e-form

Social Security Contribution Refund 15(8)

Employer Name





PE No.





Telephone No.





Address





Email





Year for which Contribution Refund is being claimed





Details of employee benefiting from the 14th week maternity leave on whom Refund of contribution to Employer is being claimed:

Employee 1

ID Card No. / IT No.





Name and Surname





Date of birth of employee





Start date of claim





End date of claim





Basic Wage





Amount (1 SSC)





Name and Surname of child





Date of birth of child





For office use





Employee 2

ID Card No. / IT No.





Name and Surname





Date of birth of employee





Start date of claim





End date of claim





Basic Wage





Amount (1 SSC)





Name and Surname of child





Date of birth of child





For office use





The total refund is the sum of Social Security Contributions paid by the Employer (Note: Add Amount (1 SSC) of Employee 1 to that of Employee 2)







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