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PFF093 Request Consolidation Merging Members Records V04
Course: Hospitality Management (BSHM 241)
167 Documents
Students shared 167 documents in this course
University: Urdaneta City University
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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
:
________________________________________________
Employer/Business Address
:
________________________________________________
Employer/Business Contact No.
:
________________________________________________
Purpose of Consolidation/Merging
:
Short-Term Loan (STL) Application
Application for Provident Benefits Claim
Others, please specify _________________________________
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
Previous Employer/Business Name
Previous Employer/Business Address
Inclusive Date(s)
1.
2.
3.
4.
5.