Pag-IBIG EMPLOYER'S ID NUMBER

MEMBER SAVINGS
REMITTANCE FORM (MSRF)
NOTE: PLEASE READ INSTRUCTIONS AT THE BACK.
EMPLOYER/BUSINESS NAME
STRIKE DOWN SECURITY SERVICES INC.

EMPLOYER/BUSINESS ADDRESS
Unit/Room No., Floor Building Name Lot No., Block No., Phase No., House No. Street Name
2ND FLOOR NEGROS CMC BUILDING PUROK SABES CIRCUMFERENCIAL ROAD

Subdivision Barangay Municipality/City Province/State/Country (if abroad) ZIP Code

VILLAMONTE BACOLOD C NEGROS OCCIDENTAL 6100

NAME OF MEMBERS MEMBERSHIP SAVINGS

MEMBE PERIOD
Last Name First Name Name Middle name MONTHLY
RSHIP COVERED COMPENSATION
Extensio EE SHARE
ACCOU PROGR
Pag-IBIG MID NO. n(Jr,III,et
NT NO. AM
c.)
121177918197 ABAGON JOEL MINGHAY 7/1/19 100
121172588820 ABELLAR HARVEY COLENTAVA 7/1/19 100
105001696580 ACIDO ROBERT JAUGAN 7/1/19 100
121181925245 ALAMBRO RONALD ARROZ 7/1/19 100
159000790982 ALMOJERO JALANDRINO SUMANALI 7/1/19 100
159000831232 ALOB RICHARD PORSUELO 7/1/19 100
158000416082 ANDRADE OTHELLO MAHINAY 7/1/19 100
121116781503 ANTIOJO JEROME ELSISORA 7/1/19 100
121155580787 AQUE REYNALDO BATUHAN 7/1/19 100
121077396218 AQUINO EDGAR KATIPUNAN 7/1/19 100
121219109492 AQUINO JOHN LESTER ONALE 7/1/19 100
121056487675 ARCEDES ROMEO OSANO 7/1/19 100
121162723436 ARIGUIN KENNETH JOHN PRINO 7/1/19 100
121141213941 ARROYO RONEL ROQUERO 7/1/19 100
159000797617 ARTICULO NOE CASTILLO 7/1/19 100
121028413698 ATER JUANITO ORTIZ 7/1/19 100
159000161018 ATIBAGOS SUNDAY TAMAYO 7/1/19 100
916259270225 BALASAN ROY DIAMANTE 7/1/19 100
917141330615 BALLENTE ROY PHILBERT SUBARITA 7/1/19 100
108000079808 BARGOLA JOSE PEPITO CABASAN 7/1/19 100
121066649576 BARROS JENECEL CANONEO 7/1/19 100
121181984905 BAUTISTA WILMAR MORANTE 7/1/19 100
121133065559 BAYLES JEFFREY GAVILE 7/1/19 100
121192614917 BAYLOSIS AGOSTO JEROTA 7/1/19 100
121181985495 BAYOTAS PAUL JAMES MAGBIRAY 7/1/19 100
TOTAL FOR THIS PAGE 2500
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 and
correct to the best of my knowledge and belief. I further certify that my signature appearing herein is genuine

and authentic.

CHERYL A. FLORES FINANCE SUPERVISOR

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

THIS FORM MAY BE REPRODUCED. NOT FOR SALE.

 HQP-PFF-053
IBIG EMPLOYER'S ID NUMBER
204879900007

L ROAD

MEMBERSHIP SAVINGS
REMARKS
ER SHARE TOTAL

100 200
100 200
100 200
100 200
100 200
100 200
100 200
100 200
100 200
100 200
100 200
100 200
100 200
100 200
100 200
100 200
100 200
100 200
100 200
100 200
100 200
100 200
100 200
100 200
100 200
2500 5000

ue and
nuine

DATE

(V03, 10/2016)
 HQP-PFF-053
Pag-IBIG EMPLOYER'S ID NUMBER
204879900007
MEMBER SAVINGS
REMITTANCE FORM (MSRF)
NOTE: PLEASE READ INSTRUCTIONS AT THE BACK.
EMPLOYER/BUSINESS NAME
STRIKE DOWN SECURITY SERVICES INC.
EMPLOYER/BUSINESS ADDRESS
ame Lot No., Block No., Phase No., House No. Street Name
2ND FLOOR NEGROS CMC BUILDING PUROK SABES CIRCUMFERENCIAL ROAD
City Province/State/Country (if abroad) ZIP Code
VILLAMONTE BACOLOD CITY NEGROS OCCIDENTAL 6100

NAME OF MEMBERS MEMBERSHIP SAVINGS

Last Name First Name Name Middle name PERIOD MONTHLY
Extension COVERED COMPENSATION REMARKS
(Jr,III,etc. EE SHARE ER SHARE TOTAL
MEMBERSHIP )
Pag-IBIG MID NO. ACCOUNT NO. PROGRAM

121077058392 BEATINGO JOSE JOEL BUENDIA 7/1/19 100 100 200

121186613876 BEBING JULIUS ALDEA 7/1/19 100 100 200
60226598902 BEDRIO PHILIP SATQIETO 7/1/19 100 100 200
121177273064 BENIGAY JULITO JR JABONI 7/1/19 100 100 200
BENSRTO REGIE LIBRADO 7/1/19 100 100 200
BERDANDINO JAN MARK VASQUEZ 7/1/19 100 100 200
121077292489 BINTAD JUNMAR CANTERE 7/1/19 100 100 200
121103109078 BLANCO ADELFA DULLENO 7/1/19 100 100 200
121032675646 BLANCO RECO FRANCO 7/1/19 100 100 200
121072335715 BOCOBO JESUS JR ELICANAL 7/1/19 100 100 200
121181997304 BOCOBO LESTER JOHN ENCABO 7/1/19 100 100 200
109001441397 BORROMEO ARMANDO OLARTE 7/1/19 100 100 200
121181900980 CABAHUG ERIC DE ASIS 7/1/19 100 100 200
CANTONG RAMER BRILLANTES 7/1/19 100 100 200
121225669823 CANTONG RODELIO SR BRILLANTES 7/1/19 100 100 200
121077043750 CASABUENA ISMAEL GALVE 7/1/19 100 100 200
121229216342 CATUNAO CHARLIE SEQUINA 7/1/19 100 100 200
121195141809 CANON MARK LEO PONTOY 7/1/19 100 100 200
121214035434 CHAVEZ DAMASO JR GARINA 7/1/19 100 100 200
121194677764 CHAVEZ EMANUEL GARINA 7/1/19 100 100 200
913324076684 COMAWAS MARIBEL BAHIBAG 7/1/19 100 100 200
121009767334 CORTEZ ALBERN BUSTAMANTE 7/1/19 100 100 200
121037911573 CUBOS ALEXANDER ARGOSENES 7/1/19 100 100 200
CUYAS SERGIO JR JUADIONG 7/1/19 100 100 200
DAGUHOY RUDERICK DIONSON 7/1/19 100 100 200
TOTAL FOR THIS PAGE 2500 2500 5000
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 and
correct to the best of my knowledge and belief. I further certify that my signature appearing herein is genuine
and authentic.
CHERYL A. FLORES FINANCE SUPERVISOR
HEAD OF OFFICE OR AUTHORIZED REPRESENTATIVE DESIGNATION/POSTION DATE
(Signature Over Printed Name)

THIS FORM MAY BE REPRODUCED. NOT FOR SALE.

(V03, 10/2016)
 HQP-PFF-053
Pag-IBIG EMPLOYER'S ID NUMBER
204879900007
MEMBER SAVINGS
REMITTANCE FORM (MSRF)
NOTE: PLEASE READ INSTRUCTIONS AT THE BACK.
EMPLOYER/BUSINESS NAME
STRIKE DOWN SECURITY SERVICES INC.
EMPLOYER/BUSINESS ADDRESS
Unit/Room No., Floor Building Name Lot No., Block No., Phase No., House No. Street Name
2ND FLOOR NEGROS CMC BUILDING PUROK SABES CIRCUMFERENCIAL ROAD
Subdivision Barangay Municipality/City Province/State/Country (if abroad) ZIP Code
VILLAMONTE BACOLOD CITY NEGROS OCCIDENTAL 6100

NAME OF MEMBERS MEMBERSHIP SAVINGS

Last Name First Name Name Middle name MONTHLY
PERIOD
MEMBE Extensi COVERED
COMPENSAT REMARKS
RSHIP ION EE SHARE ER SHARE TOTAL
on(Jr,III,
ACCOUNT PROGR etc.)
Pag-IBIG MID NO. NO. AM

121159037471 DELA CRUZ RUEL PADRONIA 7/1/19 100 100 200

DELA REAL JEGS SERNAL 7/1/19 100 100 200
11000001446 DE LOS SANTOSJOHN RHEN EVANGELISTA 7/1/19 100 100 200
108002511509 DEGUERA ROBERTO TABO-TABO 7/1/19 100 100 200
DEL ROSARIO ARCHIE DELOS REYES 7/1/19 100 100 200
DEL ROSARIO TON-TON DELOS REYES 7/1/19 100 100 200
DE LOS SANTOSJUVY SUPETRAN 7/1/19 100 100 200
121089677284 DILLA RODRIGO JR CANTONG 7/1/19 100 100 200
DILLA RONIL 7/1/19 100 100 200
917243900896 DIVINITO GILBERT MALATA 7/1/19 100 100 200
121191285551 DOMINGUEZ JOEMARIE SR EBARDOLAZA 7/1/19 100 100 200
916209132349 DOREMDEZ GLICERIO JR JAVA 7/1/19 100 100 200
917081423069 DOROG LEO JEMOLA 7/1/19 100 100 200
121181985138 DOROMAL JOSE MARIO ESTREBOR 7/1/19 100 100 200
121181588564 DUASO RENE BOY GARIG 7/1/19 100 100 200
121119605489 DUQUEZA ARTHUR MANSEBA 7/1/19 100 100 200
DURENDEZ RENEL SALBIBIA 7/1/19 100 100 200
121199979619 ERISPE ROLANDO ROBLES 7/1/19 100 100 200
121181603349 ESLLAMADO NICOLAS JR EGUALAN 7/1/19 100 100 200
164001050944 ESMERALDA GENESIS JARENO 7/1/19 100 100 200
121181174649 ESPINOSA JARGIE CAJURAO 7/1/19 100 100 200
121181604761 ESTILLO WILLY DIMO 7/1/19 100 100 200
121166611992 FELICISIMO FRITZ BISONAYA 7/1/19 100 100 200
FERIA JOEVER MARK SANARES 7/1/19 100 100 200
121111224179 FERNANDEZ MERFEL DUMON 7/1/19 100 100 200
TOTAL FOR THIS PAGE 2500 2500 5000
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 and
correct to the best of my knowledge and belief. I further certify that my signature appearing herein is genuine
and authentic.
CHERYL A. FLORES FINANCE SUPERVISOR
HEAD OF OFFICE OR AUTHORIZED REPRESENTATIVE DESIGNATION/POSTION DATE
(Signature Over Printed Name)

THIS FORM MAY BE REPRODUCED. NOT FOR SALE.

(V03, 10/2016)
 HQP-PFF-053
Pag-IBIG EMPLOYER'S ID NUMBER
204879900007
MEMBER SAVINGS
REMITTANCE FORM (MSRF)
NOTE: PLEASE READ INSTRUCTIONS AT THE BACK.
EMPLOYER/BUSINESS NAME
STRIKE DOWN SECURITY SERVICES INC.
EMPLOYER/BUSINESS ADDRESS
Unit/Room No., Floor Building Name Lot No., Block No., Phase No., House No. Street Name
2ND FLOOR NEGROS CMC BUILDING PUROK SABES CIRCUMFERENCIAL ROAD
Subdivision Barangay Municipality/City Province/State/Country (if abroad) ZIP Code
VILLAMONTE BACOLOD CITY NEGROS OCCIDENTAL 6100

NAME OF MEMBERS MEMBERSHIP SAVINGS

Last Name First Name Name Middle name MONTHLY
PERIOD
Extension COVERED
COMPENSAT REMARKS
ION EE SHARE ER SHARE TOTAL
(Jr,III,etc.)
ACCOUNT MEMBERSHIP
Pag-IBIG MID NO. NO. PROGRAM

121084535904 FICA ALJON MIOT 7/1/19 100 100 200

121041390640 FLORES BARTOLOME PAGUNTALAN 7/1/19 100 100 200
FLORES DANILO PAGUNTALAN 7/1/19 100 100 200
121041465250 FLORES EDGEL LABAOSAS 7/1/19 100 100 200
121104504878 FLORES CHERYL APELO 7/1/19 100 100 200
107002413439 FRIAS FERNANDO TANDOC 7/1/19 100 100 200
121149120379 FUENTES JAY- R SUELAN 7/1/19 100 100 200
GABUELO LEONARD CASTROVERDE 7/1/19 100 100 200
121162154324 GANZA JOSUE ESPINOSA 7/1/19 100 100 200
121145955381 GARNADO JANMAR PIO 7/1/19 100 100 200
121161185787 GELACIO RONEL BOSIL 7/1/19 100 100 200
102003420695 GELLANG DIONISIO DE JUAN 7/1/19 100 100 200
121137049628 GONZAGA REYNALD BUNDA 7/1/19 100 100 200
121195449695 GREGORIO JOSEPHINE PAMELA SARROSA 7/1/19 100 100 200
121158672049 GUALINGCO MICHAEL LAGUNERO 7/1/19 100 100 200
GUTANA LIENELE CASARMEL 7/1/19 100 100 200
121110788940 HERNAEZ RICKY DE LOS SANTOS 7/1/19 100 100 200
121040225502 HIPONIA HERRIC GAMILLA 7/1/19 100 100 200
121195439012 IGBACOL ARIEL DE LA CRUZ 7/1/19 100 100 200
121043853790 ITALIA CHRISTOPHER DELA SERNA 7/1/19 100 100 200
121054051212 JAPITANA RAYMOND BORAY 7/1/19 100 100 200
121174589530 JARENO AL DON PERNITO 7/1/19 100 100 200
121150889080 JAVA ARIEL CATADMAN 7/1/19 100 100 200
917081460504 JESENA MARIA ANGELICA SARROSA 7/1/19 100 100 200
121181008370 JIMENEZ ROLLY CARMONA 7/1/19 100 100 200
TOTAL FOR THIS PAGE 2500 2500 5000
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 and
correct to the best of my knowledge and belief. I further certify that my signature appearing herein is genuine
and authentic.
CHERYL A. FLORES FINANCE SUPERVISOR
HEAD OF OFFICE OR AUTHORIZED REPRESENTATIVE DESIGNATION/POSTION DATE
(Signature Over Printed Name)

THIS FORM MAY BE REPRODUCED. NOT FOR SALE.

 HQP-PFF-053
Pag-IBIG EMPLOYER'S ID NUMBER
204879900007
MEMBER SAVINGS
REMITTANCE FORM (MSRF)
NOTE: PLEASE READ INSTRUCTIONS AT THE BACK.
EMPLOYER/BUSINESS NAME
STRIKE DOWN SECURITY SERVICES INC.
EMPLOYER/BUSINESS ADDRESS
Unit/Room No., Floor Building Name Lot No., Block No., Phase No., House No. Street Name
2ND FLOOR NEGROS CMC BUILDING PUROK SABES CIRCUMFERENCIAL ROAD
Subdivision Barangay Municipality/City Province/State/Country (if abroad) ZIP Code
VILLAMONTE BACOLOD CITY NEGROS OCCIDENTAL 6100

NAME OF MEMBERS MEMBERSHIP SAVINGS

MONTHLY
PERIOD
Last Name First Name Name Middle name
COVERED
COMPENSATI REMARKS
Extension(Jr, ON EE SHARE ER SHARE TOTAL
ACCOUNT MEMBERSHI
Pag-IBIG MID NO. NO. P PROGRAM III,etc.)

JOAQUIN KEN ARELLANO 7/1/19 100 100 200

917150443860 LAGUNA JOHNNY LEDESMA 7/1/19 100 100 200
121047558067 LARU-AN RONALD BEARNEZA 7/1/19 100 100 200
1031250207 LATAQUIN WERLITO ATANOSO 7/1/19 100 100 200
LAYAN PABLITO JR ESTILLO 7/1/19 100 100 200
121077302444 MACABANE ARNOLD ALBERTO 7/1/19 100 100 200
MAGQUILAT CARLOS FLORES 7/1/19 100 100 200
MAHINAY ARGEL CATUNAO 7/1/19 100 100 200
121131707475 MAHINAY CHARLIE ANUEVA 7/1/19 100 100 200
MAHINAY RICARDO JR GUTIERREZ 7/1/19 100 100 200
121023367703 MANALO JOSEPH ESTIOLA 7/1/19 100 100 200
MAQUILING RENAN DALOGDOG 7/1/19 100 100 200
121107327010 MARCILLANA RYAN VILLANUEVA 7/1/19 100 100 200
121181620247 MARGAHA JOHNCY ALVAREZ 7/1/19 100 100 200
104001314778 MANAPAO JUN MAGBANUA 7/1/19 100 100 200
MEJORADA RODRIGO JR BABELA 7/1/19 100 100 200
121106028149 MELLIZO FROILAN REY GRANDE 7/1/19 100 100 200
MIGUEL REYNALDO JR MAHINAY 7/1/19 100 100 200
MIRA MARJON PAHILANGA 7/1/19 100 100 200
121191863122 MIRASOL JERRY JALBUENA 7/1/19 100 100 200
MIRASOL AUBREY JANE QUITCHON 7/1/19 100 100 200
121116121114 MORALEJA FRITZ SALDE 7/1/19 100 100 200
121179168466 MOSQUERA ANTONIO JR PINEDA 7/1/19 100 100 200
NAVARRA EDUARDO EDUBOS 7/1/19 100 100 200
121143426253 NERIO MARTIN DIZON 7/1/19 100 100 200
TOTAL FOR THIS PAGE 2500 2500 5000
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 and
correct to the best of my knowledge and belief. I further certify that my signature appearing herein is genuine
and authentic.
CHERYL A. FLORES FINANCE SUPERVISOR
HEAD OF OFFICE OR AUTHORIZED REPRESENTATIVE DESIGNATION/POSTION DATE
(Signature Over Printed Name)

THIS FORM MAY BE REPRODUCED. NOT FOR SALE.

 HQP-PFF-053
Pag-IBIG EMPLOYER'S ID NUMBER
204879900007
MEMBER SAVINGS
REMITTANCE FORM (MSRF)
NOTE: PLEASE READ INSTRUCTIONS AT THE BACK.
EMPLOYER/BUSINESS NAME
STRIKE DOWN SECURITY SERVICES INC.
EMPLOYER/BUSINESS ADDRESS
Unit/Room No., Floor Building Name Lot No., Block No., Phase No., House No. Street Name
2ND FLOOR NEGROS CMC BUILDING PUROK SABES CIRCUMFERENCIAL ROAD
Subdivision Barangay Municipality/City Province/State/Country (if abroad) ZIP Code
VILLAMONTE BACOLOD CITY NEGROS OCCIDENTAL 6100

NAME OF MEMBERS MEMBERSHIP SAVINGS

MONTHLY
PERIOD
MEMBERS Last Name First Name Name Middle name
COVERED
COMPENSA
EE
REMARKS
ACCOUNT HIP Extension(J TION ER SHARE TOTAL
r,III,etc.) SHARE
Pag-IBIG MID NO. NO. PROGRAM

121205087369 OLMEDO AIRIES DAVE ANDRADE 7/1/19 100 100 200

121181700466 ORBISTA DANTE BASTIAN 7/1/19 100 100 200
121200020226 ORPIO MICHAEL IGBACOL 7/1/19 100 100 200
121050794227 ORTINEZ JOENEL EREN 7/1/19 100 100 200
121076853618 OSORIO JOEMAR HOFELINA 7/1/19 100 100 200
121182283910 OTIS ALLAN CUEVAS 7/1/19 100 100 200
121080092827 PABULAYAN CRISTOMAR TOGONON 7/1/19 100 100 200
PACUNLA ERIC SILVA 7/1/19 100 100 200
917253842169 PAHILONA ABILARDO JAVIER 7/1/19 100 100 200
121221843138 PALACIOS NOEL VERONA 7/1/19 100 100 200
911292008704 PANES JOHN ABENTAJADO 7/1/19 100 100 200
108002511978 PAPARON JOEY CONCHA 7/1/19 100 100 200
916224196136 PATRIMONIO SANDY SONICO 7/1/19 100 100 200
121181259239 PEDROSO JERARD VONN ACCULADOR 7/1/19 100 100 200
121253365831 PELARCA JOEVEN DIVINAGRACIA 7/1/19 100 100 200
PEREZ RAMIL ALEJO 7/1/19 100 100 200
121166959351 PERINAL ARVIN DIETA 7/1/19 100 100 200
PENAREDONDO CHRISTIAN CATUNAO 7/1/19 100 100 200
159000788771 PILLO ISIDRO VILLARUEL 7/1/19 100 100 200
121032657927 PISO MICAHEL JOHN ENCABO 7/1/19 100 100 200
121019630110 POLINES RAMER DE LA CRUZ 7/1/19 100 100 200
916258093134 PONTINO JEMER DELICANA 7/1/19 100 100 200
PRINO JOEVAL CASTRO 7/1/19 100 100 200
121198123636 RAMIREZ ROMY BALLARA 7/1/19 100 100 200
121051152000 RAPISTA NELSON CADETA 7/1/19 100 100 200
TOTAL FOR THIS PAGE 2500 2500 5000
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 and
correct to the best of my knowledge and belief. I further certify that my signature appearing herein is genuine
and authentic.
CHERYL A. FLORES FINANCE SUPERVISOR
HEAD OF OFFICE OR AUTHORIZED REPRESENTATIVE DESIGNATION/POSTION DATE
(Signature Over Printed Name)

THIS FORM MAY BE REPRODUCED. NOT FOR SALE.

 HQP-PFF-053
Pag-IBIG EMPLOYER'S ID NUMBER
204879900007
MEMBER SAVINGS
REMITTANCE FORM (MSRF)
NOTE: PLEASE READ INSTRUCTIONS AT THE BACK.
EMPLOYER/BUSINESS NAME
STRIKE DOWN SECURITY SERVICES INC.
EMPLOYER/BUSINESS ADDRESS
Unit/Room No., Floor Building Name Lot No., Block No., Phase No., House No. Street Name
2ND FLOOR NEGROS CMC BUILDING PUROK SABES CIRCUMFERENCIAL ROAD
Subdivision Barangay Municipality/City Province/State/Country (if abroad) ZIP Code
VILLAMONTE BACOLOD CITY NEGROS OCCIDENTAL 6100

NAME OF MEMBERS MEMBERSHIP SAVINGS

Last Name First Name Name Middle name MONTHLY
Extens PERIOD
MEMBER ion(Jr,I COVERED
COMPENS REMARKS
ATION EE SHARE ER SHARE TOTAL
SHIP II,etc.)
ACCOUNT PROGRA
Pag-IBIG MID NO. NO. M

121181652965 REMADA RONALD PAPARON 7/1/19 100 100 200

121106889153 REMEGIO JOHN MARK AMPARADO 7/1/19 100 100 200
121032242936 RIVERA MARLON COTCHOCO 7/1/19 100 100 200
121199995705 ROMERO MICHAEL GOMEZ 7/1/19 100 100 200
121181857838 ROSAL RUBEN SUANICO 7/1/19 100 100 200
121182803275 RUFO MARJOHN SAAN 7/1/19 100 100 200
121144536156 SALCEDO ARNALDO JR ABRISE 7/1/19 100 100 200
SALCEDO CLINT ROY ABRISE 7/1/19 100 100 200
SALVANI JOEMARIE JR BEDANIO 7/1/19 100 100 200
121155839656 SAMANON MICHAEL CONADERA 7/1/19 100 100 200
917806791984 SAMILLANO NOVER MORADA 7/1/19 100 100 200
159000757286 SANARES WARREN GARCIA 7/1/19 100 100 200
SARROSA ERNA LIMBAGA 7/1/19 100 100 200
121213334505 SARROSA AIAN DUMINA 7/1/19 100 100 200
101003491410 SAYSON ELIAS AREGLADO 7/1/19 100 100 200
121070697954 SEBALLOS RICHARD ELALTO 7/1/19 100 100 200
121150065078 SEQUITO ROLANDO ETCHON 7/1/19 100 100 200
121147887406 SOQUINA RODOLFO JR MUDANZA 7/1/19 100 100 200
121037653788 SULIT RONALD QUERUBIN 7/1/19 100 100 200
TAMAYO JOEMARIE BALLENER 7/1/19 100 100 200
121192458920 TANIO PATRICK JR PEREZ 7/1/19 100 100 200
121044234375 TANOCO RICHARD NAVAJA 7/1/19 100 100 200
121181033515 TAPARAN REGIE PALOMAR 7/1/19 100 100 200
158000346755 TARROSA PETER JAMERO 7/1/19 100 100 200
121195492525 TERUEL JEREN ABUTAL 7/1/19 100 100 200
TOTAL FOR THIS PAGE 2500 2500 5000
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 and
correct to the best of my knowledge and belief. I further certify that my signature appearing herein is genuine
and authentic.
CHERYL A. FLORES FINANCE SUPERVISOR
HEAD OF OFFICE OR AUTHORIZED REPRESENTATIVE DESIGNATION/POSTION DATE
(Signature Over Printed Name)

THIS FORM MAY BE REPRODUCED. NOT FOR SALE.

 HQP-PFF-053
Pag-IBIG EMPLOYER'S ID NUMBER

MEMBER SAVINGS
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. Street Name

Subdivision Barangay Municipality/City Province/State/Country (if abroad) ZIP Code

NAME OF MEMBERS MEMBERSHIP SAVINGS

PERIOD MONTHLY
Last Name First Name Name Middle name
COVERED COMPENSATION REMARKS
MEMBERSHIP Extension(Jr,III,e EE SHARE ER SHARE TOTAL
Pag-IBIG MID NO. ACCOUNT NO. PROGRAM tc.)

TOTAL FOR THIS PAGE 0 0 0

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 and
correct to the best of my knowledge and belief. I further certify that my signature appearing herein is genuine
and authentic.
CHERYL A. FLORES FINANCE SUPERVISOR
HEAD OF OFFICE OR AUTHORIZED REPRESENTATIVE DESIGNATION/POSTION DATE
(Signature Over Printed Name)

THIS FORM MAY BE REPRODUCED. NOT FOR SALE.

(V03, 10/2016)