MEMBERSHIP SAVINGS Pag-IBIG

REMITTANCE FORM (MSRF)

NOTE: PLEASE READ INSTRUCTIONS AT THE BACK
EMPLOYER/BUSINESS NAME

EMPLOYER/BUSINESS ADDRESS
Unit/Room No., Floor Building Name Lot No., Block No., Phase No., House No.

Subdivision Barangay Municipality/City Province/State/Country (If Abroad)

NAME OF MEMBERS
ACCOUNT MEMBERSHIP PERIOD MONTHLY
Pag-IBIG MID NO. NO. PROGRAM Last Name First Name Name Extension (Jr., III,
etc.)
Middle Name COVERED COMPENSATION
TOTAL FOR THIS PAGE

GRAND TOTAL (if last page)

EMPLOYER CERTIFICATION
I hereby certify under pain of perjury that the information given and all statements made herein are true ang correct to the best of my know
appearing herein is genuine and authentic.

HEAD OF OFFICE OR AUTHORIZED REPRESENTATIVE DESIGNATION/POSITION

(Signature Over Printed Name)

THIS FORM MAY BE REPRODUCED. NOT FOR SALE.

 HQP-PFF-053

Pag-IBIG EMPLOYER'S ID NUMBER

Street Name

Zip Code

MEMBERSHIP SAVINGS

EE SHARE ER SHARE TOTAL REMARKS

 - - -

CERTIFICATION
de herein are true ang correct to the best of my knowlegde and belief. I further certify that my signature

DATE

(V03. 10/20/16)
 MEMBERSHIP SAVINGS Pag-IBIG

REMITTANCE FORM (MSRF) 20

NOTE: PLEASE READ INSTRUCTIONS AT THE BACK
EMPLOYER/BUSINESS NAME

KPV Garden Resort

EMPLOYER/BUSINESS ADDRESS
Unit/Room No., Floor Building Name Lot No., Block No., Phase No., House No.

Purok 9
Subdivision Barangay Municipality/City Province/State/Country (If Abroad)

Sta. Monica , San pablo City, Laguna

NAME OF MEMBERS
ACCOUNT MEMBERSHIP PERIOD MONTHLY
Pag-IBIG MID NO. NO. PROGRAM Last Name First Name Name Extension (Jr., III,
etc.)
Middle Name COVERED COMPENSATION

121056790744 Buedad Juanito Fule Apr-19 7,000.00

147000558381 Buedad Maribeth Capindo Apr-19 15,000.00

121173253702 Esquillo Ruby Serrato Apr-19 7,000.00

TOTAL FOR THIS PAGE

GRAND TOTAL (if last page)

EMPLOYER CERTIFICATION
I hereby certify under pain of perjury that the information given and all statements made herein are true ang correct to the best of my know
appearing herein is genuine and authentic.

MARIBETH C. BUEDAD Operations Manager

HEAD OF OFFICE OR AUTHORIZED REPRESENTATIVE DESIGNATION/POSITION
(Signature Over Printed Name)

THIS FORM MAY BE REPRODUCED. NOT FOR SALE.

 HQP-PFF-053

Pag-IBIG EMPLOYER'S ID NUMBER

206312690002

Street Name

Zip Code

MEMBERSHIP SAVINGS

EE SHARE ER SHARE TOTAL REMARKS

100.00 100.00 200.00

100.00 100.00 200.00

100.00 100.00 200.00

 300.00 300.00 600.00

CERTIFICATION
e herein are true ang correct to the best of my knowlegde and belief. I further certify that my signature

15-May-19
DATE

(V03. 10/20/16)