Employer ID 209152670003 HQP-PFF-053

Employer Name Peniel Learning Center

Address 53 Nancayasan, UrdanetaMEMBERSHIP
City, Pangasinan
Pag-IBIG ID/RTN ACCOUNT NO PROGRAM LAST NAME FIRST NAME NAME EXTENSION MIDDLE NAME PERCOV EE SHARE ER SHARE REMARKS
121218670726 121218670726 F1-Pag-IBIG 1 ALAP AILAINE GRACE PEREZ 202304 0.00 0.00 L-Leave Without Pay/AWOL
121082932114 121082932114 F1-Pag-IBIG 1 DELA VEGA GORGONIO MARQUEZ 202304 100.00 100.00

Total Remittance 100.00 100.00

EMPLOYER CERTIFICATION
I hereby certify under pain of perjury that the information given and all statements made herein are true and correct to the best of my knowledge and belief. I further certify that
my signature appearing herein is genuine and authentic.

AILAINE GRACE P. ALAP ADMINISTRATIVE OFFICER 11/19/2019

HEAD OFFICE OR AUTHORIZED REPRESENTATIVE DESIGNATION/POSITION DATE

1
F1-Pag-IBIG 1 D-Deceased
F2-Pag-IBIG 2 L-Leave Without Pay/AWOL
M2-Modified Pag-IBIG 2 N-Newly Hired
RS-Resigned
RT-Retired
Employer ID
Employer Name
Address
APPLICATION
Pag-IBIG ID/RTN LAST NAME FIRST NAME
NO/AGREEMENT
 EMPLOYER CE
I hereby certify under pain of perjury that the information given and all statements made
my signature appearing herein is genuine and authentic.

HEAD OFFICE OR AUTHORIZED REPRESENTATIVE

 HQP-SLF-017
Period Covered
Telephone Number

NAME EXTENSION MIDDLE NAME LOAN TYPE AMOUNT

 EMPLOYER CERTIFICATION
rmation given and all statements made herein are true and correct to the best of my knowledge and belief. I further certify that

DESIGNATION/POSITION
REMARKS
belief. I further certify that

DATE