CIVIL ENGINEERING SECTOR, SOUTH AFRICA READ THIS FIRST

WHAT IS THE PURPOSE OF THIS FORM?

This form is proof of employment with an employer.

WHO FILLS IN THIS FORM?

The employer

WHERE DOES THIS FORM GO?

To the employee.

INSTRUCTIONS

This form may be issued upon termination of employment.

NOTE

The reason for termination of employment must only be given if requested by the employee.

This is only a model and not a prescribed form. Completing a document in another format containing the same information is sufficient compliance with the clause 25.

CERTIFICATE OF SERVICE

I ..............................................................................................................................................

(Name and designation of person)

of

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

(Full name of employer)

Address:...............................................................................................................................................................................................................................................................................................................................................................................................................................................in the........................................................................................................(Trade)

declare that

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

(Full name of employee)

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

(I.D. no.)

was in employment

from.....................................................until..........................................................................

as

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

(Type of work/occupation)

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

any other information.............................................................................................................

On termination of service this employee was earning:                  R...........................................

................................................................................................(Amount in words)

ॳ per hour   ॳ per day     ॳ per week       ॳ per fortnight     ॳ per month       ॳ per year

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

Employer's signature                                                                                         Date