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Employment certificate for
| D EEA/JEFTA nationals
The employer shall complete the form in three (3) copies, to be
distributed as follows:
Utlendingsdirektoratet
Norwegian + Two (2) copies for the applicant
Directorate of + One (1) copy to be retained by the employer
Immigration
The employer is required to complete this form if the em-
ployer has a place of business in Norway. The employer has
a duty of notification in relation to the immigration authorities 1
in accordance with the Immigration Act and the Immigration ;
Regulations.
The form must be completed in full. Please use capital letters.
‘When registering with the police, you are required to present a copy of this employment certificate or an
‘employment contract that meets the requirements of Section 14-6 of the Working Environment Act.
1 Personal data (the name must be written in the same way as in your
travel document)
Family name First name
OBENG THOMAS
Date of birth Citizenship
21-11-1993, GHANA
‘Address in country of origin Postal code | Postal district
KUMAS! ‘0000 0000
Address in Norway Postal code Postal district
FARMANNSVEIEN 28, TONSBERG 3111 3111
2. Information about the employer
Name of enterprise (responsible employer) - Organisation number -
COOP PRIX SA (Martin Sorensen) lat186744
Employer's address Postal code | Postal district
FARMANNSVEIEN 28, TONSBERG 3111 311
Employer's contact person Personal identity number (if the employer is a private individual)
Martin Sorensen 12149012744
Phone number Fax Email
+47 33 31 8878 +47 33 31 8877 Soren@coopprix.com
3 Employment
The person mentioned in section 1 is employed in the position of
POTENSIAL medarbeider (forelopig arbeidskontrakt)
Detailed description of tasks and duties / the nature of the work
the conditions of difficulty and the functional responsibility of the employee
‘employment contract
[Hours worked per day |Hours worked per week —_| Pay (gross hourly or m
8 40 174,00 NOK / grossmployment relationship :
,
frermaneniy employed fem Temporarily employed from | To |
es
Employed as needed (on call) | To State guaranteed minimum number of
from hours per week
50
If the applicant is employed by a ‘staffing agency with NACE code ‘Provision of personnel’ (74.502),
‘Labour recruitment’ (74.501) or similar, please state the guaranteed minimum number of hours per
week,
4 Signature
‘The information may be used by the immigration authorities in connection with possible applications
from the EEA national and his/her family members.
The information may be passed on to other relevant authorities for control and further investigation of
the information provided. When and as required, we will also collect information about EEA nationals
from other Norwegian and foreign authorities, including police authorities.
{tis a criminal offence to provide materially incorrect or clearly misleading information, including to hold
back materially important information.
The immigration authorities will get in touch by telephone or email if and when required. It is therefore
important that you state your mobile telephone number and email address.
I confirm that the information provided in this form is correct and complete.
Place and date Employers signature and stamp
TONSBERG >i
16.07.2024 ae 345COOP PRIX Farmannsveien
FARMANNSVEIEN 28, 3111, TONSBERG, NORGE
Org.nummer: 931186744
KONTRAKT NEI 00509/2024-2025
TONSBERG, 16/07/2024
Generelle betingelser for oppfyllelse av en arbeidskontrakt, i samsvar med
arbeidslovgivningen i Kongeriket Norge, for 4 tiltrekke seg utenlandsk arbeidskraft
herr/fru OBENG THOMAS (innbygger GHANA, passnummer : G 3926125)
Vilkarene og betingelsene er som folger:
= Arbeidssted - Norge.
= Kontraktstiden er 12 maneder med mulighet for forlengelse
= Apningstider / grunnleggende Min. 198+ arbeidstimer per mined
= Ansattes ansvar. Andelsmedarbeider - utforer funksjonelle oppgaver i samsvar med
stillingsbeskrivelsen. Lagerarbeidere, arbeidere i det kooperative supermarkedets
handelsgulv.
= Lon er regulert av szeravtaler (tariffavtaler) mellom arbeidsgiver, lokale myndigheter
0g fagforeninger. sette en spesifikk timelonnelenn for fast ufaglzert utenlandsk arbeider
til kr 174,00 per time. 7
= Mat - muligheten til 4 kjgpe mat p bekostning av andelslagets produksjonskostnader
for et belap som tilsvarer 5 arbeidstimer.
* Overnatting - kooperativets campus, betaling av verktgy i henhold til forbrukte ti
= Akuttmedisinsk behandling - arbeidsrelaterte skader.
= Ulykkesforsikring under utforelse av arbeidsavtale.
* Overtid / Totaltimer: 2-4 timer ekstra per dag, 60 timer per maned
= Flybillett Flykostnaden refunderes etter tre maneders kontrakt. en returbillett betales
ved slutten av arbeidskontrakten, forutsatt at alle kontraktens bestemmelser er oppfyit
= Kostnaden for en arbeidstillatelse av type A levert av selskapet
+ Andre vilkar og betingelser Etter norsk lov.
ose
128
Vow NORGE
“COOP PRIX SA, TONSBERGS FAAMANNSVEIEN 28,9111, NORGE | Org nr 831188COOP PRIX Farmannsveien
FARMANNSVEIEN 28, 3111, TONSBERG, NORGE
Org.nummer: 931 186744
CONTRACT NO 00509/2024-2025
TONSBERG, 16/07/2024
General conditions for the fulfillment of an employment contract, in accordance with the
labor legislation of the Kingdom of Norway, in the field of attracting foreign labor
Mr/Mrs OBENG THOMAS (citizen GHANA, passport number: G 3926125)
The terms and conditions are as follows:
= Place of work - Norway.
= The term of the contract is 12 months with the possibility of extension
= Opening hours / basic Min. 198+ working hours per month
= Responsibilities of employees. Cooperative employee - performs functional duties in
accordance with the job description. Warehouse workers, workers of the supermarket
trading floor of the cooperative.
= Wages are regulated by special agreements (collective agreements) between the employer, local
authorities and trade unions. set specific hourly minimum wages for a permanent unskilled
foreign worker at NOK 174.00 per hour.
= Food - the ability to buy food, at the cost of the production costs of the cooperative, for
an amount equivalent to 5 working hours.
= Accommodation - the campus of the cooperative, payment of utilities according to the
consumed tariffs.
= Emergency medical care - industrial injuries.
= Accident insurance during the performance of an employment contract.
= Overtime / Total hours: extra 2-4 hours per day, 60 hours per month
= Air ticket The cost of the flight is refunded after three months of the contract. a return
ticket is paid at the end of the work contract, subject to the fulfillment of all clauses of
the contract
= The cost of a type A work permit provided by the company
* Other terms and conditions According to the Norwegian Civil Code
Ya
COOP PRIX SA ae ‘FARMANNSVEIEN 28, 3111, NORGE | Org ar:y COOP PRIX Farmannsveien
/ FARMANNSVEIEN 28, 3111, TONSBERG, NORGE
Org.nummer: 931186744
TONSBERG, 16/07/2024
Ansattes boligbrev
Vi bekrefter at herr / fru OBENG THOMAS, Statsborgerskap: GHANA, pass G 3926125,
Arbeidsgiver: COOP PRIX SA, registrert pa FARMANNSVEIEN 28, 3111, TONSBERG,
ten vil det bli levert boliger fra
Pa tidspunktet for oppfyllelsen av vilkarene i arbeidskontral
betaling av verktay til de
07/08/2024 til 06/08/2025 pa adressen: - kooperativets campus,
brukte prisene. ;
Letter of provision of housing to an employee
We confirm that Mr/ Ms OBENG THOMAS, Citizenship: GHANA, passport G 3926125,
Employer: COOP PRIX SA, registered at FARMANNSVEIEN 28, 3111, TONSBERG,
At the time of the fulfillment of the terms of the employment contract, housing will be
provided from 07/08/2024 to 06/08/2025 at the address: - the campus of the cooperative,
payment of utilities at the consumed rates.
ix
COOP PRIX SA, TONSBERG, FARM)COOP PRIX Farmannsveien
FARMANNSVEIEN 28, 3111, TONSBERG, NORGE
Org.nummer: 931186744
TONSBERG, 16/07/2023
GARANTIBREV
Vi, undertegnede selskap COOP PRIX SA, registrert pa FARMANNSVEIEN 28, 3111,
T@NSBERG, innlemmet under lovene i Kongeriket Norge. Med dette dokumentet erklaerer vi
at vi vil gjgre alt i samsvar med norsk arbeidsrett for utenlandske arbeidere i forhold til var
fremtidige utenlandske ansatte, innbygger GHANA, herr / fru OBENG THOMAS, passnummer
G 3926125. arbeidsforhold, boligforhold, sosiale garantier (inkludert lan og forsikring) vil
svare til den tidligere inngatte avtalen. etter kontraktslutt vil vi lette retur av vare utenlandske
ansatte til opprinnelseslandet
LETTER OF GUARANTEE
_ We, the undersigned company COOP PRIX SA, registered at FARMANNSVEIEN 28, 3111,
TONSBERG, incorporated under the laws of the Kingdom of Norway. With this document we
declare that we will do everything in accordance with the Norwegian labor law for foreign
workers, in relation to our future foreign employee, citizen GHANA, Mr. / Mrs. OBENG
THOMAS, passport number G 3926125. working conditions, living conditions, so
guarantees (including wages and insurance) will correspond to the previot
agreement. after the end of the contract, we will facilitate the return of o
to the country of origin P