Ateneo de Manila University

Office of Human Resource Management and Organization Development

MANDATORY FORMS CHECKLIST

To be accomplished by New and Re-employed Part-Time Employees

Reminders:
1. This form is necessary when claiming Philhealth and Pag-Ibig benefits.
2. There is no need to resubmit PhilHealth and Pag-Ibig Forms if you have continuous employment with ADMU.
3. Make sure to update the form every time there is a change in your employment status and/or personal information.

Kindly check the box applicable to your employment status.

1. With Full-Time employment at other school/company

Home Development Mutual Fund (HDMF) / PAG-IBIG Number: _______________________________
Philhealth Number: _______________________________

2. With Part-Time employment aside from ADMU and claiming Philhealth and HDMF benefits through
other school/company
Home Development Mutual Fund (HDMF) /PAG-IBIG Number: ________________________________
Philhealth Number: ________________________________

3. With or without Part-Time employment at other school/company and would want to claim Philhealth and
HDMF benefits through ADMU:

Please fill out and submit the following forms:

a. Philhealth Member Registration Form (PMRF revised, October 2013)
b. HDMF (PAG-IBIG) Online Form

Steps for Pag-Ibig Online Registration:

1. Go to https://www.pagibigfundservices.com/PubReg/Starter_Page.aspx
2. If New Member, click on "Register New Member"
If Existing Member, click on the appropriate option using:
Registration Tracking Number/temporary ID Number or Pag-ibig MID Number (thru HDMF transaction
card)
3. Fill out the necessary details on the form. (Please indicate ADMU as your employer).
Please make sure to complete all information needed. Otherwise, the registration will not proceed.
4. After accomplishing the form, click on "Submit" button. Then, print the Registration Page with the
corresponding tracking number.
5. Sign the Registration Form and submit to OHRMOD.

Name: ________________________________
Signature: ________________________________
Department: ________________________________
Date: ________________________________