Transcription of SOCIAL SECURITY SYSTEM RS-5 CONTRIBUTIONS …
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SOCIAL SECURITY SYSTEM RS-5 CONTRIBUTIONS …
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. OTHERS (PLEASE SPECIFY).
rs-5 rev. 06-98 republic of the philippines social security system contributions payment return (to be submitted in triplicate) sbr no. post mark/sbr date teller’s initial
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