HQP-TMF-191

(V04, 12/2020)
Pag-IBIG Fund

PAYMENT INSTRUCTION FORM (PIF)

____(Pag-IBIGTACLOBAN
Servicing Branch)____

Employer ID Number : 207626030007

Payment Instruction Date : September 08, 2022

7222 51E5 F313

Payment Instruction Number (PIN)

EMPLOYER/BUSINESS NAME : ULDING'S HOTEL

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 Number
BARANGAY 78 (MARASBARAS) TACLOBAN CITY
09066985609
Province Region Zip Code
Business Email Address
LEYTE REGION 8 (EASTERN VISAYAS) 6500 uldingshotel78@gmail.com

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

MEMBER SAVINGS 08 - 2022 08 - 2022 3,000.00

TOTAL AMOUNT 3,000.00

Prepared by: Date:

ARNIDA MIJARES CECILIO
____ (Name and Designation)_____
BOOKKEEPER 09/08/2022
__________________

REMINDERS:
1. This form is valid from ____(date)____ 10/07/2022
09/08/2022 to ____(date)____. If payment to be made is beyond the reflected validity period, this form will not be accepted
by any accredited collecting partner/s.
2. Please remit MS/pay loan obligation on or before the due date to avoid incurring penalties.

Employer ID Number 207626030007

Total Amount Due Php 3,000.00
PIN: 722251E5F313 TO BE FILLED OUT BY THE PAYOR
ULDING'S HOTEL Cash Payment
BARANGAY 78 (MARASBARAS), TACLOBAN CITY, LEYTE, 6500
Check Payment
Check No.
Bank/Branch