Candidate Name

Salary slip provided Yes No

Contracting hours R ph =R

Basic per month (excluding all benefits and allowances) R pm =R

Standby allowance R pm =R

Average overtime R pm =R

Car allowance R pm =R

(Company car - Rand value)

Travel rebates:
• Rand value per km. (NB: Add profit into Nett)
• Petrol card (business - and/or private use)

Car insurance/Car Maintenance R pm =R

Cellphone allowance R pm =R

Reimbursement? - business and/or private use R pm =R

Company contribution to Medical Aid R pm =R

Medical Aid:
• Medical Aid Company?
• Medical Aid plan?
• Number of dependents on Medical Aid?
• Own contribution to Medical Aid
Pension/Provident Fund:
• Company contribution
• Own contribution

Group Life/Death and Disability R pm =R

Housing allowance/Company House R pm =R

Reduced interest rate (on car loan or home loan) Amount saved annually: R

Parking Yes No Company/Employee Pays

Leave days

13th cheque Merit/Guaranteed When paid? =R

Bonus Merit/Guaranteed When paid? =R

Loans:
Study loans, bursaries, do you owe the company any money?
=R
Share Options: =R

Date of last increase and how much?

Date of next increase
Expected % increase =R

Total Salary Package with other benefits/CTC =R

NETT SALARY (cash in pocket) R

What do you expect to earn in a new position? R

At what point would you turn a position down? R