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Get PH RS-5 1998

’S SS NUMBER (MUST BE 10 DIGITS) POST MARK/SBR (THIS IS YOUR OFFICIAL RECEIPT WHEN VALIDATED) MEMBER’S NAME (SURNAME) (GIVEN NAME) (MIDDLE NAME) (NO. & STREET) (BARANGAY) POSTAL CODE (TOWN/DISTRICT) (CITY/PROVINCE) TEL. NO. INSTRUCTIONS 1. CHECK THE BOX TO INDICATE THE TYPE OF PAYOR: APPLICABLE PERIOD MONTH SOCIAL SECURITY CONTRIBUTION YEAR JANUARY SELF-EMPLOYED VOLUNTARY FEBRUARY OVERSEAS FILIPINO WORKER MARCH NON-WORKING SPOUSE APRIL OTHERS (PLEASE SPECIFY) 2. INDICA.

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