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New Pag-Ibig Soft Cpy

This document is a remittance form containing employee contribution details for a Pag-IBIG employer. It includes fields for the employer's ID number and name, address, contact information, period covered, a table with employees' membership ID numbers, account numbers, program, names, monthly compensation, contribution amounts from the employee and employer, and remarks. Below the table is a certification from the employer and notes that the form may be reproduced.

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ANN DUAYAN
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as XLSX, PDF, TXT or read online on Scribd
93 views15 pages

New Pag-Ibig Soft Cpy

This document is a remittance form containing employee contribution details for a Pag-IBIG employer. It includes fields for the employer's ID number and name, address, contact information, period covered, a table with employees' membership ID numbers, account numbers, program, names, monthly compensation, contribution amounts from the employee and employer, and remarks. Below the table is a certification from the employer and notes that the form may be reproduced.

Uploaded by

ANN DUAYAN
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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HQP-PFF-053

MEMBER'S CONTRIBUTION Pag-IBIG EMPLOYER'S ID NUMBER

REMITTANCE FORM ( MCRF )

NOTE: PLEASE READ INSTRUCTIONS AT THE BACK


EMPLOYER/BUSINESS NAME

EMPLOYER/BUSIN PERIOD COVERED


ESS ADDRESS
Unit/Room No., Floor Building Name Lot No., Block No., Phase No. House No Street
Name

Subdivision Barangay Municipality/City Province/State/Country (if abroad) Zip Code TELEPHONE NUMBER

MEMBERSHIP NAME OF EMPLOYEES MONTHLY MEMBERSHIP CONTRIBUTIONS


MID NO ACCOU PROGRAM PERIOD COMPENSATIO
N
NT NO, Last Name First Name NAME Middle Name COVERED EE ER REMARKS
TOTAL
EXT. SHARE SHARE
F1

TOTAL FOR THIS PAGE .00 .00 .00


GRAND TOTAL (if last page) .00 .00 .00
EMPLOYER CERTIFICATION

I hereby certify under pain of perjury that the information given and all statements made herein are true and correct to the best of my knowledge and belief. I further
certify that my signature appearing herein is genuine and authentic.

HEAD OF OFFICE OR AUTHORIZED REPRESENTATIVE DESIGNATION/POSITION


(Signature Over Printed Name)

THIS FORM MAY REPRODUCED. NOT FOR SALE


EmployerID
EmployerName CONTACT NO:
Address

PagIBIGID/RTN ACCOUNT NO MEMBERSHIP PROGRAM LASTNAME FIRST NAME NAME EXTENSION MIDDLE NAME
F1
HQP-PFF-053

PERCOV EE SHARE ER SHARE REMARKS


Employer ID
Employer Name
Address

(NEW) APPLICATION
Pag-IBIG ID/RTN LAST NAME
NO/AGREEMENT NO
HQP-SLF-017
Period Covered
Telephone Number

FIRST NAME NAME EXTENSION MIDDLE NAME LOAN TYPE


AMOUNT REMARKS
Employer ID
Employer Name
Address

(NEW) APPLICATION
Pag-IBIG ID/RTN LAST NAME
NO/AGREEMENT NO
HQP-SLF-017
Period Covered
Telephone Number

FIRST NAME NAME EXTENSION MIDDLE NAME LOAN TYPE


AMOUNT REMARKS

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