o4)07/2019 Untitled Page ENROLLMENT FOR MODIFIED Pag-IBIG II (MP2) /MP2 ACCOUNT NO. INSTRUCTIONS 5191 8600 3681 Print and submit a copy ofthis form to your Employer tofacitate the salary deduction fo this account. Pag: 1G MID No. Date oF Birth Monthly income 1212 2473 7306 Aril27, 1998, 5000.00 Name TN. Home Tel No, ‘VELASQUEZ, MARCO MANANQUIL JR Present Home Address Mobile Phone No. Lot 106 Block 207 SAWALE STREET, CRISTO REY, CAPAS, TARLAC 2315 small Address: "TERMS AND CONDITIONS: 1, The Modifies Pag1816 i! memberships open to all Pag 1816 members only 2, Membership under this prograr shall be solely a savings Scheme. 3, Membership Term under this program shal be S years reckoned from éate of inital payment of contributions under this program. 4, The member shall be entitled to annual dividends to be credited to his/her account in accordance with HOME polices 5, The member shall be entitled to receive his/her total savings (TAV) upon maturity 6. Upon maturity, a member may opt to renew his/her Modified Pag IG I! membership for another five (5} years 7. Unless withdrawn or cenewed at maturity, the member shall be entitled to dividend rates subject tothe Fund's existing polices. 8. The member shall promptly natty HOMF in writing of any change in address and civil status and personally fil-out Change of Information form. | HEREBY AGREE TO BE GOVERNED BY THE FOREGOING TERMS AND CONDITIONS AND THAT MY SIGNATURE APPEARING HEREIN 1S GENUINE AND AUTHENTIC. SIGNATURE OVER PRINTED NAME Dare hitps lw pagibigfuneservices.comMP2EnrolmentiMembers/MP2/Print_MP2.aspx.