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Department of Labour Salary Schedule Form
|ID NUMBER OF EMPLOYEE | |
|SURNAME & INITIALS OF EMPLOYEE | |
|EMPLOYER REFERENCE NUMBER | |
|EMPLOYER NAME | |
|PERIOD OF SERVICE | |
| |From: Month & Year |To: Month & Year |Remuneration |Hours worked |Contributor Y/N | |
| | | |per month |per month | | |
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❖ PLEASE INDICATE FULL DATE FOR EACH SALARY ADJUSTMENT
Name & Surname: _________________________________________________
Signature: ________________ Date: ________________
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