Sss E 1 Form Details

The Sss Online Registration E1 form is now available for employers to use. This new form will make it easier for employers to register their employees. The form is available on the Sss website, and employers can use it to register their employees for social security coverage. The form is easy to use, and employers can complete it quickly. The registration process is now faster and easier than ever before. Employers are encouraged to use the new Sss Online Registration E1 form today.

The table provides information about the sss online registration e1. It's a good idea that you look at this material before you decide to begin filling out the file.

QuestionAnswer
Form NameSss Online Registration E1
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namessss online application, sss e1 form, sss e 1 form, how to get e1 form online

Form Preview Example

Republic of the Philippines

E-1

SOCIAL SECURITY SYSTEM

PERSONAL RECORD

 

SS NUMBER

COV-01214 (09-2015)

FOR ISSUANCE OF SS NUMBER

THIS FORM MAY BE REPRODUCED AND IS NOT FOR SALE. THIS CAN ALSO BE DOWNLOADED THRU THE SSS WEBSITE AT www.sss.gov.ph.

PLEASE READ THE INSTRUCTIONS AND REMINDERS AT THE BACK BEFORE FILLING OUT THIS FORM. PRINT ALL INFORMATION IN CAPITAL LETTERS AND

USE BLACK INK ONLY.

PART I - TO BE FILLED OUT BY THE REGISTRANT

A. PERSONAL DATA

NAME

(LAST NAME)

(FIRST NAME)

(MIDDLE NAME)

(SUFFIX)

DATE OF BIRTH (MMDDYYYY)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SEX

 

CIVIL STATUS

 

 

 

 

 

TAX IDENTIFICATION NUMBER (IF ANY)

Male

Female

Single

Married

Widowed

Legally Separated

Others ________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NATIONALITY

 

RELIGION

 

 

PLACE OF BIRTH (CITY/MUNICIPALITY, PROVINCE) (CITY, COUNTRY, if born outside the Philippines)

 

 

 

 

 

 

 

 

 

 

 

HOME ADDRESS

 

(RM./FLR./UNIT NO. & BLDG. NAME)

 

(HOUSE/LOT & BLK. NO.)

 

(STREET NAME)

 

 

 

(SUBDIVISION)

(BARANGAY/DISTRICT/LOCALITY)

(CITY/MUNICIPALITY)

(PROVINCE)

(COUNTRY)

ZIP CODE

MOBILE/CELLPHONE NUMBER

E-MAIL ADDRESS

TELEPHONE NUMBER (COUNTRY CODE+ AREA CODE+ TEL. NO.)

FATHER

(LAST NAME)

(FIRST NAME)

(MIDDLE NAME)

(SUFFIX)

 

 

 

 

 

MOTHER'S MAIDEN NAME

(LAST NAME)

(FIRST NAME)

(MIDDLE NAME)

(SUFFIX)

 

 

B. DEPENDENT(S)/BENEFICIARY/IES

 

Check this box if using additional sheet.

SPOUSE

(LAST NAME)

(FIRST NAME)

(MIDDLE NAME)

(SUFFIX)

DATE OF BIRTH (MMDDYYYY)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CHILD/REN

(LAST NAME)

(FIRST NAME)

(MIDDLE NAME)

(SUFFIX)

DATE OF BIRTH (MMDDYYYY)

1.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OTHER BENEFICIARY/IES (If without spouse & child and parents are both deceased)

RELATIONSHIP

 

DATE OF BIRTH (MMDDYYYY)

(LAST NAME)

(FIRST NAME)

(MIDDLE NAME)

(SUFFIX)

 

 

 

 

 

 

 

 

 

1.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

C. FOR SELF-EMPLOYED/OVERSEAS FILIPINO WORKER/NON-WORKING SPOUSE

SELF-EMPLOYED (SE)

Profession/Business

Year Prof./Business Started

Monthly Earnings

P

OVERSEAS FILIPINO WORKER (OFW)

Foreign Address

 

Are you applying for membership

Monthly Earnings

in the Flexi-Fund Program?

 

 

P

YES

NO

 

 

 

NON-WORKING SPOUSE (NWS)

SS No./Common Reference No. of Working Spouse

Monthly Income of Working Spouse (P)

I agree with my spouse's membership with SSS.

SIGNATURE OVER PRINTED NAME OF WORKING SPOUSE

D. CERTIFICATION

I certify that the information provided in this form are true and correct.

(If registrant cannot sign, affix fingerprints in the presence of an SSS personnel.)

Registrant is required to affix fingerprints.

RIGHT THUMB

RIGHT INDEX

PRINTED NAME

SIGNATURE

DATE

PART II - TO BE FILLED OUT BY SSS

BUSINESS CODE

WORKING SPOUSE's MSC (FOR

(FOR SE)

NWS)

 

P

 

MONTHLY SS CONTRIBUTION

APPROVED MSC

 

(FOR SE/OFW/NWS)

(FOR SE/OFW/NWS)

 

P

P

 

START OF PAYMENT

FLEXI-FUND APPLICATION

(FOR SE/NWS)

(FOR OFW)

 

 

Approved

Disapproved

RECEIVED BY

 

 

 

RECEIVED & PROCESSED BY

 

 

 

(REPRESENTATIVE OFFICE/PARTNER AGENT)

 

 

 

(MSS, BRANCH/SERVICEOFFICE/FOREIGN OFFICE)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SIGNATURE OVER PRINTED NAME

DATE & TIME

 

SIGNATURE OVER PRINTED NAME

 

DATE & TIME

REVIEWED BY

 

 

 

 

 

 

 

 

 

(MSS, BRANCH/SERVICE OFFICE)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SIGNATURE OVER PRINTED NAME

 

 

DATE & TIME

 

 

 

INSTRUCTIONS

1.Fill out this form and submit to the nearest SSS branch office together with the required documents.

2.Fill out the applicable portions as follows:

Parts I-A, B and D, if applying for SS number as pre-employment requirement

Parts I-A, B, C and D, if applying for Self-Employed, Overseas Filipino Worker (OFW) or Non-Working Spouse membership

-For Part I-B "DEPENDENT(S)/BENEFICIARY/IES", use "Additional Sheet for Dependent(s)/Beneficiary/(ies)", if necessary.

3.Always indicate "N/A" or "Not Applicable", if the required data is not applicable.

4.If this form is to be downloaded from the internet, please fill-out in two (2) copies.

REMINDERS

1.New registrant who is over sixty (60) years old and not a surviving spouse pensioner/guardian of a pensioner, is not qualified to apply for an SS number.

2.Your SS number is your lifetime number. You should not have more than one SS number.

3.The following required documents should be the original or certified true copy issued by the City or Municipal Civil Registrar or Philippine Statistics Authority/National Statistics Office:

3.1Birth Certificate

3.2Marriage Contract/Marriage Certificate

3.3Death Certificate

4.All identification (ID) cards and/or documents with English translation issued by foreign government are acceptable.

LIST OF DOCUMENTARY REQUIREMENTS

Always present the original or certified true copy/ies when submitting the photocopy/ies of the required ID card(s) and/or document(s).

A.

ID Cards and/or Documents for the Issuance of SS Number

Marriage Contract/Marriage Certificate

Birth Certificate, or in its absence, any of the following

National Bureau of Investigation (NBI) Clearance

 

documents:

 

 

 

Overseas Worker Welfare Administration (OWWA) card

 

Baptismal Certificate or its equivalent

 

 

Philippine Health Insurance Corporation (PHIC) ID

 

Driver's License

 

 

 

card/Member's Data Record

 

Passport

 

 

 

Police Clearance

 

 

 

 

Professional Regulation Commission (PRC) card

 

Postal ID card

 

 

 

 

 

 

 

Seaman's Book (Seafarer's Identification and Record Book)

School ID card

 

 

 

 

 

 

 

 

 

 

 

Seafarer's Registration Certificate issued by Philippine

 

In the absence of the above ID cards and/or documents, any two

Overseas Employment Administration (POEA)

 

(2) of the following documents both with the correct name and at

Senior Citizen card

 

 

 

 

least one (1) with date of birth:

 

 

 

Student Permit issued by Land Transportation Office (LTO)

 

Alien Certificate of Registration

 

 

 

Taxpayer's Identification Number (TIN) card

 

ATM card (with cardholder's name)

 

 

Transcript of Records

 

 

 

 

Bank Account Passbook

 

 

 

Voter's ID card/Affidavit/Certificate of Registration

 

Baptismal Certificate of child/ren or its equivalent

 

B. Additional Supporting Documents

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Birth Certificate of child/ren

 

 

 

 

For married

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Certificate of Confirmation issued by National Commission on

 

Marriage Contract/Marriage Certificate or a copy of

 

Indigenous Peoples (formerly Office of Southern Cultural

 

Member Data Change Request form (SS Form E-4)

 

Community and Office of Northern Cultural Community)

 

 

 

of the spouse duly received by the SSS where the

 

Certificate of Licensure/Qualification Documents from Maritime

 

 

name of the

registrant is reported as the spouse

 

Industry Authority

 

 

 

 

For widowed

 

 

 

Certificate of Muslim Filipino Tribal Affiliation issued by

 

Marriage Contract/Marriage Certificate

 

National Commission on Muslim Filipinos

 

 

 

Marriage Contract/Marriage Certificate and Death

 

Company ID card

 

 

 

 

Certificate of spouse or Court Order on the

 

Court Order granting petition for change of name or date of

 

 

Declaration of Presumptive Death, if previously

 

birth

 

 

 

 

 

reported spouse is presumed dead

 

Credit card

 

 

 

 

For legally separated

 

 

 

 

 

Firearm License card issued

by Philippine

National

Police

 

 

Decree of Legal Separation

 

(PNP)

 

 

 

 

For annulled or with void marriage

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fishworker's License issued by Bureau of Fisheries and

 

Certificate

 

of Finality of Annulment/Nullity or

 

Aquatic Resources (BFAR)

 

 

 

 

annotated

Marriage Contract/Marriage Certificate

 

Government Service Insurance System (GSIS) card/

 

For divorced

 

 

 

 

 

 

 

 

Member's Record/Certificate of Membership

 

 

 

Decree of Divorce and Certificate of Naturalization

 

Health or Medical card

 

 

 

 

(granted before divorce) or its equivalent

 

Home Development Mutual Fund (Pag-IBIG) Transaction

 

For divorced Muslim member

 

 

card/Member's Data Form

 

 

 

 

 

Certificate of Divorce (OCRG Form No. 102)

 

Homeowners Association ID card

 

 

 

For reporting child/ren

- whichever is applicable

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ID card issued by Local

Government

Units

(LGUs)

 

Birth Certificate/s or Baptismal Certificate/s or its

 

(e.g., Barangay/ Municipality/ City)

 

 

 

equivalent

 

 

 

 

 

 

 

ID card issued by professional association recognized by

C.

 

Decree of Adoption

 

PRC

 

 

 

 

Documents for local enrolment in the Flexi-fund Program

 

 

 

 

 

 

Valid

Overseas Employment Certificate (OEC) or E-

 

Life Insurance Policy

 

 

 

 

receipt issued by POEA