Application For Overtime Exemption In Excess Of 72 Hours A Month Under Section 38(5) Of The Employment Act Page 5

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EMPLOYEE’S ACKNOWLEDGEMENT FORM
OVERTIME EXEMPTION SECTION 38(5) OF
THE EMPLOYMENT ACT (CAP 91)
We confirm that the following had been explained to us regarding our employer’s application for exemption from overtime work exceeding 72 hours a
month.
1) Overtime work is not compulsory, even if this application is approved.
2) Overtime is paid at a minimum rate of 1.5 times the hourly basic rate of pay.
3) An employee shall not work more than 12 hours a day.
4) The exemption, if granted, does not apply to pregnant employees and those under the age of 18 years.
5) Appropriate protective equipment (if applicable) is provided during working hours.
Employment Start
S/No
Name
NRIC/ WP No
Occupation
Department
Contact No.
Signature
Date
1
2
3
4
5
6
7
8
9
10
Note to employee:
- Ministry officials may contact you to verify the above.
- You may refer to our website at on overtime work or contact us at:
Email:
mom_lrwd@mom.gov.sg
MOM Contact Centre: 6438 5122
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At least 50% or 10 (whichever is lesser) of the affected workers must acknowledged in this form

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