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Get PH SSS Annual Confirmation of Pensioner's Form 2012

ART 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 (Surname) (Given Name) (Middle Name) 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 EC Total Disability DATE OF BIRTH OF PENSIONER (mm/dd/yyyy) SS Death EC Death PA.

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