Republic of the Philippines

SOCIAL SECURITY SYSTEM

http://www.sss.gov.ph

THIS IS YOUR OFFICIAL RECEIPT WHEN VALIDATED

MONTERO, EGELINE ROCERO Reference Number: SF221188784577

Amount Due: P2,360.00
SS Number: 35-0481415-5 Due Date: October 31, 2022
Payor Type: Self Employed Generation Date: September 30, 2022

STATEMENT OF ACCOUNT

Note: Pursuant to Circular No. 2020-032 dated 24 November 2020, starting January 2021, SS contribution includes Workers' Investment and
Savings Program or WISP (SSS Provident Fund) contribution.

APPLICABLE PERIOD INDIVIDUAL PAYMENT REFERENCE AMOUNT

NUMBER
Jul 2022 to Aug 2022 SF221188784577 P2,360.00

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

MONTERO, EGELINE ROCERO Total Amount Paid

SS Number: 35-0481415-5 P ______________________
Cash ( ) Cheque ( ) Cheque No. ________________
Bank/Branch _______________
Bank Teller ________________