HQP-TMF-191

(V04, 12/2020)
Pag-IBIG Fund

PAYMENT INSTRUCTION FORM (PIF)

______________________
SAN FERNANDO

Employer ID Number : 209881880000

Payment Instruction Date : June 25, 2023
7231 76E6 2FFC
Payment Instruction Number (PIN)

EMPLOYER/BUSINESS NAME : MY OWN STAFF SERVICES INC

ADDRESS AND CONTACT DETAILS

Unit/Room No., Floor Building Name Lot No., Block No. AREA CODE TELEPHONE NUMBER

3RD FLOOR UNIT T7-4 PARZON SQUARE Business (Direct Line)

Phase No. House No. Street Name
STO ROSARIO ST Business (Trunk Line) Local
Subdivision Barangay Municipality
Cell Phone Number
SANTO ROSARIO (POB.) ANGELES CITY
09171176443
Province Region Zip Code
Business Email Address
PAMPANGA REGION 3 (CENTRAL LUZON) 2009 suzy.sales@myownstaff.com

PERIOD COVERED
TYPE OF PAYMENT AMOUNT DUE CLIENT PRINT VALIDATION
From To
MEMBER SAVINGS 05 - 2023 05 - 2023 2,200.00

TOTAL AMOUNT 2,200.00

Prepared by: Date:
SURAIDA VARGAS SANSANGAN
VP FOR OPS
______________________________ 06/25/2023
____________

REMINDERS:
06/25/2023
1. This form is valid from ______________ 07/24/2023
to ______________. 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 209881880000

Total Amount Due Php 2,200.00

PIN: 723176E62FFC TO BE FILLED OUT BY THE PAYOR

MY OWN STAFF SERVICES INC Cash Payment

3RD FLOOR UNIT, T7-4 PARZON SQUARE, STO ROSARIO ST, SANTO Check Payment
ROSARIO (POB.), ANGELES CITY, PAMPANGA, 2009 Check No.
Bank/Branch