> .. ;.. <:. ... ·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 <!very tv.:oye~rs of service with , ~ ~ (_;-u:~ ~~! ._.lJ 2~1 ~>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: .. ' ' -.. -:·;.-. ,.,_ ' ·-· ' -., .. '- - <· '·.; <Elf'.P ~~$~~W&~f£!~~~~0M~t B~ildirig, ()rtjg-as j\vef1ue . cor~· ED$A;." ·Mancia.IuyopgCity :w ''·:':''·;;,":•·· 1501'··· ··.·..... • · Websit~. : wy.iw.poea.gov.ph ·E-tnail: inf~@poea '. goJ:pti Hotlines: 722-1144,722~1155 ··· ·· · ·· · ·· · ···· ·· ·. ·. · · 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 _ . t\ , _§ U '~l ! ernptover, th.eSCJUdt Kecrwtrr1t:1) t Ag~nc:y~ff1di:he Pn1hppme R~cru1tiY1~r1t 1· ~.~· · ~ . ' -" · · · • • ~ ~ . _. · ' ·, ~ . :·.· ·.' _.. .. ....,, _ · · I I Agency. tj.l~\ ('\~';/\ ~ t:' 0;, .. ;;!4 I,. ""'""""'""~ · . .. !'"·"'' ~~ ~,~,~~,~~~ :'.; ~~,-; I ··.".. The re·s· p. ons.ib·1.·l.ity. of informing the em. player. rega... r .d.in·. .g · the ·.departur..e an. d 1.1,S! A,J fa\ ~Li.c. ~.J J,c..J\ ~l...:> 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-"> ~ <Jl J....,JI ...,_,...L.- ~ 'Y 7.l ' I . ~ jl_HJ ~ .uµ 4._;...U;..;.J 9 _,;I.§'-;-'~~ ~ 0l.J ' :i,_,i,y..JI I I~~;::,,';::1=r~'.:~ ;~~:~ m=b••<. ood ,,, e;w '''" '"~ °"' . ~IAAll Y'IJJ .,,,_.... _,; wt.,_;JI I 0 Io n,,,~"''!!'"• 0<\"''"'°' "''POl Y~C'' "'' ;~mod•<olwo~hold II ::;::; ~;C)~1C"~::f-£2~~ I ·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.