SUN MON TUE WED THURS FRI SAT

Clean and Mop Stairs/1st Flr

Vaccum Sofa/Sala
Clean Toys (1st Flr)
Wash Wash
Wash Wash
Pampers & Pampers &
Pampers Pampers
Clothes Cloths

Fix Pampers Fix Pampers

Fix Pampers Fix Pampers
and Clothes and Clothes

Clean CR 1st
flr & 2nd flr
House House House
Choirs Opt. Choirs Opt. Choirs Opt.
 MORNING
6:00AM Cleaning (Vaccum & MOP, **Laundry Clothes)
8:30AM Wake Up Ondrei (Wash Face and Change Clothes)
9AM BREAKFAST (Bread/Cereals and Milk)
10AM Learn and Play (Books and Toys)
11AM Prepare Lunch
12NN LUNCH TIME (Celeen)
AFTERNOON
1PM Clean Dinning and Wash Plates, Prepare Water for Bath Time
1:30PM Bath Time
2PM Sleeping Time (DEDE)
4PM Wake Up and Change Pampers (PLAY)
4:30PM MERYENDA TIME
5PM Wash Bottles & Sterilized **Wash Pampers
EVENING
6PM Prepare Dinner
7:30-8PM DINNER TIME (Cheriffer)
8:30PM Clean Dinning and Wash Plates, Prepare Water for Bath Time
9PM Clean Ondrei (Half Bath)
 Shopee, Lazada, LBC, Grab, Lalamove
Jaeli Lara
James Lara
Vaughn Mariano
Grace Mariano
** Do not entertain anybody
** Do not give info to anybody
** Do not disclose the OUR/YOUR's names or CP number to anybody
(Di ko po kilala yan bagong lipat lang kami dito)
July - Dec 2021 Employer
SSS 2400
PhilHealth 825
Pag-IBIG 600

Jan-Jun 2022
SSS 2400
PhilHealth 825
Pag-IBIG 600
 PERSONAL INFORMATION
NAME (Last Name, First Name, MI) DATE OF BIRTH (DD/MM/YYYY) Gender
Male Female
ADDRESS (Unit Number, Building Name, Street, Barangay, City, Province, ZIP Code)

PHONE NUMBER (Home) EMAIL ADDRESS

PLACE OF BIRTH (City, Country) CITIZENSHIP

TIN Number SSS Number Pag-ibig Number Philhealth Number

IN CASE OF ACCIDENT, NOTIFY:

NAME RELATIONSHIP CONTACT NUMBER
Primary
Secondary
Children's Information
Name Date of Birth Educational Attainment Occupation Employer

Father's Name Mother's Name

Occupation Occupation
Sibling's Information
Name Age Occupation Employer
 PAYSLIP
Name: Jean Amar Date:
Pay Period: Day 1-15

Basic Wage Php3000.00

Gross Salary

Less:
SSS
PhilHealth & Pag-ibig
Advance
Others

Total Deductions
Take Home Pay
I agree with the above wage computation and acknowlege reciept of the same.

Signature of Kasambahay

(NOTE: For mothly wage rate of less than Php5,000, the employer should not deduct premium
contributions on SSS, PhilHealth and Pag-IBIG forn the Kasambahay since the same are charged to
the employer)

PAYSLIP
Name: Jean Amar Date:
Pay Period: Day 16-31

Basic Wage Php 3000.00

Gross Salary

Less:
SSS
PhilHealth & Pag-ibig
Advance
Others

Total Deductions
Take Home Pay
I agree with the above wage computation and acknowlege reciept of the same.

Signature of Kasambahay
 (NOTE: For mothly wage rate of less than Php5,000, the employer should not deduct premium
contributions on SSS, PhilHealth and Pag-IBIG forn the Kasambahay since the same are charged to
the employer)