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HQP-PFF-093 Request for Transfer of Member's Record

Pag-Ibig request form for transfer of member's record

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(V03, 08/2017)

REQUEST FOR TRANSFER OF MEMBER’S RECORDS
AND LOAN DETAILS (RTMRLD)
_____________________
Date
Dear Sir/Madam:
I would like to request transfer of my membership records and loan details to the ______________
with the following information:
Name of member: _________________________________________________________
Last Name

Civil Status:

Home Address:
Telephone No.:





First Name

Purpose of Transfer:




Single
Married
Widow/er

Middle Name (Maiden)

Legally Separated
Annulled

________________________________________________________________
________________________________________________________________
_____________________________

Present Company/Employer:
Company/Employer Address:
Telephone No.:

Name Extensions (Jr., Sr., II, etc.)

___________________________________________________
___________________________________________________
___________________________________________________

_____________________________




 Consolidation
o Intra-branch (within the branch)
o Inter-branch (among branches)

Claims
STL
Others, pls. specify
_________

Check if with:
 Housing Loan
Takeout date
: _______________
Loan status
: _______________
Outstanding Balance : _______________
Name of Previous Company/Employer

Company ID No.: __________________



STL
DV/Check Date
: _______________
Loan Status
: _______________
Outstanding Balance :_______________

Company/Employer Address/Contact No.

Inclusive Date(s)

1.
2.
3.
4.
Requesting Pag-IBIG Fund Branch: _________________________________________

Requested by:
Processed by: ___________________
__________________________________
Member’s Signature Over Printed Name

Noted by: ___________________
 
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