Professional Documents
Culture Documents
Form P
Form P
Form P
18
(F 2 S., T. & E) 1/59
[Regulation 60 (2)]
Form “P”
To : ……………………………………………………………….
Take notice that in the prosecution instituted against you in the ………………………………………………… Court
of …………………………………………....... for failure to pay the sum of Rs. ……………………… which are liable to
pay in terms of ………………………… to ……………………………. on account of the ………………………………..
Payable in respect of ……………………………………………….. I, …………………………………………………….
Intend adducing in accordance with the provisions of section 38 of the Employees’ Provident Fund Act, No. 15 of 1958,
evidence of the failure on your part to pay the sum of ……………………………………………………., which you are
liable to pay in terms of ………………………………….. in respect of …………………………………………………
..……………………………………….....
Signature of Medical Practitioner
Dated this ………………………………..day of …………………………..