DETAILED BENEFIT SALES RETURN (Electronic)

Employer number 3207

Employer Name
Jakoet Interiors (PTY) LTD

Please note: 1. All red fields are compulsory. 2. This return must be accompanied by a Daily Contribution Requisition. 3. Your payment CANNOT be processed without these two
documents, so your employee's benefits WILL NOT be updated, even if the amount due has been paid. 4. If your employees does not have holiday fund numbers, they need to registered
IMMEDIATELY. Your contributions CANNOT be credited to the employee without a valid holiday fund number.

Date of Return
EMAIL TO: benefitsales@bibc.co.za 4-Nov-22

INITIALS Detail per week (Wkn = Week Number, Benn = Benefit Code, Qtyn = No. of benefits for the week)
HOLIDAY FUND MAN
SURNAME DOB (YYYYMMDD)
NUMBER NUMBER
Wk1 Ben1 Qty1 Wk2 Ben2 Qty2 Wk3 Ben3 Qty3 Wk4 Ben4 Qty4 Wk5 Ben5 Qty5 Wk6 Ben6 Qty6 Wk7 Ben7 Qty7 Wk8 Ben8 Qty8
Max. size = 7 9 3 18 6 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1
481962 AMA005 AMA ABRAHAMS 880630 52 HEG 5 1 HEG 3
437075 SM010 SM MZAMO 770319 52 HEG 4 1 HEG 3
330213 GN008 GN NCAPHAYI 750807 52 HEG 4 1 HEG 4