Republic of the Philippines SOCIAL SECURITY SYSTEM ANNUAL CONFIRMATION OF PENSIONER S FORM CERTIFIED BY SSS OFFICIAL/REGULAR EMPLOYEE Use black ink only in accomplishing this form 01-2012 PART I - MEMBER S / PENSIONER S DATA SS NUMBER OF MEMBER NAME OF MEMBER Surname Given Name Middle Name SS NUMBER OF PENSIONER NAME OF PENSIONER MAILING ADDRESS OF PENSIONER No* Street Barangay g y Town District TYPE OF PENSION/S Retirement City/Province y LANDLINE/ MOBILE NO. Postal Code SS Total Disability E- MAIL ADDRESS DATE OF BIRTH mm/dd/yyyy SS Death EC Death PART II - QUESTIONNAIRE 1. For retirement pensioner have you been re-employed/resumed self-employment Yes No If yes name and address of present employer Date re-employed or resumed self-employment 2. For death pensioner have you re-married or currently cohabiting with another person If yes name of spouse/partner Date of marriage/cohabitation 3. Are you under the care and custody of a guardian 4. Is there any dependent child who already got ....
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How to fill out the PH SSS PEN-01405 online
Filling out the PH SSS PEN-01405 form online can seem daunting, but with the right guidance, it can be a straightforward process. This guide provides step-by-step instructions to help you navigate each section of the form effectively.
Follow the steps to complete the PH SSS PEN-01405 form online.
- Click 'Get Form' button to obtain the form and open it in your browser.
- Begin by entering your personal details in the designated fields. This typically includes your full name, contact information, and any identification numbers required.
- Carefully fill out sections that pertain to your employment history. Provide accurate details regarding your past job roles, employer information, and dates of service.
- If applicable, complete the section on contributions. This requires entering information regarding your contributions to the social security system, including amounts and relevant dates.
- Next, review any additional sections that may apply based on your individual circumstances. This could include challenges faced or specific needs that should be documented.
- Before finalizing, thoroughly review all entered information for accuracy. Take care to correct any typos or errors to ensure your application is processed smoothly.
- Once you are satisfied with the completed form, proceed to save your changes. You may also choose to download, print, or share the form as necessary.
Complete your PH SSS PEN-01405 form online today for a smoother application process.
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