Pag-Ibig Mp2 Application Form

5/29/22, 10:16 PM Print Page
HQP-PFF-226
(V03, 09/2019)
MODIFIED Pag-IBIG II ENROLLMENT FORM

FOR Pag-IBIG FUND USE ONLY
MP2 ACCOUNT NUMBER
5221
4900
6504
LAST NAME FIRST NAME NAME EXTENSION MIDDLE NAME NO MIDDLE NAME Pag-IBIG MID No.
PABLEO ROY CZAR DILLERA 1010
0360
4119
PRESENT HOME ADDRESS Unit/Room No., Floor Building Name Lot No., Block No., Phase No. House No. Street Name DATE OF BIRTH
TAMSE RD February 20, 1985
Subdivision Barangay Municipality/City Province/State/Country (if abroad) ZIP Code CONTACT DETAILS
POBLACION 4 COTABATO CITY MAGUINDANAO
, PHILIPPINES 9600 COUNTRY+AREA CODE TELEPHONE NO.
Home
EMPLOYER/BUSINESS NAME (If applicable)
- -
TERRMAR AQUA RESOURCES INC
Cell Phone Number
EMPLOYER/BUSINESS ADDRESS Unit/Room No., Floor Building Name Lot No., Block No., Phase No. House No. Street Name
- -

Email Address
Subdivision Barangay Municipality/City Province/State/Country (if abroad) ZIP Code
[email protected]
MAKATI CPO-PO BOX# 1000 TO 1099 MAKATI CITY , PHILIPPINES 1250
SOURCE OF FUNDS PREFERRED DIVIDEND PAYOUT
EMPLOYMENT INCOME LOAN MATURITY/SURRENDER OF LIFE POLICY ANNUALLY

SAVINGS/DEPOSITS COMPANY SALE OTHER INCOME SOURCES
FIVE-YEAR (END TERM)
PROPERTY SALE COMPANY PROFITS/DIVIDENDS
SALE OF SHARE OR OTHER INVESTMENT GIFT
FOR LOCALLY-EMPLOYED MEMBERS
MODE OF PAYMENT
AUTHORITY TO DEDUCT (Optional)
THIS IS TO AUTHORIZE MY PRESENT AND FUTURE EMPLOYER TO DEDUCT MY MP2 MONTHLY SAVINGS IN THE SALARY DEDUCTION
AMOUNT OF THIRTY THOUSAND PESOS
(₱30000.00
) FROM MY SALARY AND REMIT THE SAME TO Pag-IBIG FUND.
(For locally-employed members)
OVER-THE-COUNTER (OTC)
(at any Pag-IBIG Fund Branch)
SIGNATURE OVER PRINTED NAME THRU ANY ACCREDITED Pag-IBIG COLLECTING

PARTNERS
TERMS AND CONDITIONS

I hereby certify that I fully understand the program and agree to the 8.2 Separation from service by reason of health;
following terms and conditions: 8.3 Death of the member or any of his/her immediate family member;
8.4 Retirement;
1. The MP2 program shall be voluntary for the following: 8.5 Permanent departure from the country;
1.1 All Pag-IBIG I members, regardless of their monthly income: and 8.6 Distressed member due to unemployment limited to layoff and/or
1.2 Pensioners, regardless of age, with at least 24 monthly savings closure of company;
prior to retirement. 8.7 Critical illness of the member or any of his immediate family
2. The enrollment under this program shall be solely a savings scheme. members, as defined under pertinent Guidelines, as certified by a
3. The minimum savings is P500.00 which shall be recorded as of licensed physician under of the following categories, subject to
payment date. However, should I make a one-time contribution that approval:
exceeds P500,000.00, I shall be required to make such payment via - Cancer;
personal or Manager’s Check. - Organ Failure;
4. The MP2 account shall be entitled to flexible dividend rates higher - Heart-related illness;
than that of Pag-IBIG I which shall be declared after the net income - Stroke;
has been computed and approved by the Board of Trustees. - Neuromuscular-related illness.
5. I may opt to have an annual dividend payout or compounded dividend 8.8 Repatriation of OFW member from host country;
earnings. 8.9 Other meritorious ground as may be approved for by the Board;
6. The membership term shall be five (5) years reckoned from date of 8.10 Circumstances under Items 8.2, 8.4, 8.6 and 8.8 are exclusively
initial payment of savings under this program. applicable to Pag-IBIG I members.
7. Upon maturity, should I decide to continue my availment of MP2 9. Should I opt to pre-terminate my MP2 membership for reason/s other
program, I understand that I need to apply for a new MP2 account. If I than those allowed, I understand that:
did not withdraw upon maturity, I understand that my MP2 savings 9.1 I shall only be entitled to 50% of the total dividend earned as
shall cease to earn dividend provided under MP2 program. Instead, penalty for the pre-termination of MP2 savings; or
its subsequent dividends shall be based on the rates declared for 9.2 If I opted for the annual dividend payout, I shall only receive my
Pag-IBIG I for the next two (2) years. Thereafter, it shall be contributions.
reclassified as payable account. 10. In case of any change in information, I shall accomplish the
8. Pre-termination or withdrawal of MP2 savings prior to maturity shall Member’s Change of Information Form (MCIF) and immediately
be allowed under any of the following circumstances, as applicable: notify Pag-IBIG Fund.
8.1 Total disability or insanity;
I further certify under pain of perjury that the information given and any or all statement made herein are true and correct to the best of my knowledge and belief and that
my signature appearing herein is genuine and authentic.

___________________________________________________________ ________________________________________
SIGNATURE OVER PRINTED NAME DATE
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5/29/22, 10:16 PM Print Page

MODIFIED Pag-IBIG II ENROLLMENT FORM

EMPLOYMENT INCOME LOAN MATURITY/SURRENDER OF LIFE POLICY ANNUALLY

SIGNATURE OVER PRINTED NAME THRU ANY ACCREDITED Pag-IBIG COLLECTING

TERMS AND CONDITIONS

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