HQP-ITF-032

(V03, 04/2017)
PAYMENT INSTRUCTION FORM (PIF)
CABANATUAN
______________________________
Pag-IBIG Servicing Branch

Employer ID Number : 208660410004

Payment Instruction Date : FEBRUARY 04, 2020
7200 35E2 4618
Payment Instruction Number

EMPLOYER NAME : MAGICAL LAYER FARM

ADDRESS AND CONTACT DETAILS

Unit/Room No., Floor Building Name Lot No., Block No. AREA CODE TELEPHONE NUMBER
Business (Direct Line)
Phase No. House No. Street Name
Business (Trunk Line) Local
Subdivision Barangay Municipality
Cell Phone
PUROK 5 FLORIDA MARIA AURORA
09988843084
Province Zip Code
Business Email Address
AURORA 3202 mgcllf12@gmail.com

PERIOD COVERED
TYPE OF PROGRAM AMOUNT DUE CLIENT PRINT VALIDATION
From To

MEMBER SAVINGS 02 - 2020 02 - 2020 560.00

TOTAL AMOUNT: 560.00

Prepared by: Approved by:

JOHN BRYAN ROLDAN SALAMANCA JOHN BRYAN ROLDAN SALAMANCA

OWNER
________________________________ FEBRUARY 04, 2020
____________ OWNER
________________________________ FEBRUARY 04, 2020
____________
Name and Designation Date Name and Designation Date

This form is valid within 30 days only. If payment to be made is beyond the reflected validity period, this form shall no longer be accepted by any accredited
collecting partners.

Employer ID Number 208660410004

Total Amount Due Php 560.00
PIN: 720035E24618
TO BE FILLED UP BY PAYOR
MAGICAL LAYER FARM Cash Payment
Check Payment
PUROK 5, FLORIDA, MARIA AURORA, AURORA, 3202
Check Number
Bank/ Branch