R-1

B. FOR HOUSEHOLD EMPLOYER of FAMILY DRIVER/S

I certify that the information provided in this form are true and correct.

1. Fill out this form in two (2) copies and accomplish appropriate parts as follows: - Part I-A For Business Employer Part I-B For Household Employer of family driver/s 2. In filling out the box for Tax Identification Number (TIN) in Part I-A of the form, please fill out as follows: Business TIN, if business employer Personal TIN, if household employer 3. For the "Start of Operation" and "Number of Employees" boxes, fill out the required data, as follows: Start of Operation actual number of employees upon registration with SSS, if any Number of Employees 4. Always indicate "N/A" or "Not Applicable", if the required data is not applicable. 5. Always affix initials on all erasures/alterations on this form. 6. Present valid identification cards/documents. Refer to attached "List of Filer's Valid Identification (ID) Cards/Documents". 7. Write the Employer ID Number and Employer Name in all pages of all identification cards/documents. 8. Submit this form to the nearest SSS branch office with the supporting documents. Refer to the attached List of Documentary Requirements. 9. This form shall be signed by the following authorized signatories: 9.1 For Business Employer

- exact date of start of business operation/date of employment of family driver

9.2 For Household Employer of Family Driver/s

C.Corporation Including non- stock/non-profit corporations Foreign-owned corporation

Owner or, in his/her absence, anyAny of the following: representative with valid Special Power of 1. Certificate of Registration of Business Attorney (SPA) Name from the Department of Trade and Industry (DTI) 2. Business Permit from the Municipal Office Approved Articles of Partnership from Managing Partner Incorporation from Securities and Exchange Commission (SEC) Approved Articles of Incorporation from SEC President, Chairman or Corporate Secretary

The designated Philippine representative as shown in the SEC registration

Manning agency with foreign principal

President, Chairman or Corporate Secretary

Chairman or Corporate Secretary

Chairman or Corporate Secretary

1. Approved Articles of Incorporation from SEC; and 2. License to Transact Business in the Philippines from SEC 1. Approved Articles of Incorporation from SEC; and 2. Agency Agreement between the manning agency and foreign principal Approved Articles of Cooperation from the Cooperative Development Authority (CDA) 1. Approved Articles of Cooperation from CDA; and 2. Accreditation from the Department of Labor and Employment (DOLE)

10. Report all your employees for SS coverage within thirty (30) days from the date of their employment by submitting an accomplished "Employment Report" (SS Form R-1A) to the nearest SSS branch office. Please be reminded that failure to report your employee/s within the prescribed period shall render you liable for damages equivalent to the benefits to which said employee/s would have been entitled in case of any contingency had the employee/s been reported on time. (Sec. 24 of R.A. 8282 11. Separation of your employee/s should be reported by submitting an accomplished "Employment Report" form.

1. Always use your correct Employer Number in all your transactions with SSS. 2. Notify the nearest SSS branch office using the "Employer Data Change Request" (SS Form R-8) to update your data/records with the SSS. This will expedite your transactions with SSS and avoid the possibility of being billed of unpaid contributions in case of temporary suspension or cessation of business operation. 4. Verification of status may be made thru the SSS website at www.sss.gov.ph or contact our Call Center at 920-6446 up to 55 or 917-7777.

BUSINESS/HOUSEHOLD EMPLOYER'S REPRESENTATIVE

1. One (1) Primary ID card/document of the authorized signatory of the SS Form R-1;

Two (2) Secondary ID cards/documents of the authorized signatory of the SS Form R-1. [both with signature and at least one (1) with photo] 2. One (1) Primary ID card/document of the representative of the authorized signatory of the registration form;

Two (2) Secondary ID cards/documents of representative of the authorized signatory of the SS Form R-1.

Note: If filed personally by the Household Employer, no ID card/document is required.

A. Primary ID Cards/Documents 1. Driver's License 2. Passport 3. Professional Regulation Commission (PRC) Card 4. Seaman's Book (Seafarer's Identification & Record Book) 5. Social Security (SS) Card 6. Unified Multi-Purpose ID (UMID) Card

B. Secondary ID Cards/Documents 1. Alien Certificate of Registration 2. Certificate from any of the following, whichever is applicable: > National Commission on Indigenous Peoples > National Commission on Muslim Filipinos 3. Certificate of Licensure/Qualification Documents from Maritime Industry Authority 4. Company ID Card 5. Credit Card 6. Firearm License Card issued by Philippine National Police (PNP) 7. Fishworker's License issued by Bureau of Fisheries and Aquatic Resources (BFAR) 8. Government Service Insurance System (GSIS) Card/Member's Record/Certificate of Membership 9. Health or Medical Card 10. Homeowners Association ID Card 11. ID Card issued by Local Government Units (LGUs) (e.g., Barangay/Municipality/City)

12. ID Card issued by professional association recognized by PRC 13. Marriage Contract/Marriage Certificate 14. Overseas Worker Welfare Administration (OWWA) Card 15. Pag-IBIG Member's Data Form or Transaction Card 16. Philippine Health Insurance Corporation (PHIC) ID Card/ Member's Data Record 17. Police Clearance 18. Postal ID Card 19. School ID Card 20. Seafarer's Registration Certificate issued by Philippine Overseas Employment Administration (POEA) 21. Senior Citizen Card 22. Student Permit issued by Land Transportation Office (LTO) 23. Taxpayer's Identification Number (TIN) Card 24. Voter's Identification Card/Affidavit/Certificate of Registration