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11/21/23, 10:40 AM RTPL

Republic of the Philippines


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

PHIL CONCH 999 ENTEPRISES CO


15-C PLATINUM ST GOLDENDALE TINAJEROS MALABON CITY 1470

03-9235696-7 - 000 THIS IS YOUR OFFICIAL RECEIPT WHEN VALIDATED

PAYMENT REFERENCE NUMBER


LOAN STATEMENT SUMMARY FOR THE MONTH OF OCTOBER 2023
Total Employee Count 40 Due Date: 11/30/2023
RJ230007903249
Total Amount Due P 28,026.22 Generation Date: 11/21/2023

Please pay on or before the due date at any SSS accredited collecting partner/bank or SSS Office with Tellering Facility. A penalty of 1% per month, pursuant
to Annex A of Circular No. 2019-014, shall be imposed on loan amortization not paid within the prescribed schedule.

The SSS reserves the right to determine and collect the true and correct loan amortization due the SSS if it finds other unremitted/underpaid loan remittances
during or before the period billed. Also, SSS shall conduct further verification and assessment on the details of the submitted loan collection list and shall
collect any balance, if any.

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

This is a system-generated statement.

Reminder: Please print in two (2)copies (1 - Payor and 1 - SSS)

https://employer.sss.gov.ph/employer/auth/dashboard# 1/1

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