Department of Labour - Salary Schedule Form

EMPLOLYEE’S ID NUMBER: 7706025519088

EMPLOYEE’S INITIALS & SURNAME T Thekiso

UIF REGISTRATION NUMBER: 2338920 / 9

COMPANY NAME: Heineken South Africa (PTY) Ltd

PERIOD OF SERVICE: 01 December 2023 – 31 March 2024

CONTRIBUTOR/
SALARY PAID SALARY NON - HOURS WORKED
DATE, MONTH, YEAR* PM AMOUNT CONTRIBUTOR PM
01.12.2023 – 31.03.2024 R 12 494.00 R 12 494.00 Yes 190.70

*PLEASE INDICATE DAY/MONTH/YEAR FOR EACH SALARY ADJUSTMENT PLEASE INDICATE THE AMOUNT

EMPLOYER: LEILANI JANSEN

SIGNATURE OF EMPLOYER: DATE: 15 April 2024

Company stamp: