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    SSS R1a

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    Lern Pecadizo
    This document is an employment report form submitted by OPHTAHLMIC CONSULTANTS PHILIPPINES (ASIAN HOSPITAL & MEDICAL CENTER) CO. to the Social Security System of the Philippines. The form provides instructions for reporting newly hired employees for social security coverage and lists no employees. It certifies the report is correct and includes the employer identification number, registered name, address, and taxpayer identification number.

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    Attribution Non-Commercial (BY-NC)
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    SSS R1a

    Uploaded by

    Lern Pecadizo
    2K views2 pages
    This document is an employment report form submitted by OPHTAHLMIC CONSULTANTS PHILIPPINES (ASIAN HOSPITAL & MEDICAL CENTER) CO. to the Social Security System of the Philippines. The form provides instructions for reporting newly hired employees for social security coverage and lists no employees. It certifies the report is correct and includes the employer identification number, registered name, address, and taxpayer identification number.

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    This document is an employment report form submitted by OPHTAHLMIC CONSULTANTS PHILIPPINES (ASIAN HOSPITAL & MEDICAL CENTER) CO. to the Social Security System of the Philippines. The form provides instructions for reporting newly hired employees for social security coverage and lists no employees. It certifies the report is correct and includes the employer identification number, registered name, address, and taxpayer identification number.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    2K views2 pages

    SSS R1a

    Uploaded by

    Lern Pecadizo
    This document is an employment report form submitted by OPHTAHLMIC CONSULTANTS PHILIPPINES (ASIAN HOSPITAL & MEDICAL CENTER) CO. to the Social Security System of the Philippines. The form provides instructions for reporting newly hired employees for social security coverage and lists no employees. It certifies the report is correct and includes the employer identification number, registered name, address, and taxpayer identification number.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    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 print all information in black ink)

    EMPLOYER ID NUMBER REGISTERED EMPLOYER NAME TAXPAYER IDENTIFICATION NO.


    0 3 9 2 1 9 7 5 2 4 OPHTAHLMIC CONSULTANTS PHILIPPINES (ASIAN HOSPITAL & MEDICAL CENTER) CO. 243-429-600
    ADDRESS POSTAL CODE
    Suite 509 MOB Asian Hospital & Medical Center Civic Drive Alabang Muntinlupa

    Name of Employee Date of Birth Date of Employment Remarks


    SS Number Position Monthly Salary
    (Surname) (Given Name) (MI) (MM DD YYYY) (MM DD YYYY) FOR SSS USE

    1.

    2.
    3.
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    5.

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    20.
    TOTAL NO. OF CERTIFIED CORRECT: FOR SSS USE RECEIVED BY/DATE:
    REPORTED u PROCESSED BY/DATE: REVIEWED BY/DATE: ENCODED BY/DATE:
    EMPLOYEES
    Signature Over Printed Name
    of Authorized Signatory
    Page of Page/s

    Official Designation Date Signature Over Printed Name Signature Over Printed Name Signature Over Printed Name
    Internet Edition (9/2002)
    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 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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