EMPLOYEMENT CERTIFICATE

Certified that Sri S/o of .Desom/Town Taluk .House ..Village .Taluk .. .House Village .District now residing at .Desom/Town ..District who has . ..

signed overleaf is permanent/officiating/acting (Designation) In the (Name of Office)

DETAILS OF HIS/HER SERVICE

1. Date of birth and age 2. Date of entry into service 3. Date from which continuous service begins 4. Date of retirement 5. P.F.A/c. No. : : : : : . .. .. .. ..

DETAILS OF SALARY
(1)SCALE OF PAY: (2)Earnings: 1. (a)Basic Pay (b)Personal pay 2. Dearness Allowance 3. H.R.A 4. Compensatory Allowance 5. Other Allowance (Specify) (i) (ii) . . . . (3) Deduction/Recoveries 1.Provident Fund 2.Life Insurance premium 3.Income Tax 4.House Loan 5.Festival Allowance 6.Other Recoveries (Specify) (i) (ii) (iii) Total (2) . .. . . Total(3) . ....... .. .. . . .. .. .. ..... ..

(4)Net salary (Total 2 - Total 3) (5)Details of employment certificate issued previously to the employees, if any Yes/No If Yes specify details Signature Place: Name&Designation Date : of the Head of office/ Drawing officer