THE PUNJAB EMPLOYEES SOCIAL SECURITY INSTITUTION

CERTIFICATE OF CONTRIBUTIONS WAGES AND EMPLOYMENT

 

Name of

Secured Person______________________ Social            Security A          Number              

 

Ticket Number/Works Number/khatta etc.______________________________________

 

I certify that the above named person has been (1) continuously employed be me

And paid contribution for at least 90/180 days during the last 6/12 months and the number of days worked by HIM or HER in each of the last 6/12 months was as under :-

 

MONTH Number of Days MONTH Number of Days

123  

  123  

 

 

( ii ) The last date of work was

( iii ) The rate of wages last paid to HIM or HER was :-

 

   Rs. PerRupees     

 

( iv ) I further certify that the above named person was in my employment

___________________( date of accident or of on set of occupational disease ).

( v )  A report of the accident on Form B-3

HAS NOT been submitted.

NO. of Employer

      ___________________ Employer’s Stamp                

( Date )_________________( Signature )__________________

      On behalf of Employer

    

WEST PAKISTAN EMPLOYEES SOCIAL SECURITY

INSTITUTION

 

CERTIFICATE OF FITNESS TO RESUME WORK

 

A