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  • SN of Jen PDF

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    Charmaine Rae
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    The document is a sickness notification transmittal list from the Social Security System of the Philippines. It lists one employee, Jennie Zamora Dalmacio, who has applied for 5 days of sick leave from October 29, 2019 through November 4, 2019 for a sickness, but was not hospitalized. The list was encoded by the employer KAREN P SELLON/EMD GENERAL OFF on November 4, 2019.

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    The document is a sickness notification transmittal list from the Social Security System of the Philippines. It lists one employee, Jennie Zamora Dalmacio, who has applied for 5 days of sick leave from October 29, 2019 through November 4, 2019 for a sickness, but was not hospitalized. The list was encoded by the employer KAREN P SELLON/EMD GENERAL OFF on November 4, 2019.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    17 views1 page

    SN of Jen PDF

    Uploaded by

    Charmaine Rae
    The document is a sickness notification transmittal list from the Social Security System of the Philippines. It lists one employee, Jennie Zamora Dalmacio, who has applied for 5 days of sick leave from October 29, 2019 through November 4, 2019 for a sickness, but was not hospitalized. The list was encoded by the employer KAREN P SELLON/EMD GENERAL OFF on November 4, 2019.

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    of 1

    Republic of the Philippines

    SOCIAL SECURITY SYSTEM


    Sickness Notification Transmittal List
    Employer Name: Employer SSS Number: Branch Sequence No. Date Encoded

    KAREN P SELLON/EMD GENERAL OFF 06-1809026-6 000 4 November 2019


    Start of No. of Days
    Trans. No. SSS Number Employee Name Claim Type Hospitalized?
    Sick Leave Applied
    20191198885 06-2327495-4 JENNIE ZAMORA DALMACIO SSS 10/29/2019 5 No

    (SIGNATURE OVER PRINTED NAME)


    AUTHORIZED COMPANY REPRESENTATIVE

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