Republic of the Philippines
SOCIAL SECURITY SYSTEM
PERSONAL RECORD/UNIFIED MULTI-PURPOSE ID
(UMID) CARD APPLICATION (E-1/E-6)
MO0665IW202110307683 Date/Time Generated: 30 October 2021 01:04:19 PM
INSTRUCTIONS
1. Fill out this form in one (1) copy.
2. Erasures/alterations are not encouraged. However, if necessary, such will be limited up to two (2) erasures/alterations only. Always affix initials
on all erasures/alterations of this form.
3. Place a checkmark on the applicable box.
4. Always indicate "N/A" or "Not Applicable", if the required data is not applicable.
5. Indicate the home address. If permanent home address is in the province but working in Metro Manila during weekdays or working abroad, indicate
the provincial address instead of the Metro Manila address. 6. Write the "HEIGHT" in centimeters and "WEIGHT" in kilograms.
To convert: 1 ft = 30.48 cm 1 in = 2.54 cm 1 lb = 0.4536 kg
7. Limit the distinguishing features to those that can be found on the face such as "mole under the right eye" and "mole or birth mark on the left
cheek/forehead".
8. Always indicate the following mandatory information:
• Country of place of birth, if born outside the Philippines
• Mobile number, if applied locally*
• Email address, if applied abroad*
* if card applicant cannot provide the required mobile number/email address, indicate the card applicant's immediate family member's mobile
number/email address where SSS can communicate with the card applicant.
9. For all types of card replacement, pay the required fee at any SSS branch office/accredited bank/collecting agent. Write the Special Bank
Receipt (SBR)/Receipt Number/Transaction Reference Number on the field provided and submit this form together with the required document/s
and proof of payment to the nearest SSS branch office.
10. For card replacement due to unclaimed UMID cards beyond five (5) years, a replacement fee and biometric data re-capture is required.
11. Submit this form to the nearest SSS branch with the following required documents (use the table Documentary Requirements Guide).
DOCUMENTARY REQUIREMENTS GUIDE
IDENTIFICATION REQUIREMENTS (Present the original) IDENTIFICATION REQUIREMENTS (Present the original)
A. Primary ID card/document [any one (1) of the following]: A. For card replacement due to amendment of
1. Unified Multi-Purpose ID Card data/authenticating finger
2. Social Security Card Previously issued SS digitized ID or UMID card of the card
3. Alien Certificate of Registration applicant
4. Driver's License Proof of payment
5. Firearm Registration B. For card replacement due to lost SS digitized ID or UMID
6. License to Own and Possess Firearms Card
7. National Bureau of Investigation (NBI) Clearance Duly notarized Affidavit of Loss
8. Passport Proof of payment
9. Permit to Carry Firearms Outside of Residence C. For card replacement due to non-receipt of UMID Card
10. Postal Identity Card Duly notarized Affidavit of Non-Receipt of Card
Notice/Email from Identity Management Department (IMD)
11. Seafarer's Identification & Record Book (Seaman's Book) that the courier lost/was not able to deliver the UMID Card
12. Voter's ID Card Proof of payment
B. Any two (2) other ID cards/documents, both with signature
and at least one (1) with photo (In absence of a primary C. For card replacement due to damaged UMID Card, UMID Card as
card). Please specify. ATM Card and other reason/s
_________________________________________ Proof of payment
_________________________________________
12. Observe proper attire when applying for a UMID card.
DOs DONTs
• Collared shirt/blouse is encouraged • Wearing of the following:
• Face and neck should be free from a. For Male - undershirt/"sando" and/or earrings d. Metal piercing in any part of the face
bandage or accessories b. For Female - dangling or overstated earrings e. Head gear
c. Eyeglasses and/or colored contact lenses f. Sunglasses
Unified Multi-Purpose ID (UMID) Card Application Page 2
REMINDERS
1. Card applicants who chose to enroll their UMID Card as ATM card at point of card application shall claim the same at the specified bank's branch
or kiosk within thirty (30) days upon receipt of SMS notification from SSS.
2. For regular UMID Card, the default mode of issuance is pick-up at the SSS branch office where card application was made.
3. UMID Cards for pick-up at SSS Offices where card application was filed, shall be claimed within sixty (60) days from receipt of SMS notification
from SSS. Otherwise, unclaimed UMID Cards within the 60-days claiming period shall be verified thru IMD or SSS hotline. Unclaimed UMID Cards
beyond five (5) years shall be shredded or destroyed.
4. To verify the status of your UMID Card application, you may reach us at 920-6401 local 5714 or email at [email protected].
5. Card applicants shall be required to verify the status/availability of their UMID Cards if with change of mobile number after the card application
was made or non-receipt of SMS notification from SSS within thirty (30) days from card application.
6. Unsuccessfully delivered UMID Cards (RTS) will be sent to the SSS branch office where biometric data capture was made.
