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V03 Employer's Change of Information Form (ECIF)

Pag-Ibig form for employer's change of information

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(V03, 07/2017)

EMPLOYER’S CHANGE OF
INFORMATION FORM (ECIF)
INSTRUCTIONS

Pag-IBIG EMPLOYER’S ID NUMBER

REQUIREMENTS

1. This form shall be accomplished in one (1) copy).
2. Accomplish the applicable portions to be
changed/corrected only.
3. Type or 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
Certified True Copy of the said documents shall be
presented for authentication.

1. Change/correction of Employer/Business Name
2. Change of Legal Personality
and/or Address
A. Single Proprietorship to Corporation
A. For Single Proprietorship
 SEC Certificate
 Amended DTI Certificate
 Articles of Incorporation
 Business/Mayor’s Permit
 Certificate of Cancellation as Single
B. For Partnership/Corporation
Proprietorship
 Amended SEC Certificate
B. Partnership to Corporation
 Amended Articles of Partnership/Incorporation
 Articles of Incorporation
C. For Cooperative/Trade Association
 Deed of Dissolution of Partnership
 CDA Certificate (For Cooperative)
 Amended SEC Certificate of Incorporation (For
Trade Association)

CHECK APPROPRIATE BOX ONLY

 1. CHANGE/CORRECTION OF EMPLOYER/BUSINESS NAME  3.
 2. CHANGE/CORRECTION OF ADDRESS/CONTACT DETAILS  4.

CHANGE OF LEGAL PERSONALITY
CHANGE OF AUTHORIZED REPRESENTATIVE

 5.

3. Additional/Change of Authorized
Representative/s
A. For Single Proprietorship
 Specimen Signature Form (SSF)
 DTI Certificate or Business/
Mayor’s Permit
B. For Partnership/Corporation
 Specimen Signature Form (SSF)
 Board Resolution
 Secretary’s Certificate

OTHERS (PLEASE SPECIFY)

____________________________________

EMPLOYER/BUSINESS NAME

TAXPAYER IDENTIFICATION NUMBER (TIN)

1. CHANGE/CORRECTION OF EMPLOYER/BUSINESS NAME
FROM

TO

2. CHANGE/CORRECTION OF EMPLOYER’S ADDRESS/CONTACT DETAILS (Please accomplish portions to be changed only)
Unit/Room No., Floor

Lot No.

Block No.

Building Name

Phase No.

House No.

COUNTRY+AREA CODE TELEPHONE NUMBER
Business (Direct Line)

Street Name
Business (Fax)

Subdivision

Barangay
Business (Trunkline)

Municipality/City

Province

Local

ZIP Code
Email Address

3. CHANGE OF LEGAL PERSONALITY
FROM

TO

4. CHANGE OF AUTHORIZED REPRESENTATIVE (Use separate sheet if necessary)
FROM

TO

___________________________________ _____________________________
Name
Official Designation

___________________________________ _____________________________
Name
Official Designation

___________________________________ _____________________________
Name
Official Designation

___________________________________ _____________________________
Name
Official Designation

___________________________________ _____________________________
Name
Official Designation

___________________________________ _____________________________
Name
Official Designation

5. OTHERS (Please specify)
FROM

TO

CERTIFICATION
I HEREBY CERTIFY THAT THE INFORMATION GIVEN AND ALL STATEMENTS MADE HEREIN ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE A ND
BELIEF. I FURTHER CERTIFY THAT MY SIGANTURE APPEARING HEREIN IS GENUINE AND AUTHENTIC.

____________________________________________________

__________________________________

_________________________

HEAD OF OFFICE OR AUTHORIZED REPRESENTATIVE
(Signature Over Printed Name)

DESIGNATION/POSITION

DATE

FOR Pag-IBIG FUND USE ONLY
DOCUMENTS SUBMITTED

 DTI/SEC Registration
 Business/Mayor’s Permit
 Amended Articles of Partnership/
Incorporation/Cooperation

 Board Resolution







RECEIVED BY

DATE

CDA Certificate
SEC Certificate of Incorporation
Secretary’s Certificate
Specimen Signature Form (SSF)
Others (Please specify)
__________________________

THIS FORM MAY BE REPRODUCED. NOT FOR SALE.

APPROVED BY

DATE
 
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