HQP-SLF-049

TAS - NCR North East (Ortigas/Antipolo) (V05, 09/2018)

Budget Lane Shopping Center Provincial Road, San Jose, Antipolo City

Employer/Business Name REGEM WORKERS COOPERATIVE Pag-IBIG Employer ID No.

Employer/Business Address 202611730001

134, SUMULONG HIGHWAY, MAYAMOT, 1870 ANTIPOLO CITY,
RIZAL Statement Date

Thursday, August 8, 2019

Borrower's Name
Last Amortization
MID No. Application No. Loan Type DV/Check No. DV Date Loan Value Loan term
Name, First Name, Name Ext., Amount
Middle Name) MULTI-PURPOSE 10/15/2019-
121177901968 191970000588623 MACTAL, MARYBEL SARENO 301192030025048 7/22/2019 7,608.65 388.53
LOAN 9/15/2021
MULTI-PURPOSE 10/15/2019-
121091444986 191970000593857 MORATALLA, LELIBETH OJAS 301192000024937 7/19/2019 9,349.23 477.86
LOAN 9/15/2021

GRAND TOTAL 866.39

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Pag-IBIG Employer ID
No. 202611730001
REGEM WORKERS COOPERATIVE
Employer Name TO BE FILLED OUT BY THE EMPLOYER

Employer Address o Cash P

134, SUMULONG HIGHWAY, MAYAMOT, 1870 o Check P

ANTIPOLO CITY, RIZAL
Check No.

Bank/Branch

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 HQP-SLF-049
TAS - NCR North East (Ortigas/Antipolo) (V05, 09/2018)
Budget Lane Shopping Center Provincial Road, San Jose, Antipolo City

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