HQP-ITF-032

(V03, 04/2017)
PAYMENT INSTRUCTION FORM (PIF)
CALOOCAN
______________________________
Pag-IBIG Servicing Branch

Employer ID Number : 206620680005

Payment Instruction Date : JULY 26, 2020
7202 08EB 2D4F
Payment Instruction Number

EMPLOYER NAME : THE G AND D DCO CORPORATION

ADDRESS AND CONTACT DETAILS

Unit/Room No., Floor Building Name Lot No., Block No. AREA CODE TELEPHONE NUMBER
80 Business (Direct Line)
Phase No. House No. Street Name 02 4365505
GEN LUNA Business (Trunk Line) Local
Subdivision Barangay Municipality
Cell Phone
MABINI BARANGAY 13 KALOOKAN CITY
09063426317
Province Zip Code
Business Email Address
NCR, THIRD DISTRICT 1400 emxhomedecor@gmail.com

PERIOD COVERED
TYPE OF PROGRAM AMOUNT DUE CLIENT PRINT VALIDATION
From To

MEMBER SAVINGS 06 - 2020 06 - 2020 400.00

MULTI-PURPOSE LOAN 06 - 2020 06 - 2020 213.14

TOTAL AMOUNT: 613.14

Prepared by: Approved by:

SHEREENE FAYE BALINAGAY BONAYON SHEREENE FAYE BALINAGAY BONAYON

ACCOUNTING CLERK
________________________________ JULY 26, 2020
____________ ACCOUNTING CLERK
________________________________ JULY 26, 2020
____________
Name and Designation Date Name and Designation Date

This form is valid within 30 days only. If payment to be made is beyond the reflected validity period, this form shall no longer be accepted by any accredited
collecting partners.

Employer ID Number 206620680005

Total Amount Due Php 613.14
PIN: 720208EB2D4F
TO BE FILLED UP BY PAYOR
THE G AND D DCO CORPORATION Cash Payment
Check Payment
80, GEN LUNA, MABINI, BARANGAY 13, KALOOKAN CITY,
Check Number
NCR, THIRD DISTRICT, 1400 Bank/ Branch