Translation of incomes certificate

Ministry of Labour and Social Policy of Ukraine

State Center of Employment

Center of Employment of —

–/#— from —

—-

tel. —

INCOMES CERTIFICATE

Issued to citizen —

Place of residence —-

To certify that she is registered as unemployed in the Municipal Center of Employment of Netishyn

From —-

Date of taking off the register —

Identification code —

Income for the period from —- till — comprises:

Six thousand one hundred and seventy seven hryvnas 12 copecks.

Violation of the legislation about employment within previous three months: —

Participation in public works

___________________________

The certificate is issued to be presented into the subsidies department.

Director signature —

Chief accountant signature —

Seal

Municipal Center of Employment of –