Salary Certificate Request Form
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 #
____________________________________________________________________________________
Bank Account Number
____________________________________________________________________________________
Type of Salary Certificate (Regular/Continuous)
PAYROLL INFORMATION
Monthly Basic Salary
Date GM Signature