Transcription of Philippine Government Forms - sss
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SBR NO. POST MARK/SBR DATE TELLER'S INITIAL. Republic of the Philippines SOCIAL SECURITY SYSTEM. RS-5 CONTRIBUTIONS AMOUNT. REV. 06-98. PAYMENT RETURN DATE. (TO BE SUBMITTED IN TRIPLICATE) (THIS IS YOUR OFFICIAL RECEIPT WHEN VALIDATED). MEMBER'S SS NUMBER (MUST BE 10 DIGITS) MEMBER'S NAME. (SURNAME) (GIVEN NAME) (MIDDLE NAME). ADDRESS (NO. & STREET) (BARANGAY) POSTAL CODE. (TOWN/DISTRICT) (CITY/PROVINCE) TEL. NO. APPLICABLE PERIOD. INSTRUCTIONS SOCIAL SECURITY. CONTRIBUTION. 1. CHECK THE BOX TO INDICATE THE TYPE OF PAYOR: MONTH YEAR. SELF-EMPLOYED JANUARY. VOLUNTARY FEBRUARY. OVERSEAS FILIPINO WORKER. MARCH. NON-WORKING SPOUSE.
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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