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Employer'S Authorized Approving Officer Change of Information Form

This document is an Employer's Authorized Approving Officer Change of Information Form used by Pag-IBIG Fund. It allows employers to change or update information for authorized approving officers on their virtual Pag-IBIG account such as mobile number, email address, official designation, or to add/change authorized approving officers. The form includes instructions on how to fill it out and requires certification by the head of office or authorized signatory along with IDs for verification.

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James Bolo
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8K views2 pages

Employer'S Authorized Approving Officer Change of Information Form

This document is an Employer's Authorized Approving Officer Change of Information Form used by Pag-IBIG Fund. It allows employers to change or update information for authorized approving officers on their virtual Pag-IBIG account such as mobile number, email address, official designation, or to add/change authorized approving officers. The form includes instructions on how to fill it out and requires certification by the head of office or authorized signatory along with IDs for verification.

Uploaded by

James Bolo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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HQP-PFF-381

(V01, 08/2021)

EMPLOYER’S AUTHORIZED APPROVING Pag-IBIG EMPLOYER ID NUMBER

OFFICER CHANGE OF INFORMATION FORM


(For Employer’s Virtual Pag-IBIG Account)
INSTRUCTIONS
1. This form shall be accomplished in one (1) copy.
2. Accomplish the applicable portions to be changed/corrected only. Indicate N/A if not applicable.
3. Print in BLOCK/CAPITAL LETTERS.
4. Submit duly accomplished form and required documents to any Pag-IBIG Branch.
CHECK APPROPRIATE BOX ONLY
 1. CHANGE/CORRECTION OF MOBILE NUMBER  4. CHANGE OF AUTHORIZED APPROVING OFFICER (AAO)
 2. CHANGE/CORRECTION OF EMAIL ADDRESS  5. ADDITIONAL AUTHORIZED APPROVING OFFICER (AAO)
 3. CHANGE/UPDATE OF AUTHORIZED APPROVING OFFICER (AAO) OFFICIAL
DESIGNATION
EMPLOYER/BUSINESS NAME EMPLOYER’S TAX IDENTIFICATION NUMBER
(TIN)

EMPLOYER/BUSINESS ADDRESS

1. CHANGE/CORRECTION OF MOBILE NUMBER

Mobile Number
Name of AAO
Username
(Last Name, First Name, Name Extension, if applicable, Middle Name) From To

2. CHANGE/CORRECTION OF EMAIL ADDRESS

Email Address
Name of AAO
Username
(Last Name, First Name, Name Extension, if applicable, Middle Name) From To

3. CHANGE/UPDATE OF AUTHORIZED APPROVING OFFICER (AAO) OFFICIAL DESIGNATION

Official Designation
Name of AAO
Username
(Last Name, First Name, Name Extension, if applicable, Middle Name) From To

4. CHANGE OF AUTHORIZED APPROVING OFFICER (AAO)


From To Official Mobile Email
(Last Name, First Name, Name Extension, if (Last Name, First Name, Name Extension, if Username
applicable, Middle Name) applicable, Middle Name)
Designation Number Address

THIS FORM MAY BE REPRODUCED. NOT FOR SALE.


HQP-PFF-381
(V01, 08/2021)

5. ADDITIONAL AUTHORIZED APPROVING OFFICER (AAO)

Name of AAO Official Mobile Email


Username
(Last Name, First Name, Name Extension, if applicable, Middle Name) Designation Number Address

CERTIFICATION

I hereby certify that the information given, and all statements made herein are true and correct. Likewise, I hereby authorize Pag-IBIG Fund
to collect record, organize, update/modify, consult, use, consolidate, block, erase or destruct company’s personal data as part of its
information. I hereby affirm my right to: (a) be informed; (b) object to processing, (c) access, (d) rectify, suspend or withdraw our company’s
personal data; (e) damages; and (f) data portability pursuant to the provision of R.A. No. 10173 (Data Privacy Act of 2012).

____________________________________________________ __________________________________ ________________________


HEAD OF OFFICE OR AUTHORIZED SIGNATORY/IES DESIGNATION/POSITION DATE
(Signature Over Printed Name)
FOR Pag-IBIG FUND USE ONLY
RECEIVED BY: DATE: REMARKS:

APPROVED/DISAPPROVED BY: DATE: REMARKS:

CHECKLIST OF REQUIREMENTS
1. Employer’s Authorized Approving Officer Change of Information Form (HQP-PFF-381) (1 Original)
2. Valid ID of the Authorized Approving Officer (1 Photocopy)
3. Valid ID of the Head of Agency or Authorized Signatory (1 Photocopy)
NOTE: 1. In all instances, wherein photocopies are submitted, the original documents must be presented for authentication.
2. The AAO must be among the approving/signing authority of the company/agency as reflected in the Specimen Signature Form (HQP-PFF-003)

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