PER 3

Notification of Deductions

Date : 25.11.2023______________________

Employee’s Name : MTSHALI NI_____________________

Employee Number : 1332350_______________________

You are hereby advised that deductions to the value of

Amount: __807.02__________, to be deducted in equal premiums of R _807.02__ over

Months:

Will be made from your salary due to the following reason:

• On 01.03.2023 he had accidental discharged at Sibanye Rustenburg while he was on duty

• On 25.11.2023 he was booked for Firearms refresher, and he must pay for the cost and to be deducted.

If in your opinion the deductions are unfair, you are expected to submit in writing representation as to why the
deductions should not be made.

________________ ___________________

Manager’s name Manager’s signature

_______________________________________________________________________________________________

Acknowledgement of Receipt

Signature : _____________________________________

Date : _____________________________________

Witness’ name : _____________________________________

Witness’ signature : _____________________________________

Copy to : Personnel Department

Branch : 820