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    Pag-Ibig - Members Change of Info

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    lucci_1182
    This document provides instructions for Pag-IBIG members to submit a Members Change of Information Form (MCIF) to update their personal details. The form requires members to specify the change being made, provide previous and updated information, and submit supporting documents depending on the type of change.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    Pag-Ibig - Members Change of Info

    Uploaded by

    lucci_1182
    8K views2 pages
    This document provides instructions for Pag-IBIG members to submit a Members Change of Information Form (MCIF) to update their personal details. The form requires members to specify the change being made, provide previous and updated information, and submit supporting documents depending on the type of change.

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    govt form

    Original Title

    Pag-ibig- Members Change of Info

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    This document provides instructions for Pag-IBIG members to submit a Members Change of Information Form (MCIF) to update their personal details. The form requires members to specify the change being made, provide previous and updated information, and submit supporting documents depending on the type of change.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    8K views2 pages

    Pag-Ibig - Members Change of Info

    Uploaded by

    lucci_1182
    This document provides instructions for Pag-IBIG members to submit a Members Change of Information Form (MCIF) to update their personal details. The form requires members to specify the change being made, provide previous and updated information, and submit supporting documents depending on the type of change.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 2

    FPF110

    MEMBERS CHANGE OF INFORMATION FORM (MCIF)


    INSTRUCTIONS
    1. 2. 3. 4. Accomplish this form in two (2) copies. Accomplish the applicable portions to be changed only. Type or print all entries in BLOCK/CAPITAL LETTERS. This form shall be submitted to any of the following: a) Thru Employer, if employed b) Thru on-line c) Thru Pag-IBIG NCR/Regional branch.

    Pag-IBIG MID NUMBER

    REQUIREMENTS
    1. For change of name and/or marital status because of marriage, submit photocopy of Marriage Contract with registry number. 2. For correction/change of name and/or marital status for reason other than marriage, submit certified true copy of Birth Certificate issued by the National Statistics Office (NSO), Court Order or Death Certificate of the deceased spouse, whichever is applicable. 3. For correction of date of birth, submit certified true copy of Birth Certificate issued by the National Statistics Office (NSO). 4. For updating of beneficiaries, submit certified true copy of Birth Certificate of the additional beneficiary/ies issued by the National Statistics Office (NSO) to establish relationship with the member.

    CHECK APPROPRIATE BOX ONLY 1. CORRECTION OF NAME 2. CORRECTION OF DATE OF BIRTH


    LAST NAME FIRST NAME

    3. CHANGE OF MARITAL STATUS 4. CHANGE OF FREQUENCY OF MC PAYMENT


    NAME EXTENSION (e.g., jr., II, etc.)

    5. UPDATING OF BENEFICIARIES 6. CHANGE OF ADDRESS/CONTACT DETAILS MIDDLE NAME NO MIDDLE NAME (Check if applicable only)

    1. CORRECTION OF NAME
    FROM TO

    2. CORRECTION OF DATE OF BIRTH


    FROM TO

    3. CHANGE OF MARITAL STATUS


    Due to marriage FROM Other Reason (Please specify) ____________________ TO

    4. CHANGE OF FREQUENCY OF MC PAYMENT


    FROM TO Monthly Quarterly Semi-Annually

    5. UPDATING OF BENEFICIARIES (Please use separate sheet, if necessary)


    LAST NAME FIRST NAME NAME EXTENSION
    (e.g., jr., II, etc.)

    MIDDLE NAME

    NO MIDDLE NAME
    (Check if applicable only)

    DATE OF BIRTH (mm/dd/yyyy)

    RELATIONSHIP

    ADDITION

    DELETION

    6. CHANGE OF ADDRESS/CONTACT DETAILS (Please accomplish portions to be changed only)


    PRESENT HOME ADDRESS Unit/Room No., Floor Building Name (Indicate country code if abroad) Lot No., Block No., Phase No. House No Street Name Subdivision
    COUNTRY+AREA CODE TELEPHONE NUMBER

    Home Barangay Municipality/City Province/State/Country (if abroad) ZIP Code Cellphone Business (Direct Line) Lot No., Block No., Phase No. House No Street Name Subdivision Business (Trunkline) Barangay Municipality/City Province/State/Country (if abroad) ZIP Code Email Address Local

    PERMANENT HOME ADDRESS Unit/Room No., Floor Building Name

    CERTIFICATION
    I HEREBY CERTIFY THAT THE INFORMATION GIVEN AND ALL STATEMENTS MADE HEREIN ARE TRUE AND CORRECT. _________________________________ SIGNATURE OF MEMBER _________________ DATE

    FOR HDMF USE ONLY


    DOCUMENTS SUBMITTED RECEIVED BY DATE APPROVED BY DATE

    Birth Certificate Marriage Contract Death Certificate

    Court Order Others (Please specify) ______________________

    THIS FORM MAY BE REPRODUCED. NOT FOR SALE.

    (Revised 03/2011)

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