Acknowledgement of Debt

Kitam Group

Acknowledgement of Debt
Employee Name*

First NameSurname
Employee Number*
Restaurant*
Type*
Amount*
Policy Type*
Current Pay Period*
Signed At*
Date*

MonthDayYear
Date
I the undersigned hereby acknowledge that I am indebted to the company for the amount stipulated above in accordance with the companies’ polcies.

I authorise my employer Kitam to deduct the total amount declared above from my salary. The deduction shall be made from the salary in accordance to the companies pay periods.
Employee Signature*

Clear
Witness Signature*

Clear
Should be Empty:

Kitam Group