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Get PH SSS R-1A 2001

Submit in two 2 copies with properly accomplished SS Form R-1 Employer Registration if the employer is not yet registered with the SSS. Card if the employer is already registered with the SSS. 3. Republic of the Philippines R-1A SOCIAL SECURITY SYSTEM EMPLOYMENT REPORT REV. 01-2001 Please print all information in black ink EMPLOYER ID NUMBER REGISTERED EMPLOYER NAME TAXPAYER IDENTIFICATION NO. ADDRESS POSTAL CODE Name of Employee SS Number Surname Given Name Date of Birth MI MM DD YYYY Position Monthly Salary Date of Employment Remarks FOR SSS USE TOTAL NO. Republic of the Philippines R-1A SOCIAL SECURITY SYSTEM EMPLOYMENT REPORT REV. 01-2001 Please print all information in black ink EMPLOYER ID NUMBER REGISTERED EMPLOYER NAME TAXPAYER IDENTIFICATION NO. ADDRESS POSTAL CODE Name of Employee SS Number Surname Given Name Date of Birth MI MM DD YYYY Position Monthly Salary Date of Employment Remarks FOR SSS USE TOTAL NO. OF REPORTED EMPLOYEES Page CERTIFIED CORRECT u of Page/s REVIEWED BY/DATE ENCODED BY/DATE Signature Over Printed Name of Authorized Signatory Official Designation Internet Edition 9/2002 RECEIVED BY/DATE PROCESSED BY/DATE Date INSTRUCTIONS/REMINDERS 1. The employer is obliged to report all its employees for coverage through this form regardless of their actual amount of monthly earnings rounded off to the last peso. 4. The owner of a single proprietorship business is disqualified to be reported as employee thereof* However he may register as self-employed provided he is not over 60 years old and is currently not an employee member. ADDRESS POSTAL CODE Name of Employee SS Number Surname Given Name Date of Birth MI MM DD YYYY Position Monthly Salary Date of Employment Remarks FOR SSS USE TOTAL NO. OF REPORTED EMPLOYEES Page CERTIFIED CORRECT u of Page/s REVIEWED BY/DATE ENCODED BY/DATE Signature Over Printed Name of Authorized Signatory Official Designation Internet Edition 9/2002 RECEIVED BY/DATE PROCESSED BY/DATE Date INSTRUCTIONS/REMINDERS 1. The employer is obliged to report all its employees for coverage through this form regardless of their actual amount of monthly earnings rounded off to the last peso. 4. The owner of a single proprietorship business is disqualified to be reported as employee thereof* However he may register as self-employed provided he is not over 60 years old and is currently not an employee member. .

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