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    Request For Consolidation Merging of Member Records

    Uploaded by

    Vincent Andrade
    This document is a request form for consolidating or merging a member's Pag-IBIG records. It requests information such as the member's MID number, name, address, marital status, contact details, employer, purpose of consolidation, and previous employment history. The member signs the form and requests processing at the Makati 1 Pag-IBIG branch. Authorized signatures are needed to process and approve the request.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Request For Consolidation Merging of Member Records

    Uploaded by

    Vincent Andrade
    4K views2 pages
    This document is a request form for consolidating or merging a member's Pag-IBIG records. It requests information such as the member's MID number, name, address, marital status, contact details, employer, purpose of consolidation, and previous employment history. The member signs the form and requests processing at the Makati 1 Pag-IBIG branch. Authorized signatures are needed to process and approve the request.

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    Request for Consolidation Merging of Member Records

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    This document is a request form for consolidating or merging a member's Pag-IBIG records. It requests information such as the member's MID number, name, address, marital status, contact details, employer, purpose of consolidation, and previous employment history. The member signs the form and requests processing at the Makati 1 Pag-IBIG branch. Authorized signatures are needed to process and approve the request.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    4K views2 pages

    Request For Consolidation Merging of Member Records

    Uploaded by

    Vincent Andrade
    This document is a request form for consolidating or merging a member's Pag-IBIG records. It requests information such as the member's MID number, name, address, marital status, contact details, employer, purpose of consolidation, and previous employment history. The member signs the form and requests processing at the Makati 1 Pag-IBIG branch. Authorized signatures are needed to process and approve the request.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    HQP-PFF-093

    (V04, 01/2019)

    REQUEST FOR CONSOLIDATION/


    MERGING OF MEMBER’S RECORDS

    ________________
    Date

    Dear Sir/Madam:

    I would like to request for the consolidation/merging of my membership records with the
    following information:

    Pag-IBIG MID Number : ________________________________________________


    Member’s Name : ________________________________________________
    Last Name First Name Name Extension Middle Name
    Present Home Address : ________________________________________________
    ________________________________________________
    ________________________________________________
    Marital Status : • Single/Unmarried • Widow/er • Annulled
    • Married • Legally Separated
    Contact Number : ________________________________________________
    Employer/Business Name : JPMorgan Chase %DQN N.A. - Philippine Global Service Center
    ________________________________________________
    Employer/Business Address : 3HQWKRXVH)LYH1HR%XLOGLQJVW6WUHHW%RQLIDFLR*OREDO&LW\7DJXLJ&LW\
    : 
    ________________________________________________
    Employer/Business Contact No. : ________________________________________________
    908 - 5000
    Purpose of Consolidation/Merging : • Short-Term Loan (STL) Application
    • Application for Provident Benefits Claim
    • Others, please specify _________________________________

    Previous Employer/Business Name Previous Employer/Business Address Inclusive Date(s)


    1.
    2.
    3.
    4.
    5.

    Makati 1 Branch
    Requesting Pag-IBIG Fund Branch: ______________________________

    Requested by: Processed by:

    _______________________________ __________________________________
    Member’s Name and Signature Name and Designation of Authorized Signatory

    Approved by:

    __________________________________
    Name and Designation of Authorized Signatory
    HQP-PFF-093
    (V04, 01/2019)

    REQUEST FOR CONSOLIDATION/


    MERGING OF MEMBER’S RECORDS

    ________________
    Date

    Dear Sir/Madam:

    I would like to request for the consolidation/merging of my membership records with the
    following information:

    Pag-IBIG MID Number : ________________________________________________


    Member’s Name : ________________________________________________
    Last Name First Name Name Extension Middle Name
    Present Home Address : ________________________________________________
    ________________________________________________
    ________________________________________________
    Marital Status : • Single/Unmarried • Widow/er • Annulled
    • Married • Legally Separated
    Contact Number : ________________________________________________
    Employer/Business Name : JPMorgan Chase %DQN N.A. - Philippine Global Service Center
    ________________________________________________
    Employer/Business Address : 3HQWKRXVH)LYH1HR%XLOGLQJVW6WUHHW%RQLIDFLR*OREDO&LW\7DJXLJ&LW\
    : 
    ________________________________________________
    Employer/Business Contact No. : ________________________________________________
    908 - 5000
    Purpose of Consolidation/Merging : • Short-Term Loan (STL) Application
    • Application for Provident Benefits Claim
    • Others, please specify _________________________________

    Previous Employer/Business Name Previous Employer/Business Address Inclusive Date(s)


    1.
    2.
    3.
    4.
    5.

    Makati 1 Branch
    Requesting Pag-IBIG Fund Branch: ______________________________

    Requested by: Processed by:

    _______________________________ __________________________________
    Member’s Name and Signature Name and Designation of Authorized Signatory

    Approved by:

    __________________________________
    Name and Designation of Authorized Signatory

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