Name:
Employment number
Department
Division/School:
New staff
[Order 2 free uniform size and colors (white, blue, grey, pink & yellow)
and sleeve size]
Extra Uniforms
[Order number of extra uniforms wanted]
Please tick. 1st issue.2nd issue.3rd issue..
Please tick. Fulltime staff.Temp. StaffTenured staff...
Fill the table below if you are ordering extra uniforms.
Quantity
Item
Men Short sleeve shirt
Men Long sleeve shirt
Ladies blouse
Ladies Scarf
Men Tie
Total
Standard
Cost [$]
21.00
22.00
25.00
14.00
24.00
Total cost
owing [$]
I .. hereby authorize FNU - Payroll to deduct
$. from my wages/salary as part of the extra work uniforms
purchased as per the table above.