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    Employment Report: Social Security System

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    RENEE BUENAFLOR
    This document is an Employment Report form submitted by DC Coldman Aircon Services to the Social Security System of the Philippines. It reports 9 production staff employees who were hired or rehired between July and August 2019. It provides each employee's name, Social Security number, date of birth, position, monthly salary, and date of employment. The form is certified correct and signed by the general manager, Adolfo R. De Vela. Instructions at the back remind the employer to submit two copies of the form and that all employees must be reported regardless of earnings.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Employment Report: Social Security System

    Uploaded by

    RENEE BUENAFLOR
    124 views2 pages
    This document is an Employment Report form submitted by DC Coldman Aircon Services to the Social Security System of the Philippines. It reports 9 production staff employees who were hired or rehired between July and August 2019. It provides each employee's name, Social Security number, date of birth, position, monthly salary, and date of employment. The form is certified correct and signed by the general manager, Adolfo R. De Vela. Instructions at the back remind the employer to submit two copies of the form and that all employees must be reported regardless of earnings.

    Original Description:

    FOR SUBMISSION

    Original Title

    SSS A1 FORM 8-28-19

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    This document is an Employment Report form submitted by DC Coldman Aircon Services to the Social Security System of the Philippines. It reports 9 production staff employees who were hired or rehired between July and August 2019. It provides each employee's name, Social Security number, date of birth, position, monthly salary, and date of employment. The form is certified correct and signed by the general manager, Adolfo R. De Vela. Instructions at the back remind the employer to submit two copies of the form and that all employees must be reported regardless of earnings.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    124 views2 pages

    Employment Report: Social Security System

    Uploaded by

    RENEE BUENAFLOR
    This document is an Employment Report form submitted by DC Coldman Aircon Services to the Social Security System of the Philippines. It reports 9 production staff employees who were hired or rehired between July and August 2019. It provides each employee's name, Social Security number, date of birth, position, monthly salary, and date of employment. The form is certified correct and signed by the general manager, Adolfo R. De Vela. Instructions at the back remind the employer to submit two copies of the form and that all employees must be reported regardless of earnings.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Republic of the Philippines

    R-1A SOCIAL SECURITY SYSTEM


    REV. 01 - 2001 EMPLOYMENT REPORT
    (Please read instructions/reminders at the back. Print all information in black ink.)
    EMPLOYER ID NUMBER REGISTERED EMPLOYER NAME TAXPAYER IDENTIFICATION NO.
    8 0 0 0 1 0 3 6 6 6 D COLDMAN AIRCON SERVICES 212-332-518
    ADDRESS POSTAL CODE
    782 QUIRINO AVENUE, BRGY. TAMBO, PARAÑAQUE CITY 1 7 0 1
    Name of Employee Date of Birth Date of Employment Remarks
    SS Number Position Monthly Salary
    (Surname) (Given Name) (MI) ( MMDDYYYY ) ( MMDDYYYY ) FOR SSS USE

    0 2 3 5 2 0 9 8 7 0 1. CULALA EDWIN H. PRODUCTION STAFF 1 0 0 0 0 0 7 2 5 2 0 1 9


    3 4 8 7 1 2 7 9 3 0 2. DE VELA JAKE V. PRODUCTION STAFF 1 0 0 0 0 0 7 2 5 2 0 1 9
    3 4 7 0 5 0 7 8 8 4 3. GONZALES JEFFREI A. PRODUCTION STAFF 1 0 0 0 0 0 8 1 2 2 0 1 9
    0 2 3 7 5 9 1 2 3 0 4. GUERRERO EMIAJ JAMES PRODUCTION STAFF 1 0 0 0 0 0 7 1 5 2 0 1 9
    3 4 8 7 1 5 1 1 9 7 5. MERCADO LINEUS L. PRODUCTION STAFF 1 0 0 0 0 0 7 1 5 2 0 1 9
    0 5 0 6 2 2 7 5 0 7 6. RAFER JAZPHER V. PRODUCTION STAFF 1 0 0 0 0 0 8 0 5 2 0 1 9
    3 4 7 8 4 8 2 7 5 2 7. VEGA JAHN DENVER R. PRODUCTION STAFF 1 0 0 0 0 0 7 2 5 2 0 1 9
    3 4 8 7 0 9 9 9 0 3 8. VIBAR RANDY D. PRODUCTION STAFF 1 0 0 0 0 0 7 3 0 2 0 1 9
    3 3 3 9 5 1 1 8 5 6 9. ZAMUDIO REYNALDO B. ADMIN OFFICER 1 2 0 0 0 0 7 3 0 2 0 1 9
    10. =0= NOTHING FOLLOOWS =0=
    11.

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    TOTAL NO. OF CERTIFIED CORRECT : FOR SSS USE RECEIVED BY/DATE:


    REPORTED ADOLFO R. DE VELA PROCESSED BY/DATE: REVIEWED BY/DATE: ENCODED BY/DATE:
    9
    EMPLOYEES Signature Over Printed Name
    of Authorized Signatory
    1 of ___
    Page ___ 1 Page/s GEN. MANAGER
    Official Designation Date Signature Over Printed Name Signature Over Printed Name Signature Over Printed Name
    INSTRUCTIONS/REMINDERS

    1. Submit in two (2) copies with properly accomplished SS Form R-1 (Employer Registration), if the
    employer is not yet registered with the SSS.

    2. Submit in two (2) copies to report newly hired/rehired employee/s and present SS Employer ID Card, if
    the employer is already registered with the SSS.

    3. 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 a self-employed, provided he is not over 60 years old and is currently not
    an employee member.

    5. Write "Nothing Follows" immediately after the last reported employee.

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