Академический Документы
Профессиональный Документы
Культура Документы
MONTH
YEAR
April
FOR GOVT EMPLOYER
2012
AGENCY BRANCH REGION CODE CODE CODE
03-9191575-2
ZIP CODE
First Name
DANILO JUNIOR
Middle Name)
BORCELANGO
EMPLOYEE
360.00
EMPLOYER
360.00
TOTAL
720.00
1. 2.
BARRAMEDA
SSS-33-4122981-9
12/24/76
3. 4. 5. 6.
CARIGTAN
CRISTY
PERIN
360.00
360.00
720.00
SSS-03-1910504-9
06/10/51
VILLARETE
NELIA
CAUTO
360.00
360.00
720.00
SSS-34-2524706-3
01/24/88
7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40.
REGALA
MIKHAELA MARIE
GARRIDO
260.00
260.00
520.00
SSS-33-7181356-7
07/17/73
VILLANUEVA
CORAAZON
SARMIENTO
220.00
220.00
440.00
P P
1,560.00
P P
1,560.00
P P
3,120.00
1,560.00
1,560.00
3,120.00
DATE
PAGE NO. NO. OF PAGES
YY
CHAIRMAN
(Revised 12/2007)
NOTE: NEW REGISTRANTS SHALL PROVIDE TIN AND DATE OF BIRTH THIS FORM CAN BE REPRODUCED. NOT FOR SALE
c. For employer with branch offices, please prepare separate Membership Registration/Remittance Form (MRRF) for each branch indicating therein their respective addresses. Take note that the maximum Monthly Compensation (MC) of Pag-IBIG I employee-members is P5,000.00. However, those with MC over P5,000.00 may declare their actual salary levels for computing their monthly Pag-IBIG contribution. For purposes of computing the Employees/Employers contribution, please be guided by the following. MONTHLY COMPENSATION (BASIC + COLA) EEs*
1 2 3 4
Put an X mark to indicate employer classification. When making remittances to Pag-IBIG Fund, indicate the applicable month and year of contribution. Print name of the employer. For private employers, indicate your Employer SSS ID No. For government employers, indicate your Agency, Branch and Region Codes. Print the full address of the employer. For employer with branch offices, please prepare separate MRRF for each branch indicating therein their respective addresses.
ERs**
TOTAL
1% 2% 2% of MC
2% 3% 2% 4% 2% of P5,000.00***
FPF060
5 6
GOVERNMENT CONTROLLED CORP. NATIONAL GOVERNMENT AGENCY (Please read instructions at the back)
FOR PRIVATE EMPLOYER
MONTH
2
FOR GOVT EMPLOYER AGENCY CODE BRANCH CODE
YEAR
REGION CODE
NAME OF EMPLOYER
3
7 8
Indicate employers Tax Identification No. (TIN) Indicate the zip code. Indicate the telephone number/s of the employer. Indicate the correct Tax Identification No. (TIN) of your employees to ensure the contributions are credited to their respective accounts. Indicate employees birth date in numeric format. Example March 20, 1956, shall be written as 03/20/56. List the name of your employees. This may be for the purpose of registering your employees for Pag-IBIG membership or for remitting contributions. Indicate the amount of employee contributions. Do not round off nor drop centavos. Indicate the amount of employer counterpart contributions. Do not round off nor drop centavos. Indicate the total amount of employee and employer contributions. Indicate the number of employees listed in this page. Indicate the total number of employees listed if this is the last page of the listing. Indicate the total amount of employee contributions (under column 13 ), the total amount of employer contributions (under column 14 ) and the total amount of employee and employer contributions (under column 15 ) for this page. Indicate the grand total of employee contributions (under column 13 ), the grand total of employer contributions (under column 14 ) and the grand total of employee and employer contributions (under column 15 ) if this is the last page. Indicate the number of this page. Indicate the total number of pages of this listing.
ADDRESS OF EMPLOYER
6
TIN
7
ZIP CODE
8
TELEPHONE NO/S.
9
TIN
DATE OF BIRTH (Family Name 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39.
EMPLOYER
14
TOTAL
15
10
11
9 10 11 12 13 14 15 16 17 18
19
TOTAL FOR THIS PAGE GRAND TOTAL (if last page) AMOUNT
16
17
18 19
P P
P P
CERTIFIED CORRECT BY:
P P
DATE
PAGE NO. NO. OF PAGES
FOR Pag-IBIG USE ONLY PFR/VALIDATION No. COLLECTING BANK TICKET DATE MM DD YY RECONCILED BY DATE MM DD YY
P
REMARKS CHECKED BY SIGNATURE OVER PRINTED NAME OFFICIAL DESIGNATION
20
21
20
21