HQP-PFF-049

(V08, 12/2020)
Pag-IBIG MID NUMBER

HOUSING ACCOUNT NUMBER (if applicable)

MEMBER’S CHANGE OF
INFORMATION FORM (MCIF)
INSTRUCTIONS
1. This form shall be accomplished in one (1) copy.

2. Accomplish the applicable portions to be changed/corrected only. Indicate N/A if not applicable.

3. Print all entries in BLOCK/CAPITAL LETTERS.

4. Submit duly accomplished form together with required supporting documents to any Pag-IBIG Branch nearest you.

NOTE: Please submit photocopy of the documents depending on the information to be changed. The original or certified true copy of the said document shall be
presented for authentication.

CHECK THE APPROPRIATE BOX/BOXES AND ACCOMPLISH ONLY THE APPLICABLE PORTION/S TO BE CHANGED/UPDATED

Change of Membership Category Change of Marital Status Updating of Heirs

Change/Correction of Name Change of Address/Contact Details Others (Please specify)

Correction of Date of Birth Change of Employment Details _____________________
LAST NAME FIRST NAME NAME EXTENSION (e.g., Jr., II) MIDDLE NAME

1. CHANGE OF MEMBERSHIP CATEGORY

FROM TO

2. CHANGE/CORRECTION OF NAME (Last Name, First Name, Name Extension, Middle Name)
FROM TO

3. CORRECTION OF DATE OF BIRTH

FROM (mm/dd/yyyy) TO (mm/dd/yyyy)

4. CHANGE OF MARITAL STATUS

FROM TO

FOR MARRIED WOMEN

Use Husband’s Surname Use Maiden Name – Husband’s Surname Retain Maiden Name

SPOUSE Last Name First Name Name Extension Middle Name No Middle Name DATE OF BIRTH (mm/dd/yyyy)

(For Married Status)

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

PRESENT HOME ADDRESS (Indicate country code if abroad)

COUNTRY+AREA CODE TELEPHONE NUMBER

Unit/Room No. Floor Bldg. Name Lot No. Block No. Phase No. House No. Street Name Subdivision

Home
Barangay Municipality/City Province/State/Country (if abroad) Zip Code

PERMANENT HOME ADDRESS

Cellphone
Unit/Room No. Floor Bldg. Name Lot No. Block No. Phase No. House No. Street Name Subdivision

Barangay Municipality/City Province/State/Country (if abroad) Zip Code

Business (Direct Line)

PREFERRED MAILING ADDRESS

Present Home Address Permanent Home Address Employer/Business Address

Business (Trunk Line)

 Email Address

6. CHANGE OF EMPLOYMENT DETAILS

EMPLOYER/BUSINESS NAME OCCUPATION

EMPLOYER/BUSINESS ADDRESS
EMPLOYMENT STATUS
Unit/Room No. Floor Bldg. Name Lot No. Block No. Phase No. House No. Street Name Subdivision

Barangay Municipality/City Province/State/Country (if abroad) Zip Code DATE EMPLOYED (Month, Year)

7. UPDATING OF HEIRS (Please use separate sheet, if necessary)

LAST NAME FIRST NAME NAME EXTENSION MIDDLE NAME NO MIDDLE NAME RELATIONSHIP DATE OF BIRTH ADDITION/DELETION

(e.g. Jr., II) (Check if applicable only) (mm/dd/yyyy

8. OTHERS (Please specify)

FROM TO

CERTIFICATION
I hereby certify that the information given, and all statements made herein are true and correct. Likewise, I hereby authorize Pag-IBIG Fund to collect record,
organize, update/modify, consult, use, consolidate, block, erase or destruct my personal data as part of my information. I hereby affirm my right to: (a) be
informed; (b) object to processing, (c) access, (d) rectify, suspend or withdraw my personal data; (e) damages; and (f) data portability pursuant to the provision
of R.A. No. 10173 (Data Privacy Act of 2012).

___________________________________ ________________
Signature over Printed Name of Member Date
THIS PORTION IS FOR Pag-IBIG USE ONLY

RECEIVED BY DATE APPROVED BY DATE

THIS FORM MAY BE REPRODUCED. NOT FOR SALE.

HQP-PFF-049
(V08, 12/2020)

CHECKLIST OF REQUIREMENTS
MEMBER FILING THROUGH A REPRESENTATIVE
A. Change of Membership Category A. Change of Membership Category
▪ Member’s Change of Information Form (MCIF) (1 Original) ▪ Member’s Change of Information Form (MCIF) (1 Original)

▪ Valid ID acceptable to the Fund (1 Photocopy) ▪ Valid ID of both parties (1 Photocopy)

▪ Authorization Letter (1 Original)

B. Change/Correction of Name
B. Change/Correction of Name
▪ For Change in name due to Marriage
▪ For Change in name due to Marriage
- MCIF (1 Original)
- Marriage Contract (1 Photocopy) issued by Philippine - MCIF (1 Original)
Statistics Authority (PSA) or Local Civil Registry - Marriage Contract (1 Photocopy) issued by PSA or
Office (LCRO) LCRO
- Valid ID acceptable to the Fund (1 Photocopy) - Valid ID of both parties (1 Photocopy)
- Authorization Letter (1 Original)

▪ For Change in name (for reason other than Marriage) ▪ For Change in name (for reason other than Marriage)
- MCIF (1 Original) - MCIF (1 Original)
- Birth Certificate (1 Photocopy) issued by PSA - Birth Certificate (1 Photocopy) issued by PSA
- Court Order granting petition of change of name - Court Order granting petition of change of name
(1 Photocopy) issued by Second Level Regional Trial (1 Photocopy) issued by Second Level Regional Trial
Court Court
- Valid ID acceptable to the Fund (1 Photocopy) - Valid ID of both parties (1 Photocopy)
- Authorization Letter (1 Original)

C. Correction of Date of Birth

C. Correction of Date of Birth
▪ MCIF (1 Original)
▪ MCIF (1 Original)
▪ Birth Certificate (1 Photocopy) issued by PSA
▪ Birth Certificate (1 Photocopy) issued by PSA
▪ Valid ID of both parties (1 Photocopy)
▪ Valid ID acceptable to the Fund (1 Photocopy)
▪ Authorization Letter (1 Original)

D. Change of Marital Status D. Change of Marital Status

▪ For Single to Married ▪ For Single to Married

- MCIF (1 Original) - MCIF (1 Original)
- Marriage Contract (1 Photocopy) issued by PSA or - Marriage Contract (1 Photocopy) issued by PSA or
LCRO LCRO
- Valid ID acceptable to the Fund (1 Photocopy) - Valid ID of both parties (1 Photocopy)
- Authorization Letter (1 Original)

▪ For Married to Single (legally married to reported spouse) ▪ For Married to Single (legally married to reported spouse)
- MCIF (1 Original) - MCIF (1 Original)
- Court Order (1 Photocopy) issued by Second Level - Court Order (1 Photocopy) issued by Second Level
Regional Trial Court Regional Trial Court
- Valid ID acceptable to the Fund (1 Photocopy) - Valid ID of both parties (1 Photocopy)
- Authorization Letter (1 Original)

▪ For Married to Single (due to erroneous encoding) ▪ For Married to Single (due to erroneous encoding)
- MCIF (1 Original) - MCIF (1 Original)
- CENOMAR (1 Photocopy) issued by PSA - CENOMAR (1 Photocopy) issued by PSA
- Valid ID acceptable to the Fund (1 Photocopy) - Valid ID of both parties (1 Photocopy)
- Authorization Letter (1 Original)

▪ For Married to Widowed ▪ For Married to Widowed

- MCIF (1 Original) - MCIF (1 Original)
- Death Certificate of the deceased spouse - Death Certificate of the deceased spouse (1 Photocopy)
(1 Photocopy) issued by PSA or LCRO issued by PSA or LCRO
- Valid ID acceptable to the Fund (1 Photocopy) - Valid ID of both parties (1 Photocopy)
- Authorization Letter (1 Original)

E. Change of Address/Contact Details

E. Change of Address/Contact Details
▪MCIF (1 Original)
▪MCIF (1 Original)
▪Valid ID acceptable to the Fund (1 Photocopy)
▪Valid ID of both parties (1 Photocopy)

▪Authorization Letter (1 Original)

F. Change of Employment Details

F. Change of Employment Details
▪MCIF (1 Original)
▪MCIF (1 Original)
▪Valid ID of both parties (1 Photocopy)
▪Valid ID acceptable to the Fund (1 Photocopy)
▪Authorization Letter

G. Updating of Heirs G. Updating of Heirs

▪MCIF (1 Original) ▪MCIF (1 Original)
▪Valid ID acceptable to the Fund (1 Photocopy) ▪Valid ID of both parties (1 Photocopy)

▪Authorization Letter (1 Original)

H. Correction of Place of Birth/Mother’s Maiden Name/Gender
(Due to erroneous encoding) H. Correction of Place of Birth/Mother’s Maiden Name/Gender
(Due to erroneous encoding)
▪MCIF (1 Original)
▪MCIF (1 Original)
▪Birth Certificate (1 Photocopy) issued by PSA
▪Birth Certificate (1 Photocopy) issued by PSA
▪Valid ID acceptable to the Fund (1 Photocopy)
▪Valid ID of both parties (1 Photocopy)

▪Authorization Letter (1 Original)

NOTE: In all instances wherein photocopies are submitted, the original or certified true copy must be presented for authentication.