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Contribution Payment Slip

PR-03 (Copy A-Employer) Under rule 3(9) of the employee's Old-Age Benefits (Contribution) Rule 1976
1. Employer Registeration No
3. Employer's Name 4. Contribution's Month (s): 5. No. of Insured Persons: From

Identification 1 0 7

221021

2. Sub Office Code

HUMAN DEVELOPMENT FOUNDATION (LAHORE REGION)

2/1/2011 0 1 1

Current Contributions To 2/28/2011 3 7 8 7 5 0 0

Feb-11

0 Eleven

7. Employer's Contributions Rs: 8. Employee's Contributions Rs:

6. Amount Paid as Wages/salaries: Rs: 9. Demand & Show Casue No: 11. Amount: Rs: 12. Employer's Contribution Arrears for period From: m m y y

Arrears of Contributions
10. Date m m y y

13. Employers Contributions To m m y y 14. Employer's Contributions To Rs. m m y y 16. Employee's Contributions Rs: 17. Employee's Statutory Increase Rs: y y Rs:

15. Employee's Contribution Arrears for Period From: m m

Payment Details
18. Total Amount (7, 8, 13, 14, 16, 17) Depositor's Name & Signature with Seal of establishment 19. Contribution Paid Through Cash Rs:

Rupees Four Thousand Six Hundred & Twenty Only/In Words Cheque/Demand Draft/Pay Order No. Drawn on Bank & Branch: For Bank Use Only UBL mughal pura (508)

Branch Code: Document No:

Reciept Date: d d m m y y

Credit to: EOBI Collection A/C ECCA, NBP Branch (002)

Authorized Signature:

Authorized Signature: Please See overleaf for insturctions

Contribution Payment Slip


PR-03 (Copy A-Employer) Under rule 3(9) of the employee's Old-Age Benefits (Contribution) Rule 1976 Identification
1. Employer Registeration No
3. Employer's Name 4. Contribution's Month (s): 5. No. of Insured Persons: Ten only 6. Amount Paid as Wages/salaries: Rs: 9. Demand & Show Casue No: 11. Amount: Rs: 12. Employer's Contribution Arrears for period From: m m y y To m m y y 14. Employer's Contributions To m m y y m m y y 16. Employee's Contributions Rs: 17. Employee's Statutory Increase Rs: Rs. 13. Employers Contributions Rs: From 0 m 3 m 1 1 y 0 B B A 0 1 0 7 8 221021

2. Sub Office Code

HUMAN DEVELOPMENT FOUNDATION (LAHORE REGION)

Current Contributions
0 y To 0 m 3 m 1 y 0 y 3 7 5 0 0 0 0 Mar-10

7. Employer's Contributions Rs: 8. Employee's Contributions Rs:

Arrears of Contributions
10. Date m m y y

15. Employee's Contribution Arrears for Period From:

Payment Details
18. Total Amount (7, 8, 13, 14, 16, 17) Depositor's Name & Signature with Seal of establishment 19. Contribution Paid Through Cash In Words Cheque/Demand Draft/Pay Order No. Drawn on Bank & Branch: For Bank Use Only Branch Code: Document No: Reciept Date: d d m m y y 6138948 UBL mughal pura (508) Rs: 4 2 0 0

Credit to: EOBI Collection A/C ECCA, NBP Branch (002)

Authorized Signature:

Authorized Signature: Please See overleaf for insturctions

2700 540

4200