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Unformatted text preview: Republic of the Philippines SOCIAL SECURITY SYSTEM EMPLOYMENT REPORT 1) 2) 3) 4) 5) 6) 7) 8) 9) 10) 11) 12) 13) 14) 15) Page ___ of ___ Page/s (Please read instructions/reminders at the back. Print all information in black ink.) Signature Over Printed Name AREA CODE TELEPHONE NUMBER BUSINESS ADDRESS POSTAL CODE NAME OF BUSINESS/EMPLOYER MONTHLY EARNINGS POSITION DATE OF EMPLOYMENT (MM/DD/YYYY) (Surname) (Given Name) (Middle Name) Date I CERTIFY TO THE CORRECTNESS OF ABOVE INFORMATION. RECEIVED/L-501 VERIFIED BY/DATE: EMPLOYER/SS NUMBER NAME OF EMPLOYEE DATE OF BIRTH (MM/DD/YYYY) SS NUMBER Official Designation TYPE OF EMPLOYER Household (HR) Signature Over Printed Name For SSS Use RELATIONSHIP WITH OWNER/ HR ENCODED BY/DATE: TOTAL NO. OF REPORTED EMPLOYEE/S EVALUATED BY/DATE: Signature Over Printed Name Signature Over Printed Name R-1A (03-2008) TYPE OF REPORT Regular Initial Subsequent NAME OF OWNER/MANAGING PARTNER/PRESIDENT/CHAIRMAN: INSTRUCTIONS/REMINDERS 1. Submit in two (2) copies and indicate the types of employer and report by putting checkmarks on the applicable boxes. Submit in two (2) copies and indicate the types of employer and report by putting checkmarks on the applicable boxes....
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This note was uploaded on 01/13/2012 for the course ECO 402 taught by Professor Rednimes during the Spring '11 term at Illinois State.
- Spring '11