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)

4. b.. Name of Employees . III. CONTRIBUTIONS Pag-IBIG ID No. 20.the applicable month and year of membership contributions to be remitted Employer’s Pag-IBIG ID Number . Employer/Business Address Zip code Tax identification Number Employer/Business Contact Number/s Pag-IBIG ID Number . 15. d. 13. 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. 14. 29. Branch and Division Code . if government Employers. of Employees on this page Last Name NAME OF EMPLOYEES First Name Name Extension Jr. 11 Middle Name EMPLOYEE 12 EMPLOYER 13 TOTAL 14 REMARKS 10 15 15 16 17 18 19 20 21 16 Total No.indicate status of employees (new employee. Please type or print all entries. 33. 7. 8.indicate employees’ assigned Pag-IBIG ID Number.000. 9. 25.00. Agency. 17. Indicate the number of employees listed in this page. 21. etc.indicate. 28. please prepare separate Membership Contributions Remittance Form (MCRF) for each branch indicating therein their respective addresses.500.00 More than P1. 31. 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. employer and total amount of employee-employer contributions if this is the last page. 5. on-leave. A member may be allowed to contribute more than what is required.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. resigned. 40. e. if private Employers.indicate.assigned Employer’s Pag-IBIG ID Number.list of employees.. 14 Indicate the amount of employee contributions under column 12 . 38. 10. No. RATE OF MEMBERSHIP CONTRIBUTIONS (MC) MONTHLY COMPENSATION (BASIC + COLA) EE Share 1 2 3 4 Period Covered . 26. 27. Indicate the total number of employees listed if this is the last page of the listing. Do not round off nor drop centavos. 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.). 24. c.00. retired. and the total amount of employee and employer contributions under column 14. 22 of PD 1752). 35. etc. Indicate the total amount of employee. if private) 3 4 5 BUSINESS ADDRESS (Unit/Room/Floor/Building/Street) ZIP CODE 6 7 TIN 8 CONTACT NO/S. 22. 19. (for private Employers) AGENCY/BRANCH/DIVISION CODE (for government Employers) EMPLOYER/BUSINESS NAME (Per SEC Registration. 3. 12. 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. 32. REMARKS . 30. Indicate the grand total of employee. 6. 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. however. For employer with branch offices. the employer shall only be mandated to contribute up to P100. 39. 18. 37. 1 2 EMPLOYER SSS NO. 1. NO. Employer/Business Name Employer SSS ID No. 16. 23. the total amount of employer contributions under column 13 . 2. Indicate the number of this page. NOT FOR SALE . unless the employer agrees to match the employee’s upgraded contribution. THIS FORM CAN BE REPRODUCED. ER Share TOTAL 5 6 7 8 FPF060 Up to P1. Indicate the total number of pages of this listing.500. 34.HOW TO ACCOMPLISH THIS FORM a. employer and total amount of employee-employer contributions for this page. 11.

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