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00.00 Over P5,000.00 ERs** 1% 2% 2% of MC o o GOVERNMENT CONTROLLED CORP. MONTH (Please read instructions at the back) NAME OF EMPLOYER FOR PRIVATE EMPLOYER 3 AGENCY CODE FOR GOV’T EMPLOYER 4 For private employers, indicate your Employer SSS ID For government employers, indicate your Agency, Branch and Region 6 Print the full address of the employer. For employer with branch offices, please prepare separate MRRF for each branch indicating therein their respective addresses. YEAR .

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