This document is a remittance form from an employer to Pag-IBIG for employee short-term loans. It includes the employer/business name and address, period covered, and lists the names and loan details of borrowing employees. At the bottom, an authorized representative of the employer certifies that the information provided is true and correct.
This document is a remittance form from an employer to Pag-IBIG for employee short-term loans. It includes the employer/business name and address, period covered, and lists the names and loan details of borrowing employees. At the bottom, an authorized representative of the employer certifies that the information provided is true and correct.
This document is a remittance form from an employer to Pag-IBIG for employee short-term loans. It includes the employer/business name and address, period covered, and lists the names and loan details of borrowing employees. At the bottom, an authorized representative of the employer certifies that the information provided is true and correct.
This document is a remittance form from an employer to Pag-IBIG for employee short-term loans. It includes the employer/business name and address, period covered, and lists the names and loan details of borrowing employees. At the bottom, an authorized representative of the employer certifies that the information provided is true and correct.
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HQP-SLF-017
SHORT-TERM LOAN Pag-IBIG EMPLOYER'S ID NUMBER
REMITTANCE FORM ( STLRF ) 207743030008
EMPLOYER/BUSINESS NAME TANGLAW-TOUCH CARE FOUNDATION INC. EMPLOYER/BUSINESS ADDRESS PERIOD COVERED Unit/Room No., Floor Building Name Lot No., Block No., Phase No. House No Street name #22 PRES. ML QUEZON ST. Subdivision Barangay Municipality/City Province/State/Country (if abroad) ZIP Code TELEPHONE NUMBER
APPLICATION / NAME OF BORROWER EMPLOYER
MID No. Last Name First Name Middle Name AGREEMENT No. Ext. (JR,SR,III) LOAN TYPE AMOUNT REMARKS
TOTAL FOR THIS PAGE
GRAND TOTAL (if last page) EMPLOYER CERTIFICATION I hereby certify under pain of perjury that the information given and all statements made herein are true and correct to the best of my knowledge and belief. I further certify that my signature appearing herein is genuine and authentic.
HEAD OF OFFICE OR AUTHORIZED REPRESENTATIVE DESIGNATION/POSITION DATE
(Signature Over Printed Name)
THIS FORM MAY BE REPRODUCED. NOT FOR SALE (Rev. 00, 02/2013)