Republic of the Philippines

SOCIAL SECURITY SYSTEM

http://www.sss.gov.ph

THIS IS YOUR OFFICIAL RECEIPT WHEN VALIDATED

ALBALADEJO, GINA DELFIN Reference Number: VI200742245330

Amount Due: P1,080.00
SS Number: 07-2931855-2 Due Date: January 01, 2021
Payor Type: Voluntary Generation Date: September 23, 2020

STATEMENT OF ACCOUNT

APPLICABLE PERIOD INDIVIDUAL PAYMENT REFERENCE AMOUNT

NUMBER
Oct 2020 to Dec 2020 VI200742245330 P1,080.00

Please pay on or before the due date at any SSS accredited collecting partner/bank or SSS Office with tellering Facility.

For inquiries, email us at PRNHelpline@sss.gov.ph

This is a system-generated statement, signature is not needed.

Republic of the Philippines

SOCIAL SECURITY
SYSTEM
http://www.sss.gov.ph

Payment Slip

ALBALADEJO, GINA DELFIN Total Amount Paid

SS Number: 07-2931855-2 P ______________________
Cash ( ) Cheque ( ) Cheque No. ________________
Bank/Branch _______________
Bank Teller ________________