Republic of the Philippines

SOCIAL SECURITY SYSTEM

APPLICATION TO ANNOUNCED VACANCY
OPS-01782 (11-2022)

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

DATE FILED (MM-DD-YYYY)

In filling-out this form, do not use abbreviations or acronyms.

DETAILS OF POSITION APPLIED FOR
VACANCY CODE POSITION JOB GRADE

BRANCH/DEPARTMENT/OFFICE

SECTION TEAM

DETAILS OF APPLICANT
1. NAME OF APPLICANT [LAST NAME] [GIVEN NAME] [MIDDLE NAME] [SUFFIX]

2. E-MAIL ADDRESS 3. MOBILE NUMBER 4. TELEPHONE/INTERCOM

Items 5 to 10, to be filled-out by internal applicants only.

5. PRESENT POSITION 6. JOB GRADE 7. EMPLOYEE ID NO.

8. BRANCH/DEPARTMENT/OFFICE

9. SECTION 10. TEAM

DECLARATION OF INTENT/CONCURRENCE FOR CONSIDERATION TO OTHER VACANCIES IN THIS ANNOUNCEMENT

Please check if applicable
I signify my intent/concurrence to be considered in another vacancy with the same qualification requirements should there be the need or
opportunity.

DETAILS OF PENDING APPLICATION [IF ANY]

VACANCY CODE POSITION APPLIED FOR JOB GRADE

BRANCH/DEPARTMENT/OFFICE

SECTION TEAM

Please check priority application

Current Application Pending Application

DECLARATION OF RELATIVE/S IN SSS AND WORK EXPERIENCE/S

I. Indicate name/s of all relative/s in SSS either by consanguinity or affinity regardless of degree, if any.

Name Position Branch/Department/Office Relationship

1.

2.

3.

II. List detailed work experience/s in the attached CSC Form 212 (Personal Data Sheet).
For External Applicants
- employment in private company/ies and/or government agency/ies For both external and internal applicants:
- official designation/s (if any) Attach certification of designation, additional function,
and employment specifying the following:
For Internal Applicants
(1) period of designation/employment
- experience in SSS (service bureau/job order) (2) position
- outside employment (private company/ies and/or other government agency/ies) (3) functions performed
- official designation/s (if any)

CERTIFICATION
This is to certify that the foregoing entries are true and correct to the best of my knowledge and belief and any misrepresentation or untruthful
statement may impede my application for appointment/promotion.

[SIGNATURE OVER PRINTED NAME]

 Republic of the Philippines
Annex B1
SOCIAL SECURITY SYSTEM
APPLICATION TO ANNOUNCED VACANCY
OPS-01782 (11-2022)

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

DATE FILED (MM-DD-YYYY)

In filling-out this form, do not use abbreviations or acronyms.

DETAILS OF POSITION APPLIED FOR
VACANCY CODE POSITION JOB GRADE

BRANCH/DEPARTMENT/OFFICE

SECTION TEAM

DETAILS OF APPLICANT
1. NAME OF APPLICANT [LAST NAME] [GIVEN NAME] [MIDDLE NAME] [SUFFIX]

2. E-MAIL ADDRESS 3. MOBILE NUMBER 4. TELEPHONE/INTERCOM

Items 5 to 10, to be filled-out by internal applicants only.

5. PRESENT POSITION 6. JOB GRADE 7. EMPLOYEE ID NO.

8. BRANCH/DEPARTMENT/OFFICE

9. SECTION 10. TEAM

DECLARATION OF INTENT/CONCURRENCE FOR CONSIDERATION TO OTHER VACANCIES IN THIS ANNOUNCEMENT

Please check if applicable
I signify my intent/concurrence to be considered in another vacancy with the same qualification requirements should there be the need or
opportunity.

DETAILS OF PENDING APPLICATION [IF ANY]

VACANCY CODE POSITION APPLIED FOR JOB GRADE

BRANCH/DEPARTMENT/OFFICE

SECTION TEAM

Please check priority application

Current Application Pending Application

DECLARATION OF RELATIVE/S IN SSS AND WORK EXPERIENCE/S

I. Indicate name/s of all relative/s in SSS either by consanguinity or affinity regardless of degree, if any.

Name Position Branch/Department/Office Relationship

1.

2.

3.

II. List detailed work experience/s in the attached CSC Form 212 (Personal Data Sheet).
For External Applicants
- employment in private company/ies and/or government agency/ies For both external and internal applicants:
- official designation/s (if any) Attach certification of designation, additional function,
and employment specifying the following:
For Internal Applicants
(1) period of designation/employment
- experience in SSS (service bureau/job order) (2) position
- outside employment (private company/ies and/or other government agency/ies) (3) functions performed
- official designation/s (if any)

CERTIFICATION
This is to certify that the foregoing entries are true and correct to the best of my knowledge and belief and any misrepresentation or untruthful
statement may impede my application for appointment/promotion.

[SIGNATURE OVER PRINTED NAME]

Application for Appointment/Promotion Page 2 of 2