SULIT BUR 300 : BUTIR KEWANGAN

BUR 300 : BUTIR KEWANGAN

SULIT

JABATAN BURUH

KEMENTERIAN HAL EHWAL DALAM NEGERI

NEGARA BRUNEI DARUSSALAM

Sila isikan ruang-ruang yang berkenaan sahaja.

PERKARA

Gaji termasuk Elaun Tetap

Pendapatan Lain

Pendapatan Kasar

Pendapatan Bulanan

PEMOHON

SUAMI / ISTERI

[A]

Potongan TAP dan SCP

Pinjaman Bank

Pinjaman Kereta

Pembayaran Perumahan

Persekolahan Anak

Perbelanjaan Bulanan

? Bil Kad Kredit

? Bil Telefon

? Bil Elektrik

? Bil Air

? Gaji Amah

? Gaji Pemandu

?

?

?

Jumlah Potongan

Gaji Bersih

[B]

[A] - [B]

[C]

Pendapatan Keseluruhan Permohonan dan Suami / Isteri

[D]

[C] + [D] = B$......................................

Saya dengan ini mengaku bahawa apa yang tercatat di atas adalah BENAR.

Bilangan Rujukan

: .....................................................................................................................

Tandatangan Pemohon

: .....................................................................................................................

Nama Pemohon

:[

Tandatangan Suami / Isteri Pemohon

: .....................................................................................................................

Nama Suami / Isteri Pemohon

:[

]

]

Tarikh : ..........................................................

Peringatan : Sila sertakan Resit Pembayaran

JABATAN BURUH 2011

BUR 300 : FINANCIAL DETAILS

CONFIDENTIAL

LABOUR DEPARTMENT

MINISTRY OF HOME AFFAIRS

BRUNEI DARUSSALAM

Please fill in the relevant information in the appropriate boxes/ spaces provided where applicable:

SUBJECT

APPLICANT

SPOUSE

Salary (Including Fixed Allowances)

Other Income

Gross Income

[A]

Monthly Income

TAP and SCP

Bank Loan

Car Loan

Housing Payment

Children¡¯s Education Fees

Monthly Expenses

? Credit Card Bill

? Telephone Bill

? Electric Bill

? Water Bill

? Amah¡¯s Salary

? Driver¡¯s Salary

?

?

?

Total Deduction

Nett Income

[B]

[A] - [B]

[C]

Total nett income of the applicant and spouse

[D]

[C] + [D] = B$......................................

I hereby declare the above information is TRUE.

File Reference Number

: .....................................................................................................................

Applicant¡¯s Signature

: .....................................................................................................................

Name of Applicant

:[

Spouse¡¯s Signature

: .....................................................................................................................

Name of Spouse

:[

]

]

Date : ..........................................................

Reminder : Please attach payment receipt

LABOUR DEPARTMENT 2011

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