Employer's supplementary return
Employer name
Demo Employer Limited
Inland Revenue office name
BANGALORE
Employer Reference
067 / V30456
Accounts Office Reference
067PA00045678
Section A
Full name of person employed
Last known address
National Insurance number
(if known)
Employed as
(enter type of work done)
Dates employed
(if less than a full year)
From
To
Total pay for year ended 5 April 2005
Ms. Calla, Black
Crown House, 119 High Street, New Castle Upon
Tyne, NE7 3EZ, India
NOT KNOWN
Harvest Worker
23/07/2008
29/07/2008
150.84
Section B
Full name of person employed
Last known address
National Insurance number
(if known)
Employed as
(enter type of work done)
Dates employed (
if less than a full year)
From
To
Total pay for year ended 5 April 2005
Date
14/11/2008