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  • (Please Put A " ") : National Irrigation Administration

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    Joshua Sergio
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    The document is a request form from the National Irrigation Administration in Quezon City, Philippines. It requests the applicant's name, office, and reason for request which includes options like payslip copy, disbursement vouchers copy, Philhealth certification, GSIS loan confirmation or certification, loan stoppage or contribution addition for various programs, copy of income tax return form, or other reasons specified by the applicant. It provides contact information for the National Irrigation Administration.

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    The document is a request form from the National Irrigation Administration in Quezon City, Philippines. It requests the applicant's name, office, and reason for request which includes options like payslip copy, disbursement vouchers copy, Philhealth certification, GSIS loan confirmation or certification, loan stoppage or contribution addition for various programs, copy of income tax return form, or other reasons specified by the applicant. It provides contact information for the National Irrigation Administration.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    11 views1 page

    (Please Put A " ") : National Irrigation Administration

    Uploaded by

    Joshua Sergio
    The document is a request form from the National Irrigation Administration in Quezon City, Philippines. It requests the applicant's name, office, and reason for request which includes options like payslip copy, disbursement vouchers copy, Philhealth certification, GSIS loan confirmation or certification, loan stoppage or contribution addition for various programs, copy of income tax return form, or other reasons specified by the applicant. It provides contact information for the National Irrigation Administration.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Republic of the Philippines

    National Irrigation Administration


    Quezon City

    Request Form

    Name: __________________________________
    Office: __________________________________

    Good day, I would like to request for:


    (Please put a “” )

    __ Payslip copy
    __ Copy of Disbursement Vouchers
    __ Philhealth Certification
    __ GSIS Loan Confirmation __ GSIS Loan Certification
    __ Loan (temporary stoppage) /__Contribution (addition)
    ______ EWPI ______ NIAEASP
    ______NIACOOP ______ NIASLA
    ______NIAEASP ______ NIAVKBCI
    ______GSIS ______ PAGIBIG
    __ Copy of BIR form 2316 (Income Tax Return)
    __ Others (pls specify): _____________

    National Government Center, EDSA, Diliman, Quezon City, Philippines


    Trunk line Nos.: (02) 8 929 6071 to 78 • Telefax No.: (02) 8 928 9343
    Website: www.nia.gov.ph • Facebook: www.facebook.com/nia.gov.ph
    TIN: 000916415

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