Section 11:

11. I certify that all the information given in this statement is correct and I enclose herewith a cheque drawn to the Bus Industry Employees Welfare Fund with the amount specified at paragraph 10 above. Date ........................................... .......................................................... Signature .......................................................... Status .......................................................... Name of bus operator continued on page B14 – 9 [Issue 1] B14 – 8 Revised Laws of Mauritius THIRD SCHEDULE [Section 14] RETURN OF CONTRIBUTIONS PAID TO THE BUS INDUSTRY EMPLOYEES WELFARE FUND Return to Bus Industry Employees Welfare Fund following letter bearing reference ... ............................................... dated ......................................... from the Bus Industry Employees Welfare Fund. Name of bus operator ...................................................................................... Address of bus operator ................................................................................... .................................................................................... .................................................................................... Contributions paid to National Bus Industry Employees Name of Identity Date of first Date of resigna- Welfare Fund tion/dismissal employee Card employment (where applicable) Rs Rs Rs Number Employee Operator Total Date ....................................... ......................................................... Signature ......................................................... Status ......................................................... Name of bus operator FOURTH SCHEDULE [Section 14] CERTIFICATE OF EMPLOYMENT Name of bus operator ...................................................................................... Address of bus operator ................................................................................... ...................................................................................................................... I hereby certify that (1) .................................................................................... bearing National Identity Card Number ......................................................... and B14 – 9 [Issue 1] Bus Industry Employees Welfare Fund Act FOURTH SCHEDULE—continued residing at (2) ................................................................................................. was employed as (3) ........................................................................................ with this enterprise as from (4) ......................................................................... to (5) ............................................................................................................. Date ................................... 2002 .......................................................... Signature .......................................................... Status .......................................................... Name of bus operator (1) Full name of employee in block letters. (2) Precise address of employee. (3) Position held by employee. (4) Date of commencement of employment. (5) Date employee left resigned/was dismissed/retired. [Issue 1] B14 – 10