Pag Ibig Ofw Program Member Application Form by irr74308

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									2010-017
May 24, 2010
                        HOME DEVELOPMENT MUTUAL FUND
                              Corporate Headquarters
                               The Atrium of Makati
                              Makati Ave., Makati City


                                 HDMF Circular No. 276

        TO: ALL CONCERNED

SUBJECT:      GUIDELINES IMPLEMENTING THE MODIFIED Pag – IBIG II (MP2)
              MEMBERSHIP PROGRAM


      Pursuant to the approval by the HDMF Board of Trustees in its 264th Board
Meeting held last December 18, 2009, the Guidelines Implementing the Modified
Pag-IBIG II (MP2) Membership Program are hereby issued.


A. OBJECTIVE

   To give Pag-IBIG I members, whose gross monthly income exceeds P5,000.00,
   another savings option that would provide them with a yield higher than those
   given under their existing membership with the Fund.


B. COVERAGE

   Membership under the Modified Pag-IBIG II (MP2) Program shall be voluntary upon
   all Pag-IBIG I members whose gross monthly income exceeds five thousand pesos
   (P5,000.00).


C. CONTRIBUTIONS

   The member may contribute a minimum of five hundred pesos (P500.00) per month.
   Payments shall be recorded as of payment date.


D. DIVIDEND RATE

   A member shall be entitled to flexible dividend rates, which shall be
   determined within the first quarter of every year and approved by the Board of
   Trustees; provided that the said rate shall be higher than that of Pag-IBIG I.


E. MEMBERSHIP MATURITY

   1. The member under the Modified Pag-IBIG II shall be entitled to receive his/her
      Total Accumulated Value (TAV) under this program at the end of the five (5)
      year membership term. The TAV shall comprise of his contributions and its
      corresponding dividends.

   2. Withdrawal of contributions prior to maturity shall be allowed under any of the
      following circumstances:

      a. total disability or insanity
      b. separation from service by reason of health
      c. death

   3. Upon maturity, a member may opt to continue his/her Modified Pag-IBIG II
      membership for another five years.


F. OTHER PROVISIONS

   1. No new membership application for the Pag-IBIG II Program created under
      Circular No. 72 and its amendments shall be accepted upon issuance of
      these guidelines. Similarly, members with maturing Pag-IBIG II savings
      shall not be allowed to extend the term of their membership under the said
      program. Said member may opt to withdraw his savings upon maturity or
      invest it under the MP2 Program

   2. The MP2 Program shall be solely a savings scheme. Hence, members
      under the program shall not be entitled to avail of any of the Fund’s lending
      programs unless he/she is also an active member under the Pag-IBIG I and
      satisfies the eligibility criteria set by the Fund.


G. AMENDMENTS

   These guidelines may be amended, revised or modified in writing by the Board of
   Trustees.


H. EFFECTIVITY

   These guidelines take effect immediately.




Makati City
February 3, 2010
                                                                                                                                                                          FPF090



                                                 MEMBER’S DATA FORM (MDF)
                                                                                                                                      FOR HDMF USE ONLY
                                                                                                                       Pag-IBIG MID No.
REGISTRATION TRACKING NO.


                                                                                INSTRUCTIONS
     1. Submit this form in two (2) copies.                                          6. On the “BENEFICIARIES” portion, the provision on the Intestate Succession, as
     2. Type or print all entries in BLOCK or CAPITAL LETTERS.                          provided in the New Family Code shall be observed.
     3. The “NAME EXTENSION” shall refer to JR., II, III and the like.                   a. SINGLE - Mother, Father, Brother and/or Sister
     4. Indicate the full name of your FATHER and MOTHER as they appear in               b. MARRIED - Spouse, Son, Daughter, Mother and Father
        your birth certificate                                                       7. Upon submission of this form, present at least one (1) valid ID.
     5. Accomplish only the “PERMANENT HOME ADDRESS” if it is different              8. For any subsequent change of information, please secure and accomplish two (2)
        with the “PRESENT HOME ADDRESS”.                                                copies of the Member’s Change of Information Form (MCIF) [FPF110]) and submit
                                                                                        to the concerned HDMF Branch.

MEMBERSHIP CATEGORY                                                                                                        OTHER PROGRAMS (VOLUNTARY)
o MANDATORY                                                                               o VOLUNTARY                            MODIFIED Pag-IBIG II (Cir. 276 dtd. 2/3/10)
          EMPLOYED PRIVATE                           OVERSEAS FILIPINO WORKER (OFW)            EMPLOYED                          Pag-IBIG II (Cir. 72 dtd. 10/23/89)
          EMPLOYED GOVERNMENT                        SELF-EMPLOYED                             INDIVIDUAL PAYOR                  POP (Cir. 98 dtd. 10/2/91)
          EMPLOYED PRIVATE HOUSEHOLD                                                                                             POP (Cir. 98-C dtd. 1/28/04)
                                                                                                       NAME                                                NO MIDDLE NAME
                                        LAST NAME                         FIRST NAME                 EXTENSION                   MIDDLE NAME                       (check if
                                                                                                      (e.g. Jr., II)                                            applicable only)

MEMBER

FATHER

MOTHER (Maiden Name)

SPOUSE (If Married)
MEMBER’S NAME AS
APPEARING IN THE
BIRTH CERTIFICATE
DATE OF BIRTH                                                    CIVIL STATUS                                              TAXPAYERS IDENTIFICATION NUMBER (TIN)
                                                                    Single       Widow/er              Annulled
                                                                    Married      Legally Separated
 m        m     d    d        y     y   y    y
                                                                                                                           SSS/GSIS NUMBER
PLACE OF BIRTH (City/Municipality/Province/Country)              CITIZENSHIP
(Please indicate country if born outside the Philippines)
                                                                                                                           EMPLOYEE NUMBER

GENDER                            HEIGHT         WEIGHT          PROMINENT DISTINGUISHING FACIAL FEATURES
                                                                 (Ex. Moles, Scars, etc.)                                  For AFP/PNP Employee, Serial/Badge No.
   Male
   Female                         ______ (m)     ______ (kg)
COMMON REFERENCE NUMBER (CRN)/UNIFIED MULTI-PURPOSE ID NO. (If Available)                                                  For DECS Employee, Division Code-Station Code



                                               PRESENT HOME ADDRESS                                                                       CONTACT DETAILS
Unit/Room No., Floor                                           Building Name                                               (Indicate country code if abroad)
                                                                                                                           COUNTRY + AREA CODE TELEPHONE NUMBER
                                                                                                                           Home
Lot No.       Block No.       Phase No.        House No.       Street Name

                                                                                                                           Cell Phone

Subdivision                                                    Barangay
                                                                                                                           Business (Direct Line)

Municipality/City                                              Province                           ZIP Code
                                                                                                                           Business (Trunk Line)                    Local


State/Country(if abroad)                                                                                                   Email Address


                                                                                                                                                                       Revised 02/2010
                                                            THIS FORM MAY BE REPRODUCED. NOT FOR SALE.
                                                                              PERMANENT HOME ADDRESS
Unit/Room No., Floor                                                Building Name                                                        Lot No.         Block No.           Phase No.        House No.


Street Name                                                         Subdivision                                                          Barangay


Municipality/City                                                   Province                                                                                                 ZIP Code



PREFERRED MAILING ADDRESS                                Present Home Address                             Permanent Home Address                              Employer/Business Address

                                                                           PRESENT EMPLOYMENT DETAILS
EMPLOYER/BUSINESS NAME                                                                                                                   EMPLOYMENT STATUS
                                                                                                                                             Permanent/Regular                Contractual
                                                                                                                                             Casual                           Project-based
                                          EMPLOYER/BUSINESS ADDRESS                                                                          Part-time/Temporary

Unit/Room No., Floor                                               Building Name                                                         OFFICE ASSIGNMENT
                                                                                                                                             Head Office                      Branch ____________

Lot No.        Block No.         Phase No.        House No.        Street Name                                                           MONTHLY INCOME
                                                                                                                                          Basic
                                                                                                                                                                    +
Subdivision/Barangay                                               Municipality/City                         ZIP Code                     Allowances/Others
                                                                                                                                                                    =
                                                                                                                                          Total Mo. Income
Province                                                           State/Country(if abroad)                                              TYPE OF WORK (For OFWs only)
                                                                                                                                             Land-based                       Sea-based

MANNING AGENCY (To be accomplished by the Seafarers only)



                                         PREVIOUS EMPLOYMENT FROM DATE OF HDMF MEMBERSHIP (Use another sheet if necessary)

EMPLOYER/BUSINESS NAME                                                                                                                   OFFICE ASSIGNMENT
                                                                                                                                             Head Office                      Branch ____________

EMPLOYER/BUSINESS ADDRESS                                                                                                                FROM                                TO


                                                                                                                                         m    m      y    y     y       y    m     m     y    y       y       y
EMPLOYER/BUSINESS NAME                                                                                                                   OFFICE ASSIGNMENT
                                                                                                                                             Head Office                      Branch ____________

EMPLOYER/BUSINESS ADDRESS                                                                                                                FROM                                TO


                                                                                                                                         m    m      y    y     y       y   + m    m     y    y       y       y
BENEFICIARIES (In case of death, Fund benefits shall be divided among the member’s legal heirs in accordance with the New Civil Code as amended by the New Family Code) (Use another sheet if necessary)

                                                                 NAME                                        NO MIDDLE NAME
      LAST NAME                      FIRST NAME                                      MIDDLE NAME                                         RELATIONSHIP                         DATE OF BIRTH
                                                               EXTENSION                                    (Check only if applicable)



                                                                                                                                                               m        m     d    d     y    y   y       y


                                                                                                                                                               m        m     d    d     y    y   y       y


                                                                                                                                                                m       m     d    d     y    y   y       y



 I HEREBY CERTIFY THAT THE INFORMATION GIVEN AND ALL STATEMENTS                                                 SPECIMEN SIGNATURES                                               INITIALS
 MADE HEREIN ARE TRUE AND CORRECT.
                                                                                                       ______________________________________                           ________________________


                                                                                                       ______________________________________                           ________________________
                SIGNATURE OF MEMBER                                          DATE

                                                                                                       ______________________________________                           ________________________

								
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