HQP-TMF-191

(V04, 12/2020)
Pag-IBIG Fund

PAYMENT INSTRUCTION FORM (PIF)

____(Pag-IBIG CALAPAN
Servicing Branch)____

Employer ID Number : 207627410008

Payment Instruction Date : May 24, 2022

7221 44E3 2E83

Payment Instruction Number (PIN)

EMPLOYER/BUSINESS NAME : MMKEG COMPUTER COPY CENTER

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
ATIENZA Business (Trunk Line) Local
Subdivision Barangay Municipality
Cell Phone Number
POBLACION BULALACAO (SAN PEDRO)
09305659228
Province Region Zip Code
Business Email Address
ORIENTAL MINDORO REGION 4-B (MIMAROPA) 5214 marvinpaz245@gmail.com

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

MEMBER SAVINGS 07 - 2022 12 - 2022 1,200.00

TOTAL AMOUNT 1,200.00

Prepared by: Date:

MIRIAM SANTIAGO PAZ
____ (Name and Designation)_____
OWNER 05/24/2022
__________________

REMINDERS:
1. This form is valid from ____(date)____ 06/22/2022
05/24/2022 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 207627410008

Total Amount Due Php 1,200.00
PIN: 722144E32E83 TO BE FILLED OUT BY THE PAYOR
MMKEG COMPUTER COPY CENTER Cash Payment
ATIENZA, POBLACION, BULALACAO (SAN PEDRO), ORIENTAL MINDORO,
5214 Check Payment
Check No.
Bank/Branch