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Labour Relations Act, 1995 (Act No. 66 of 1995)

National Bargaining

Prescribed forms

Annexure A.3 : Certificate of service

 

 

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

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

E-mail: payouts@nbcrfli.co.za / 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

 

 

 

v        Insert numerals only of relevant headings, viz   1. Resignation     2. Reduction of staff      3. Other