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    day of — Worker Philippine Embassy who shall endeavor to settle the issu amicably to the best interest of both parties 1 the spate remains unresolved, the Entaensy offi Shall refer the matter to the appropriate. Lab authorities of the host country for adjudication, without prejudice to whatever legal action te saggnieved party may take against the other Special Provisions: “The employer shall threat the worker in a just and humans manner In Case shall physical violence te tsext wpe th house helper The worker shall work solely for the Employer and his immediate honwchold. Tw Employer shall in no case rexjuire the helper to work in another residence or assigned 49 any commere enterprise trons arvice im Fy contributions presi ribed by ‘eal corresponding, ren The employer shall pay for the worker's “The passport and work permit/iqama of the worker shall remain in her possession No provisions of this contract shall fe allowed amended or substituted withot the written Approval of the Philippine Embyssy or POE In the event of war, civil disturbance or major | natural calamity, the employer shall repatrate the worker at no cost to the worker ‘Other terms and conditions of employment shat he governed by the pertinent. laws ol the Philippines or the host countey. Any applicabl provisions on labor and employment of the: host Country ate hereby incorporated as part of this In witness thereol, we hereby sige this contract a prin’: v Wein ALL ALM Motte) A Employer Foreign Placement Agency Recruitment Agency Note: This contract shall be verified by the Philippine Overseas Labor Office (POLO) before sum POEA. PAA phe ON a a pc 8 AM Sf gh etal hats act as: Hise hy 8 BA ay BID Se on See oO a Say SMT! 8p JI Bt ga ih Sa ith at Daath Sn gl BN Sh Sey ce DD Seed say ak Boe ll 3h Bets ket Laie PB AN Sr en oh ay 3) Ja Abt) gos Caw er ein erat tee a Sa Sat a a oi Bay th INFORMATION SHEET OF THE EMPLOYER asl! Gals Ge Cla gleall deine NAME IGEAWIM AW ALIN _pitAaneD KUNE LATA ~ RESIDENCE ADDRESS. SHARJAH AV _QGANN. a Sie PO BOK NO SBE mo ZIPCODE Se TeLNO: DW EII24, sshd, ceLPHONENO UCD ARES FIR abit FAxNO _Ob- EMI? Aa v5 E-MAILADORESS al welaihiG hed mAs) NATIONALITY LOCAL Ack occuPATION COMPANVIEMPLOYER CORENPER Ot SAAPSPH, OECHUATE U a EE 4 Gn aooRess Gi | A on TeL No Baa FAKNO ts MONTHLY FAMILY INCOME “ot Jes SIZE OF RESIDENCE Sone NAME OF FAMILY MEMBERS / i Wl elise! ela! AGE! a) NAME OF OTHER HOUSEHOLD STAFF INTHE HOUSE / a | DECLARE THAT THE ABOVE INFORMATION ARE (RSs pie LS any IS) Ba ype Gs Lay PENALTY UNDER PHILIPPINE AND HOST COUNTRY LAWS Fal sy Cll a Gl as Signature of Employer / Jas) a 8! SN Ac/e Date 3 & g g 26 g a PSAREALSHAMSIC. SALIIN be Fi pec Name of Employee: __ EV22 7/y P-0 Box: 4940, Dubai United Mab Emirates, tel: 60971 [4)-2667745/ fox:0097 1¢4) 2688050/2688685 F Malt Wcdiib aemiates net DEPARTMENTOFLABOR ANE EMPLOMENT | POLO-Dubail"* 709604 ‘ital Dsiion Personal life, accident, medical and repatriation insurance with a reputable insurance company the host country, {In the event of death of the helper during, the term of this. contract, his/her remain and personal belongangs shall be repatraste! to ther Philippines at the expense af the Employer. tn ‘ase the tepatiation of remains is net penile the same may be disposed of upn prise approval of the Helper's next of kin or by. the: Philippine Embassy The Employer shall assist the Helper in eomitting, 4 percentage of his/her salary through prope banking channel, 2 13, Termination 4 Termination by Employer The Employer may terminate the helpers contract of employment for any of the following, just causes. serious “misconduct or wail disobedience by the household serve worker of the lawful orders of the employer oF immediate. “household. members. in connection with his/her wrk; grens haa neglect by the house service worker of her duties, violation of the laws sl the hoct sountry. “The helper “shall shewlder the repatriation expenses Termination by the Helper 1) Term Without just cause: the Helper may. the contract without just cause by serving, 4 wnitien notice on the employer at taint eae ‘month in advance, Without such actie, Helper shull shoulder her/his turn transportation, without serving any notice on ‘employer for any of the of thw falloweing, just ‘cause: When the helper is maltreated by the Employer or any member of his household, when the Employer votes the terme an conditions of this contract, wher the Employer commits any of the following arte = deliberate nonpayment of salary. phpseat AES ems Eh ANA BB LIN asa ge Kemal Sie Rat a Seaue S, 8m hae 4 8 oe ato (1) SRD oh Senile gh gD hh See AN sash ope 9 aaa at aaa “Spi ie hae Y9 iN hou de ye eA Sa) gine GAS yi Tote go ge AR the BSH S00) gies glad hye ee tt AS ea on Fite Saas ye Be ae ok 2 een 28 oa ia ees hb BAIT StH tye molestation and physical assault” Thy Employer shall pay for the reputriation expenses © Termination due to illness Either purty may lerminate the contract on the illness; disease or injury. sulle hy. the helper, where the latter's continued employment is prohibited by law vor ee Prejudicial to his/her health as well as to the health of the employer and his houschokt jrounds of The repatriation expenses. lu be shouldered by the employer M4 Seltlament of Disputes incase of dsp between the helper and the employer, the md ah 0 oo a yes 9 8 San Sat wb Sat Lin SA el og Aen Sel a fA 554 oh Gin ad BBs Ce ae Dee Jal in ib ie wae Pet hy Bh Jara ISO a cB oy 61 ey Ba J tel tags 4 SF aS SA oo J be rofere by either party tthe Philippine | SS Gc Bn 3 Aa Awe SN AS, J GEES ea ce sue a3 FOR THE EMPLOYMENT OF A HOUSEHOLD SERVICE Rig sas die tas Yee ee Gras, e— & YaV a 1, wei 901 SAVIN Kofhece MUU LAK”, with residence at | — of Zaliny ia ane derpons) | tN restr op ersby undatate te} DCS Bd ot» —fhkieetfagigag

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