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Republic of the Philippines

SOCIAL SECURITY SYSTEM 34-9732942-7


PERSONAL RECORD

Basic Information

Name of Applicant: CARANZO, FELIPE SR SALVADOR

Date of Birth: 12/11/1966 (mm/dd/yyyy)

Sex: MALE

Marital Status: MARRIED

Nationality: FILIPINO

Religion: CATHOLIC

Place of Birth: CALUYA ANTIQUE PHILIPPINES

Home Address: VILLARISES SEMIRARA CALUYA ANTIQUE 5711

Telephone No:

Mobile No: (0927) 831-7576

Email Address: xvabxdag@sharklasers.com

Name of Father: CARANZO, ALEJANDRO EUGENIO

Name of Mother: SALVADOR, FELIPA BALAO

Beneficiary(ies)

Spouse: BAYOG, MARITES TORRES

Child: CARANZO, PHILIP BAYOG 12/24/2010

CARANZO, PRINCESS JOY BAYOG 10/21/2000

Purpose of Application

Purpose: FOR EMPLOYMENT

Applicant's Certification

____________________________________ __________________
Signature Over Printed Name Date LEFT THUMB MARK RIGHT THUMB MARK

TO BE FILLED OUT BY SSS


EVALUATED BY:

___________________________________ ______________________ ______________________ ______________________


Signature Over Printed Name Date Time Branch

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