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  • PFF369 RequestSlip V02

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    Callia Dominique
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    Charlene Divinagracia has submitted a request slip to Pag-IBIG Fund to obtain member documents. She is requesting a Member's Statement of Accumulated Value and Certificate of No Short-Term Loan Availment for herself. The request slip must be submitted along with a photocopy of a valid ID to any Pag-IBIG branch. Released documents will go to the member or authorized representative with proper authorization and identification.

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    Original Title

    PFF369_RequestSlip_V02

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    Charlene Divinagracia has submitted a request slip to Pag-IBIG Fund to obtain member documents. She is requesting a Member's Statement of Accumulated Value and Certificate of No Short-Term Loan Availment for herself. The request slip must be submitted along with a photocopy of a valid ID to any Pag-IBIG branch. Released documents will go to the member or authorized representative with proper authorization and identification.

    Copyright:

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

    PFF369 RequestSlip V02

    Uploaded by

    Callia Dominique
    Charlene Divinagracia has submitted a request slip to Pag-IBIG Fund to obtain member documents. She is requesting a Member's Statement of Accumulated Value and Certificate of No Short-Term Loan Availment for herself. The request slip must be submitted along with a photocopy of a valid ID to any Pag-IBIG branch. Released documents will go to the member or authorized representative with proper authorization and identification.

    Copyright:

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

    HQP-PFF-369

    (V02, 10/2021)
    REQUEST SLIP
    Requestor’s Name: CHARLENE DIVINAGRACIA Date of Release:
    Pag-IBIG MID No.: 1211 - 6570 - 1111 Employer ID No.: 207002750009
    Purpose: REQUIREMENTS

    Particulars No. of Copies


    FOR MEMBER
     Member’s Statement of Accumulated Value (MSAV) 2
     Certificate of No Short-Term Loan (STL) Availment
     Short-Term Loan (STL) Statement of Account (SOA)
     Certificate of Full Payment
     Member’s Data Form (MDF, system-generated)
     Others, please specify ________________________

    FOR EMPLOYER
     Certificate of Employer’s Registration (COER)
     Computation of Total Provident Obligation
     Pag-IBIG Clearance Certificate
     Others, please specify ________________________

    Requested by: Date:


    ______________________
    CHARLENE DIVINAGRACIA
    Signature Over Printed Name

    FOR Pag-IBIG FUND USE ONLY


    Received by: Date
    _____________________ ________________ ___________
    Signature Over Printed Name Designation/Position Branch/Unit

    NOTES:
    1. Submit the duly accomplished Request Slip and photocopy of one (1) valid ID to any Pag-IBIG Branch.
    2. The requested document/s will be released to the Pag-IBIG Member/Employer or its Authorized Representative with
    Authorization Letter and valid IDs of the Requestor and Authorized Representative.
    -------------------------------------------------------------------------------------------------------------------------------------------------------------
    HQP-PFF-369
    (V02, 10/2021)
    REQUEST SLIP
    Requestor’s Name: CHARLENE DIVINAGRACIA Date of Release:
    Pag-IBIG MID No.: 1211 - 6570 - 1111 Employer ID No.: 207002750009
    Purpose:
    REQUIREMENTS
    Particulars No. of Copies
    FOR MEMBER
     Member’s Statement of Accumulated Value (MSAV) 2
     Certificate of No Short-Term Loan (STL) Availment
     Short-Term Loan (STL) Statement of Account (SOA)
     Certificate of Full Payment
     Member’s Data Form (MDF, system-generated)
     Others, please specify ________________________

    FOR EMPLOYER
     Certificate of Employer’s Registration (COER)
     Computation of Total Provident Obligation
     Pag-IBIG Clearance Certificate
     Others, please specify ________________________

    Requested by: Date:


    ______________________
    CHARLENE DIVINAGRACIA
    Signature Over Printed Name

    FOR Pag-IBIG FUND USE ONLY


    Received by: Date
    _____________________ ________________ ___________
    Signature Over Printed Name Designation/Position Branch/Unit

    NOTES:
    1. Submit the duly accomplished Request Slip and photocopy of one (1) valid ID to any Pag-IBIG Branch.
    2. The requested document/s will be released to the Pag-IBIG Member/Employer or its Authorized Representative with
    Authorization Letter and valid IDs of the Requestor and Authorized Representative.

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