A.3

Ver. 06/11

ANNEXURE A.3

NATIONAL BARGAINING COUNCIL FOR THE ROAD FREIGHT AND LOGISTICS INDUSTRY

Private Bag X69, Braamfontein

31 De Korte Street, Braamfontein, Johannesburg, 2001

Tel. No.: (011) 703-7000 / Fax No.: (011) 339-1380

E-mail: [email protected] / Website: www.nbcfri.org.za

CERTIFICATE OF SERVICE

Date ....... / ....... / ............

Employer's name        …………………………………………………………………………………

Business name        …………………………………………………………………………………............

Business address        …………………………………………………………………………………

Telephone no.                ……………………………

Employee's name        …………………………………………………………………………………

Employee’s address        …………………………………………………………………………………

Identity no./Ref. no.        ……………………………        U.I.F. serial no. ……...…………

Date service commenced        …………………………….

Date service terminated        …………………………….

Reasons for termination of services ……………….

Previous employer        ..............................................................................

..……………………………………………………

Employer's Signature

____________________________________________________________________________________________________

[Annexure A.3 of Prescribed forms substituted by Notice No. 426, GG42312, dated 15 March 2019]