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Mod remunerative pb aa employee (cent’d)<br />

12<br />

.—. —— —<br />

Per No. Per No. Per No.<br />

PnqE N2<br />

25 Was your last wage or salary<br />

a~fected by Statutory Sick Pay .............. .............. .............. .............. .............. ..............<br />

or Statutory Maternity Pay? I I I<br />

Is pls pls<br />

p ; Pfiy::’!<br />

Both d I 1 1<br />

Statutory Sick Pay only -e 2 2 2<br />

Statutory Maternity Pay Only<br />

3 3 3<br />

No to both .—=<br />

Refer informant to Prompt Card K<br />

(a) Was your last wage or salary<br />

affected by any of the items<br />

shown on Card K?<br />

(i)<br />

(xxle<br />

au<br />

that<br />

●pply<br />

Holiday pay or other pay in advance _<br />

Back pay<br />

Diffent pay rate for unsociable<br />

hours/different shifts d<br />

An occasional bonus<br />

Irregularly - paid overtime -—<br />

Deductions from usual pay for<br />

N.I. benefit received &<br />

Tax Refund<br />

Business refunds d<br />

Tax adjustment for previous<br />

unemployment benefit or<br />

supplementary benefit received,-<br />

Other. Specify *<br />

26 Your last wage/salary after all<br />

deductions was S............... (see 11).<br />

Is this the amount you<br />

usually receive (when<br />

/<br />

‘i, [<br />

::=’ ~ ‘“iawc<br />

‘ ‘i’” ‘::oa::e<br />

■ ■<br />

I<br />

I I I I<br />

S1<br />

1 1<br />

2 2 2<br />

3 3 3<br />

4 4 4<br />

5 5 5<br />

6 6 6<br />

7 7 7<br />

8 8 8<br />

9 9 9<br />

10 10 10<br />

........................... ............................. ............................<br />

........................... ............................. ............................<br />

I I<br />

Ask (a)<br />

-Ask26<br />

Spccifybclow<br />

-1<br />

and ask 26<br />

h n ■ i<br />

at work)? Yes -e 1 1 1 - Goto27<br />

IW254 (W@ Qo26 - Ask (a)-(c)<br />

(a) What do you usually receive each<br />

time you are paid after all<br />

deductions? —<br />

I I I USNErPRY<br />

/ Q0264<br />

................... ......... ................... ......... ................... ........<br />

-M(b)<br />

(b) What do you usually receive each<br />

time you are paid bforc all<br />

deductions?<br />

I I I<br />

‘ us6R@fi~<br />

H G!026B<br />

- Ask (c)<br />

................... ......... ..................*........ ................... ........<br />

1 I I I<br />

(c) How often are you<br />

usually paid?<br />

Enter<br />

period<br />

code<br />

_<br />

..........................<br />

.:<br />

............................<br />

If code 9,<br />

Q026C

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