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HQP-HLF-226 Modified Pag-IBIG II Enrollment Form (MP2EF)
Pag-Ibig modified enrollment form
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: HQP-PFF-226
(V02, 07/2018)
MODIFIED Pag-IBIG II ENROLLMENT FORM
INSTRUCTIONS
1. Type or print all entries in BLOCK or CAPITAL LETTERS.
2. Submit this form and present at least one (1) valid ID.
LAST NAME
FIRST NAME
NAME EXTENSION (e.g., Jr., II)
FOR Pag-IBIG FUND USE ONLY
MP2 ACCOUNT NUMBER
MIDDLE NAME
NO MIDDLE NAME
Pag-IBIG MID No. (If applicable)
PRESENT HOME ADDRESS Unit/Room No., Floor
Building Name
Lot No., Block No., Phase No. House No.
Street Name
DATE OF BIRTH
Subdivision
Municipality/City
Province/State/Country (if abroad)
ZIP Code
CONTACT DETAILS
Barangay
COUNTRY+AREA CODE
TELEPHONE NO.
Home
EMPLOYER/BUSINESS NAME (If applicable)
EMPLOYER/BUSINESS ADDRESS Unit/Room No., Floor
Subdivision
Barangay
Building Name
Municipality/City
Lot No., Block No., Phase No. House No. Street Name
Province/State/Country (if abroad)
AUTHORITY TO DEDUCT
(For locally-employed members)
ZIP Code
Cell Phone Number
Email Address
PREFERRED DIVIDEND PAYOUT
THIS IS TO AUTHORIZE MY PRESENT AND FUTURE EMPLOYER TO
DEDUCT
MY
MP2
MONTHLY
SAVINGS
IN
THE
AMOUNT
OF
________________________________________ (P________) FROM MY SALARY
AND REMIT THE SAME TO Pag-IBIG FUND.
ANNUAL
COMPOUNDED
IF ANNUAL, I HEREBY AUTHORIZE Pag-IBIG FUND TO CREDIT MY
ANNUAL DIVIDEND PAYOUT THROUGH MY PAYROLL ACCOUNT/
DISBURSEMENT CARD OR DEPOSIT TO MY BANK ACCOUNT INDICATED
BELOW:
PAYROLL/DISBURSEMENT CARD/BANK ACCOUNT NUMBER
NAME OF BANK/BRANCH
SIGNATURE OVER PRINTED NAME
HQP-PFF-226
(V02, 07/2018)
MODIFIED Pag-IBIG II ENROLLMENT FORM
INSTRUCTIONS
1. Type or print all entries in BLOCK or CAPITAL LETTERS.
2. Submit this form and present at least one (1) valid ID.
LAST NAME
FIRST NAME
NAME EXTENSION (e.g., Jr., II)
FOR Pag-IBIG FUND USE ONLY
MP2 ACCOUNT NUMBER
MIDDLE NAME
NO MIDDLE NAME
Pag-IBIG MID No. (If applicable)
PRESENT HOME ADDRESS Unit/Room No., Floor
Building Name
Lot No., Block No., Phase No. House No.
Street Name
DATE OF BIRTH
Subdivision
Municipality/City
Province/State/Country (if abroad)
ZIP Code
CONTACT DETAILS
Barangay
COUNTRY+AREA CODE
TELEPHONE NO.
Home
EMPLOYER/BUSINESS NAME (If applicable)
EMPLOYER/BUSINESS ADDRESS Unit/Room No., Floor
Subdivision
Barangay
Building Name
Municipality/City
Lot No., Block No., Phase No. House No. Street Name
Province/State/Country (if abroad)
AUTHORITY TO DEDUCT
(For locally-employed members)
Email Address
PREFERRED DIVIDEND PAYOUT
THIS IS TO AUTHORIZE MY PRESENT AND FUTURE EMPLOYER TO
DEDUCT
MY
MP2
MONTHLY
SAVINGS
IN
THE
AMOUNT
OF
________________________________________ (P________) FROM MY SALARY
AND REMIT THE SAME TO Pag-IBIG FUND.
ZIP Code
Cell Phone Number
ANNUAL
COMPOUNDED
IF ANNUAL, I HEREBY AUTHORIZE Pag-IBIG FUND TO CREDIT MY
ANNUAL DIVIDEND PAYOUT THROUGH MY PAYROLL ACCOUNT/
DISBURSEMENT CARD OR DEPOSIT TO MY BANK ACCOUNT INDICATED
BELOW:
PAYROLL/DISBURSEMENT CARD/BANK ACCOUNT NUMBER
SIGNATURE OVER PRINTED NAME
NAME OF BANK/BRANCH
HQP-PFF-226
(V02, 07/2018)
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 other than
program, I understand that I need to apply for a new MP2 account. If I
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 penalty
shall cease to earn dividend provided under MP2 program. Instead,
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 Member’s
8. Pre-termination or withdrawal of MP2 savings prior to maturity shall
Change of Information Form (MCIF) and immediately notify Pag-IBIG
be allowed under any of the following circumstances, as applicable:
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
HQP-PFF-226
(V02, 07/2018)
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 than
program, I understand that I need to apply for a new MP2 account. If I
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 penalty
shall cease to earn dividend provided under MP2 program. Instead,
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 Member’s
8. Pre-termination or withdrawal of MP2 savings prior to maturity shall
Change of Information Form (MCIF) and immediately notify Pag-IBIG
be allowed under any of the following circumstances, as applicable:
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
