REFERENCE AND STATEMENT PROVIDED BY THE DATA

SUBJECT THROUGH THE INTEGRATED

SYSTEM OF PUBLIC SERVICES

3 NOVEMBER, 2023
Appendix n.3 of the Order #100 of the Cabinet

Form# B-ND-4.5

GENERAL AUTHORITY FOR SOCIAL INSURANCE

REFERENCE FORM ON DISABILITY PENSION

1. Cause of losing work capability : 1

2. Family name : Sharnuud Surname : Udval Given name : Saruultuya
3. Date of Birth : 1978-11-26 4. Age : 39н 5. Gender : 2
6. Registration number : MZ78112605
Determination of pension
1. Name of law : -
2. Percentage of loss of working capability identified by 89%
Accredited Commission for Health and Labour :
3. Total period of contribution/year,month,day/ : -
4. Average monthly salary and equivalent earning/MNT/ : 1,447,065
5. Full - Calculation percentage : 45% : 651,179
pension Supplementary for Contribution payment 20 years -
and longer :
Proportion : 45% : 651,179
Percentage of loss of working capability : 100%
Proportion : 651,179
Actual pension amount/MNT/ : 651,179
6. - Months to pay contribution - Number of months : 0
Partial Percentage payable to total period of contribution :0
pension Contribution payment - Months : 0
Percentage proportionally payable to the 0
contribution period :
Calculated actual pension amount/MNT/ : 0
7. Supplementary amount paid by Government : 65,117
8. Minimum pension set by Government/MNT/ : 550,000
9. Monthly pension amount/MNT/ : 716,296
10. Date of issue : 2018-08-20
11. Date of benefit payment : 2023-07-01
12. Officer who drafted/calculated benefit :

Request method: Government service portal

An electronic document with unique number issued by the system of public service
is valid as paper document.
Address of the responsible organization: Ulaanbaatar, Chingeltei, 3-r khoroo Social
Insurance General office, Baga Toiruu 13/1
Z0XZ-AQ63-
5FOM-V80K Contact number of the responsible organization: 7777-1289