{"content":[{"text":"TO BE COMPLETED BY THE EMPLOYER:","bbox":{"left":0.088235,"top":0.102061,"width":0.39393,"height":0.020985000000000004}},{"text":"1. Name of Employer:……………………………………………………………………………………….","bbox":{"left":0.088235,"top":0.154045,"width":0.83233,"height":0.020212000000000008}},{"text":"2. Social Security registration number: ……………………………………………………………………..","bbox":{"left":0.088235,"top":0.188894,"width":0.832742,"height":0.020212000000000008}},{"text":"I declare that the deceased employee was in my employ at the time of death.","bbox":{"left":0.088235,"top":0.223742,"width":0.5982850000000001,"height":0.020212000000000008}},{"text":"* Attach proof of latest social security contributions/deductions from member’s salary.","bbox":{"left":0.088235,"top":0.277636,"width":0.6825000000000001,"height":0.018500000000000016}},{"text":"…………………………….. \n EMPLOYER","bbox":{"left":0.088235,"top":0.345711,"width":0.22548999999999997,"height":0.03869699999999998}},{"text":"……………………………. \n OFFICIAL STAMP","bbox":{"left":0.441176,"top":0.345711,"width":0.22801300000000002,"height":0.03869699999999998}},{"text":"…………………. \n DATE","bbox":{"left":0.794118,"top":0.345711,"width":0.14215699999999998,"height":0.03869699999999998}},{"text":"FOR OFFICIAL USE ONLY","bbox":{"left":0.391471,"top":0.555621,"width":0.24663900000000005,"height":0.02098500000000003}},{"text":"Checked by: ________________________Date: ____________","bbox":{"left":0.262451,"top":0.590182,"width":0.50369,"height":0.020212000000000008}},{"text":"Remarks: ___________________________________________ \n ___________________________________________________","bbox":{"left":0.262451,"top":0.62503,"width":0.501519,"height":0.03786400000000001}}],"images_bbox":[],"images_bbox_not_text_overlap":[]}