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Philippine Government Forms - sss

R-1A(REV. 01-2001)Republic of the PhilippinesSOCIAL SECURITY SYSTEMEMPLOYMENT REPORT(Please print all information in black ink)EMPLOYER ID NUMBERREGISTERED EMPLOYER NAMETAXPAYER IDENTIFICATION CODESS NumberName of Employee(Surname)(Given Name)(MI)Date of Birth(MM DD YYYY)PositionMonthly SalaryDate of Employment(MM DD YYYY)RemarksFOR SSS USE 1. 2. 3. 4. 5. 6. 7. 8. NO. OFREPORTEDEMPLOYEESPage of Page/su CERTIFIED CORRECT:FOR SSS USEPROCESSED BY/DATE:Signature Over Printed NameSignature Over Printed NameSignature Over Printed NameREVIEWED BY/DATE:ENCODED BY/DATE:RECEIVED BY/DATE: Signature Over Printed Name of Authorized Signatory Official DesignationDateInternet Edition (9/2002)INSTRUCTIONS/REMINDERS1.

Form Guide: SSS Flexi-Fund for overseas Filipino workers. 1. OW-1 must be submitted to the nearest SSS foreign representative office or to the International Affairs and Branch Expansion Office through the mail, e-mail or fax for OFWs based in countries without existing SSS offices.

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