ANNEXURE E

(See clause 18 - Certificate of Service)

CERTIFICATE OF SERVICE

I/We .................................................................

carrying on business as .....................................

at .....................................................................

hereby certify that Mr/Mrs/Miss/Ms ................

was employed by me/us from the ................. day of ............... 20....

to the ............................................................ day of ............... 20....

in the occupation of .........................................

On termination of employment his ordinary rate of pay was R.....................per week/month.

Date..................................................................

........................................................................

Signature of employer or authorised person