Transcription of SSS Form ML-1
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SSS FORM ML-1(Rev. 03/98). (This is your official receipt when validated). Republic of the Philippines SOCIAL SECURITY SYSTEM. MONTHLY -SALARY/CALAMITY/EDUCATIONAL/. MONTHLY SBR NO. Postmark/S & R Date Teller's Initials EMERGENCY/STOCK INVESTMENT LOAN. P A Y M E N T R E T U R N AMOUNT. (To be submitted in 3 copies). DATE. EMPLOYER ID NUMBER TR. EMPLOYEE SS NUMBER. ENTER TYPE OF P AYMENT BEL. PA BELOOW (Salary/Calamity/. EMPLOYER'S REGISTERED NAME & ADDRESS. Educational/Emergency/Stock Investment Loan): PAYMENT TYPE APPLICABLE MONTH. (FOR SSS USE ONLY- Do not alter or change amount printed in this box) Enter total amount collected per collection list P. Amount due per collection list P. Add: Penalty Prior periods P. Penalty Prior periods Less: Over Payment P.
(This is your official receipt when validated) SBR NO. Postmark/S & R Date Teller’s Initials AMOUNT ... CERTIFIED CORRECT: _____ (SIGNATURE OVER PRINTED NAME) Official Designation: _____ ... Title: SSS Form ML-1 Author: SSS Subject: Member Loan Payment Return
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