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第 1 页 People's Republic of China

Retirement Certificate

Notice

1. This certificate is a legal document to certify

the identity of the retirees. Every retiree

should have this certificate.

2. Any change in the benefits shall be altered

by the issuing authority of the Social

Insurance Authority.

3. If the Certificate is lost or damaged this

should be reported and re-issue applied for

promptly.

4. The certificate is invalid without the steel seal of the issuing Social Insurance Authority.

5. The certificate is printed by Department of

Human Resources and Social Security of

Gansu Province. Any other units should not

print or copy.

Producer (seal): Department of

Human Resources and

Social Security of

Guangdong Province

第 2 页 Photos Name:

Here Sex:

Age:

Special Seal for Pension Eligibility

Social Insurance Authority of Guangdong

Province (steel seal)

ID Card No.

Previous Working Place: ABCDE Co.,Ltd

Address after Retirement: Apartment

701,No.249 Minzhu Road ,

Guangzhou City

Previous Position:

Date of Issue: 20 Feb 2012

Issuing authority: Special Seal for Pension

Eligibility

Social Insurance Authority of

Guangdong Province (seal)

No. Yue0123456789

Date of Start Working August 1980

Reason of Retirement Normal

Date of Retirement Feb 2012

Permitted Date of

Retirement

20 Feb 2012

Years of Paid in Total 31.06 Years

Items RMB 第 3 页

The

Basic

Pension

Yuan/Month

Basis

Annuities 646.90

Transitional

Annuities 302.00

Individual

Account

Annuities 82.71

Adjust Cash 15.00

Total 1046.61

Shortfall of

lower than the

minimum % wage

Basic Pension Paid By

Per Month 1046.61

Adjusted Basic Pension Benefits

Date of

Adjusted

and Number Additional

Amount The Actual

Amount

Paid

Registrar

第 4 页

Registration of Annual Examination

(Seal of Annual

Examination)

Date (Seal of Annual

Examination)

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(Seal of Annual

Examination)

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Date

Registration of Annual Examination

第 5 页 (Seal of Annual

Examination)

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Examination)

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Examination)

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