Social security No.:x

Computer serial No.: x

EnterpriseNo.:

Issuing authority:

Date of issuance: January,.13th x

Name

xxxxxxx

Gender

Female

Nationality

Han

Date of birth

January 13th x

Position/type of work

Worker

Social security No.

Worked from

September,x

Retired from

January 13th x

( )retirement

( )resign

Deemed payment years

x

Actual payment years

10.04

Detailed address after retirement

Domicile

No.2 Courtyard,x West Street, Xuanwu District

Registered residence

Working unit at the time of retirement

Beijing Public Transport Corporation, No.6 Passenger Transport Branch

honorary title won

linear relatives supported

Name

Date of birth

Relationship

Remarks