MOTOR INDUSTRY BARGAINING COUNCIL - MIBCO

ANNEXURE A

[Stipulated in clause 2.2 of Chapter IV of Division C]

CERTIFICATE OF SERVICE

................................................................................... (name of employee) has been employed by me as an operative, grade A, operative, grade B or operative, grade C* from

.......................................................... to ...........................................

During this period he operated the following machines:

Reboring machine

Cylinder honing machine

Crankshaft grinder

Connecting-rod machine

Surface grinding machine

Valve refacing machine

(Cross out those which the employee did not operate.)

(Signed) ..........................................................

Employer

Name of firm ...................................................

*If the person referred to in this Certificate was for the first part of his employment an operative, grade A, operative, grade B or operative, grade C and was employed subsequently as an operative, grade A, operative, grade B or operative, grade C, please insert the relative dates here:

Employed as operative, grade A, operative, grade B or operative, grade C ......................................... to .......................

Employed as operative, grade A, operative, grade B or operative, grade C ......................................... to .......................