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Get PH SSS R-1 2015-2024

Republic of the Philippines SOCIAL SECURITY SYSTEM R-1 EMPLOYER REGISTRATION Please read instructions at the back. Print all information in capital letters and use black ink. 03-2008 PART I - EMPLOYER MAIN OFFICE DATA NAME OF BUSINESS/EMPLOYER EMPLOYER NUMBER BUSINESS ADDRESS BARANGAY NO. STREET TOWN/DISTRICT CITY/PROVINCE START OF OPERATION mmddyyyy NUMBER OF EMPLOYEES NATURE OF BUSINESS AREA CODE TELEPHONE NUMBER TIN E-MAIL ADDRESS FAX NUMBER LEGAL PERSONALITY SINGLE PROPRIETORSHIP PARTNERSHIP CORPORATION NAME OF OWNER/MANAGING PARTNER/PRESIDENT/CHAIRMAN COOPERATIVE SS NUMBER POSITION TITLE BRANCH BUSINESS ADDRESS NAME AND POSITION TITLE OF HIGHEST RANKED BRANCH OFFICIAL PART III - CERTIFICATION I CERTIFY TO THE CORRECTNESS OF THE ABOVE INFORMATION* Printed Name Signature Official Designation Date FOR SSS USE FOR EMPLOYER REGISTRATION PLATE POSTAL CODE DATE OF COVERAGE mmyyyy BUSINESS CODE DOCUMENT/S SUBMITTED REMARKS Transaction/SBR No* Validation/SBR Date APPROVED BY/DATE Signature Over Printed Name PROCESSED BY/DATE ENCODED BY/DATE REVIEWED BY/DATE RECEIVED BY/DATE DATA CONTROLLED BY/DATE INSTRUCTIONS/REMINDERS Fill out this form in two 2 copies and accomplish appropriate parts as follows For Employer Main Office - Parts I and III Submit this form to the nearest SSS office with accomplished Employment Report SS Form R-1A Specimen Signature Card SS Form L-501 and a sketch of your business address. The form shall be supported by applicable required documents and signed by authorized signatories 3.1 If Main Office Legal Personality Single Proprietorship Partnership Corporation Cooperative Non-stock / Non-profit corporation Manning Agency with Foreign Principal Authorized Signatory Owner or in his absence the legal spouse or in their absence any representative with Special Power of Attorney SPA Managing Partner President Chairman or Corporate Secretary Chairman or Corporate Secretary If Branch Office Required Document Certificate of Operation from the main office signed by the President Highest ranked official of the branch Pay the fee of P165.00 for Employer Registration Plate at the SSS or at any SSS-accredited bank and submit validated Miscellaneous Payment Return SS Form R-6 or SS Form R-6 and Special Bank Receipt with this form* Notify SSS of any changes in data and the status of the employer s business operations to avoid being billed for period/s when no contributions are due. Fill up and submit Employer Data Change Request SS Form R-8 supported by the required document/s in any of the following cases Temporary suspension permanent cessation or merger/consolidation of business operations and Changes in the employer s data such as business name address ownership legal personality and other relevant information Request for replacement of the Employer Registration Plate in case of loss or change of business name and/or address that will result to change of SSS branch ownership using the Application for Employer Registration Plate. Always use your 13-digit Employer Number in all your transactions with the SSS* .

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