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mada Communications Company - Salary Certificate Request Form

This form should be filled electronically by the Employee who is under mada sponsorship. This form should be signed by the Employee & his/her
department Manager.

EMPLOYEE INFORMATION
Name (First & Middle Name) (Surname) Staff #

Department Gender/Sex Nationality Mobile #

Joining Position Civil ID No. Date of Joining

SALARY CERTIFICATE REQUEST INFORMATION


To Whom It May Concern

____________________________________________________________________________________
Bank Account Number

____________________________________________________________________________________
Type of Salary Certificate (Regular/Continuous)

Employee Signature Name of Director/Manager & Signature

PAYROLL INFORMATION
Monthly Basic Salary

Grade Transport Allowance

Mobile Allowance Fuel Allowance

On Call Allowance Total Salary

(For Official Use Only)


HR & Administration Dept. Remarks

Finance Dept .Remarks

Date GM Signature

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