CERTIFICATION
I certify that all information and documents provided are true and correct and I understand that
I shall be held liable under all circumstances for any false information, misrepresentation,
and fraud in my application or request.
I further hereby authorize the SSS to verify all the information and documents provided with all
government agencies (e.g. Philippine Statistics Authority, Local Civil Registry, National Bureau
of Investigation, Department of Social Welfare and Development, Local Government Unit, Medical
Institutions, etc.) including financial institutions. In the event that the said information
turn out to be false, incorrect, or fraudulent, I shall solely suffer the loss without prejudice
to the filing of appropriate legal action(s) against me, including collection of money and/or
damages from my SSS benefits, and thereby exempt the SSS, its officials and employees from any
liability, suit, or legal action of whatever nature, for any transaction found to be fraudulent
and/or illegal.
I consent to the collection, use, storage, sharing, and processing of my personal data by the Social
Security System (SSS) in accordance with the Data Privacy Act (DPA) and its Implementing Rules
and Regulations (IRR). I affirm my rights as a data subject, including the rights to be informed,
object, access, correct or dispute inaccuracies, suspend or withdraw my data, data portability,
and to be indemnified for damages. I also understand my right to file a complaint with the National
Privacy Commission (NPC) for any violation of my data privacy rights.
Lastly, I agree that the SSS may share my information with other government agencies such as Philhealth,
Pag-IBIG, PSA, PhilPost, DSWD, LGU, Medical Institutions, DOLE, POLO, POEA or with partner private
companies such as banks, collecting agents or IT solutions contractors, through a data sharing
agreement/contract/data consent, to provide efficient and effective service.
