Employees Retirement and Pension Certificate (stamp)Under Supervision of People’s Government of Jiangsu ProvinceIn accordance with the national and provincial regulations, issue this Employees Retirement and Pension Certificate . Jiangsu Provincial Labor Department (Seal)Social security number:No.Unit of Issue:Labor BureauTime of Issue:Name GenderFemaleDate of birthEthnicity HanHousehold Register TypeCity and TownRetirement TypeRetirementStarting time/date of first job/work/employmentRetired timeYears of payment of pension insurance38 years 5.9 monthsIncluding Real years of payment 12 years 1.7 monthsGranted years of payment 16 years 4.2 monthsConverted years before the end of 199110 years monthsFormer work placeResidence after retirement3Provincial and civic average salary1The proportion of basic pension %225Basic pension3=1*2136.82Estimated storage amount by the end of 19954Accumulated storage amount of personal account551261.3Storage amount of personal payment6Individual account pension7=(4+5)/120427.18Additional adjustment payments 880910Summary11=3+7+8+9+10644Pension calculated by old way435.7NotesConfirmed Pension after contrast is :522.9. (items enclosed)4Records of basic pension variationsTime of variationAdditional amountPresent pensionAuditor (Seal)Audit unit (Seal)5Records of basic pension variationsTime of variationAdditional amountPresent pensionAuditor (Seal)Audit unit (Seal)6Records of basic pension variationsTime of variationAdditional amountPresent pensionAuditor (Seal)Audit unit (Seal)7Records of basic pension variationsTime of variationAdditional amountPresent pensionAuditor (Seal)Audit unit (Seal)08/30/2000Pension 600.80 Subsidy for house 14.10 Dependent immediate family membersNameDate of birthRelationshipNote8Application Notes1. This Certificate is under supervision of Jiangsu Provincial People's government, filled in accordance with , issued by labor and administration department, kept by the retired employees. 2. The retired employees could draw basic pension from the assigned or consigned unit by the local social security units. 3. The retired employees shall submit this certificate to the local social security unit to audit and record when the pension standard is adjusted. 4. If this certificate is altered, seal of issuing department is requested. Otherwise it's invalid. 5. This certificate shall be properly kept. The loss must be reported to the issuing department to claim the annulment, and apply for reissue.6. If this certificate is ruined or destroyed, shall apply from the issuing department to change a new one.