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Republic of the Philippines

SOCIAL SECURITY SYSTEM


http://www.sss.gov.ph

THIS IS YOUR OFFICIAL RECEIPT WHEN VALIDATED

BELEN JR, REYNALDO BERSAMIRA Reference Number: VB231360542812


Amount Due: P2,240.00
SS Number: 35-2371612-4 Due Date: May 01, 2023
Payor Type: Voluntary Generation Date: February 16, 2023

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
Mar 2023 to Jun 2023 VB231360542812 P2,240.00

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

BELEN JR, REYNALDO BERSAMIRA Total Amount Paid


SS Number: 35-2371612-4 P ______________________
Cash ( ) Cheque ( ) Cheque No. ________________
Bank/Branch _______________
Bank Teller ________________

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