FPF060

MEMBERSHIP CONTRIBUTIONS REMITTANCE FORM (MCRF)
PERIOD COVERED
(month year)

Employer’s Pag-IBIG ID No.

EMPLOYER/BUSINESS NAME (Per SEC Registration, if private)

EMPLOYER SSS NO.
(for private Employers only)

AGENCY/BRANCH/DIVISION CODE
(for government Employers only )

BUSINESS ADDRESS (Unit/Room/Floor/Building/Street)

ZIP CODE

TIN

CONTACT NO/S.

Pag-IBIG ID No.

Last Name 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40.

NAME OF EMPLOYEES First Name Name Extension (Jr., III, etc.)

CONTRIBUTIONS Middle Name EMPLOYEE EMPLOYER TOTAL

REMARKS

No. of Employees on this page

Total No.of Employees if last page

TOTAL FOR THIS PAGE GRAND TOTAL (if last page)

P P

P P

P P

FOR Pag-IBIG USE ONLY POSTED BY: ___________________ DATE: _______________ DATE: _______________

CERTIFIED CORRECT BY: SIGNATURE OVER PRINTED NAME OFFICIAL DESIGNATION DATE
PAGE NO. NO. OF PAGES

APPROVED BY: ___________________

NOTE: PLEASE READ INSTRUCTIONS AT THE BACK. THIS FORM CAN BE REPRODUCED. NOT FOR SALE

(Revised 10/2008)

. 16. unless the employer agrees to match the employee’s upgraded contribution. 26. Indicate the total number of pages of this listing. the total amount of employer contributions under column 13 . 21. 4. and the total amount of employee and employer contributions under column 14. employer and total amount of employee-employer contributions for this page.HOW TO ACCOMPLISH THIS FORM a. III. 34. etc.. NO. 18. RATE OF MEMBERSHIP CONTRIBUTIONS (MC) MONTHLY COMPENSATION (BASIC + COLA) EE Share 1 2 3 4 Period Covered . of Employees if last page 17 TOTAL FOR THIS PAGE GRAND TOTAL (if last page) P P 18 19 P P P P DATE PAGE NO.). 33. however. retired. resigned. 29. OF PAGES FOR Pag-IBIG USE ONLY POSTED BY: ____________________ DATE: _________________ DATE: _________________ SIGNATURE OVER PRINTED NAME OFFICIAL DESIGNATION CERTIFIED CORRECT BY: APPROVED BY: ____________________ 20 21 NOTE: PLEASE READ INSTRUCTIONS AT THE BACK. 7. 3. CONTRIBUTIONS Pag-IBIG ID No. 39. 37. 31. 36. Schedule of Payments First letter of Employer’s/Company Name A to D E to L M to Q R to Z Due Date 10th 15th 20th 25th to the 14th day of the month to the 19th day of the month to the 24th day of the month to the end of the month The maximum MC to be used in computing employee and employer contributions shall not be more than P5. if private) 3 4 5 BUSINESS ADDRESS (Unit/Room/Floor/Building/Street) ZIP CODE 6 7 TIN 8 CONTACT NO/S. 27. 9. Indicate the number of this page. 15. NOT FOR SALE . Employer/Business Address Zip code Tax identification Number Employer/Business Contact Number/s Pag-IBIG ID Number .list of employees. 22. Agency. Name of Employees . No. 40. For employer with branch offices. the employer shall only be mandated to contribute up to P100.indicate status of employees (new employee. 20. c. (for private Employers) AGENCY/BRANCH/DIVISION CODE (for government Employers) EMPLOYER/BUSINESS NAME (Per SEC Registration. 25. 17. THIS FORM CAN BE REPRODUCED. 30. 14 Indicate the amount of employee contributions under column 12 . 8.00 More than P1. etc. Indicate the grand total of employee. 1. 5. 6. Do not round off nor drop centavos. on-leave. 35. if private Employers. REMARKS . 14.indicate. 10. 28. 12.00 1% 2% 2% 2% 3% 4% 9 10 MEMBERSHIP CONTRIBUTIONS REMITTANCE FORM (MCRF) 11 12 9 PERIOD COVERED (month year) Employer’s Pag-IBIG ID No. 23. Employer/Business Name Employer SSS ID No. 38. 11. 11 Middle Name EMPLOYEE 12 EMPLOYER 13 TOTAL 14 REMARKS 10 15 15 16 17 18 19 20 21 16 Total No. Indicate the total number of employees listed if this is the last page of the listing. 2. Non-payment of contributions shall subject the employer to a three percent (3%) penalty per month of the amount payable from the date the contributions fall due until paid (Sec.assigned Employer’s Pag-IBIG ID Number. if government Employers.indicate. 19.000. Branch and Division Code .500. employer and total amount of employee-employer contributions if this is the last page.00. Prepare this form in two (2) copies every end of each calendar month when making remittances to Pag-IBIG Fund or to any collecting agent. 22 of PD 1752). A member may be allowed to contribute more than what is required. d.indicate employees’ assigned Pag-IBIG ID Number. ER Share TOTAL 5 6 7 8 FPF060 Up to P1. Indicate the total amount of employee.the applicable month and year of membership contributions to be remitted Employer’s Pag-IBIG ID Number . b. 13. 24. please prepare separate Membership Contributions Remittance Form (MCRF) for each branch indicating therein their respective addresses. e. Please type or print all entries. of Employees on this page Last Name NAME OF EMPLOYEES First Name Name Extension Jr. 1 2 EMPLOYER SSS NO. Indicate the number of employees listed in this page. 32.00.500.

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