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Social Security System Manila Branch Office

Accounts Management Section


Employer Web Registration Form
Tel. Nos. 528-0707/528-0709/527-5433/528-0694(Fax)

1. Employer Information

Employer ID No. Branch Code (default: 000)

Employer Name:

Date of Coverage: Corporation Single Proprietor Household Employer

House/Lot/Blk/Ph No. Bldg./Street Name

Subd./Barangay Province/City

Postal Code

Landline Number Cellphone Number:

Company Email
Address

2. Employer Authorized Signatory appearing in submitted SSS Form L501: (NOTE: L501 Form must be renewed annually)

S.S. Number

First Name

Middle Name

Last Name

Email Address

3. Employer Log-In Details:

Preferred USER ID:


Length of 8-20 characters. No special characters except underscore(_) sign. First character must be alphabetic.

PASSWORD: (Password will Initially be provided by SSS)

Certified Correct:

Signature over Printed Name

DATE Designation

NOTE: Please return accomplished form and attached copy of your Specimen Signature Card (L501). Submit them to SSS Manila – AMS / MSS.
Password will be released to your company email account.

SOCIAL SECURITY SYSTEM


WEB REGISTRATION ACKNOWLEDGEMENT STUB

Employer ID No. Received By

Employer Name: Date Received

USER ID PASSWORD
NOTE: Please return accomplished form and attached copy of your Specimen Signature Card (L501). Submit them to SSS Manila – AMS / MSS.

Password will be released to your company email account.

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