EMPLOYEE SSP1(L) INFORMATION Employer Name : Demo Employer Limited Report Date & Time : 30/08/2008 15:48 Employee's Details Surname : Major Forename : Tracy Second Forename : NINO : NE333876A Ref. No. : 4 First Day of Sickness : 26/04/2008 Last Day of Sickness : 05/06/2008 SSP Accrual Weeks : 2 Employer's Details Employer's Name : Demo Employer Limited Employer's Address : Soft House # 44, 5th Main RMV II STAGE Industrial Estate RMV II STAGE 560 094 India Telephone No. : 0161 1234 567 Fax No. : Date : 30/08/2008 Page 1 of 1