| |
|
From
(DD/MMM/YYYY) |
To
(DD/MMM/YYYY) |
FWL
Rate applicable for the worker for the selected period |
| Period
Applied for Waiver - 1 |
: |
|
|
|
|
| Period
Applied for Waiver - 2 |
: |
|
|
|
|
| Period
Applied for Waiver - 3 |
: |
|
|
|
|
| Total
No. of Days |
: |
|
|
|
| |
|
|
|
|
| Please enter the following date(s)
if it is in the same month as the period applied for waiver. |
| Commencement
Date of Worker |
: |
(DD/MMM/YYYY)
|
|
|
| Termination
Date of Worker |
: |
(DD/MMM/YYYY)
|
| Due to:
|
|
