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1. Header and Document Title: Official title of the document, date, and reference number if applicable
2. Employer Information: Complete details of the employer including full name, ID number, and residential address
3. Employee Information: Complete details of the domestic helper including full name, ID number, place and date of birth
4. Employment Period: Specific dates of employment, including start and end dates
5. Job Description: Detailed description of primary duties and responsibilities performed
6. Work Location: Address where the domestic helper performed their duties
7. Conduct and Performance: Brief statement about the employee's conduct, reliability, and quality of work
8. Verification Statement: Statement confirming the truthfulness of the information provided
9. Authentication: Employer's signature, date, and official stamp if applicable
1. Salary Information: Details of compensation, to be included when required for specific purposes such as visa applications or upon employee's request
2. Special Skills and Training: List of specific skills, certifications, or training completed during employment, included when relevant to future employment
3. Language Proficiency: Statement about language abilities, particularly relevant for overseas employment applications
4. Reason for Termination: When appropriate and agreed upon by both parties, statement explaining why the employment ended
5. Social Security Compliance: Statement confirming BPJS registration and compliance, included when required for official purposes
1. Schedule A - Detailed Job Scope: Comprehensive list of tasks and responsibilities performed during employment
2. Schedule B - Training Certificates: Copies of any relevant training or course certificates obtained during employment
3. Schedule C - Performance Records: Summary of performance evaluations or achievements, if maintained during employment
4. Appendix 1 - Supporting Documents: Copies of relevant identification documents, work permits, or other official documentation
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