Professional Documents
Culture Documents
HQP-PFF-226
(V03, 09/2019)
LAST NAME FIRST NAME NAME EXTENSION MIDDLE NAME NO MIDDLE NAME Pag-IBIG MID No.
GONZALES ALEXIS LOUISSE BONIFACIO 1212 1744 2613
PRESENT HOME ADDRESS Unit/Room No., Floor Building Name Lot No., Block No., Phase No. House No. Street Name DATE OF BIRTH
4 13 July 25, 1998
Subdivision Barangay Municipality/City Province/State/Country (if abroad) ZIP Code CONTACT DETAILS
PARKPLACE VILLAGE 1D IMUS CAVITE , PHILIPPINES 4103 COUNTRY+AREA CODE TELEPHONE NO.
Home
EMPLOYER/BUSINESS NAME (If applicable)
- -
ASIAN INSTITUTE OF MANAGEMENT
Cell Phone Number
EMPLOYER/BUSINESS ADDRESS Unit/Room No., Floor Building Name Lot No., Block No., Phase No. House No. Street Name
- -
123 PASEO DE ROXAS
Email Address
Subdivision Barangay Municipality/City Province/State/Country (if abroad) ZIP Code
lexigonzales.og@gmail.com
MAKATI CITY , PHILIPPINES 1226
SOURCE OF FUNDS PREFERRED DIVIDEND PAYOUT
EMPLOYMENT INCOME LOAN MATURITY/SURRENDER OF LIFE POLICY ANNUALLY
SAVINGS/DEPOSITS COMPANY SALE OTHER INCOME SOURCES
FIVE-YEAR (END TERM)
PROPERTY SALE COMPANY PROFITS/DIVIDENDS
SALE OF SHARE OR OTHER INVESTMENT GIFT
FOR LOCALLY-EMPLOYED MEMBERS
MODE OF PAYMENT
AUTHORITY TO DEDUCT (Op onal)
THIS IS TO AUTHORIZE MY PRESENT AND FUTURE EMPLOYER TO DEDUCT MY MP2 MONTHLY SAVINGS IN THE SALARY DEDUCTION
AMOUNT OF ONE THOUSAND PESOS (₱1000.00 ) FROM MY SALARY AND REMIT THE SAME TO Pag-IBIG FUND.
(For locally-employed members)
OVER-THE-COUNTER (OTC)
(at any Pag-IBIG Fund Branch)
___________________________________________________________ ________________________________________
SIGNATURE OVER PRINTED NAME DATE
https://www.pagibigfundservices.com/MP2Enrollment/Members/Print_MP2.aspx 1/1