Professional Documents
Culture Documents
Membership Status Verification Slip (MSVS, HQP-HLF-063, V01)
Membership Status Verification Slip (MSVS, HQP-HLF-063, V01)
Last Name
First Name
Name Ext.
Middle Name
Last Name
First Name
Name Ext.
Middle Name
Marital Status Single/ Married Widow/er Unmarried Company/Employer/Business Name Legally Separated Annulled
Date of Birth
Marital Status Single/ Married Widow/er Unmarried Company/Employer/Business Name Legally Separated Annulled
Date of Birth
Company/Employer/Business Address
Tel. No.
Company/Employer/Business Address
Tel. No.
Branch of Service
Branch of Service
Division Code
Employee No.
Division Code
Employee No.
TO (Mo./Yr.)
TO (Mo./Yr.)
Members Signature
Members Signature
FOR SERVICING DEPARTMENT / HOUSING LOANS DIVISION / Pag-IBIG INTERNATIONAL OPERATIONS GROUP
HOUSING VERIFICATION
Without With HOUSING LOAN Verified by: TOD _____________ Loan Value _______________ Date: HL Status _____________________
FOR SERVICING DEPARTMENT / HOUSING LOANS DIVISION / Pag-IBIG INTERNATIONAL OPERATIONS GROUP
HOUSING VERIFICATION
Without With HOUSING LOAN Verified by: TOD _____________ Loan Value _______________ Date: HL Status _____________________
PROVIDENT VERIFICATION
Year/Month LATEST CONTRIBUTION RECORD PFR No./Date Amount
Without CLAIMS MPL With Loan Value / Amount _____________ ________________ _____________ ________________ Verified by: DV Date Total No. of Contributions Claim Type / Last Applicable Month _____________________ _____________________ Date
PROVIDENT VERIFICATION
Year/Month LATEST CONTRIBUTION RECORD PFR No./Date Amount
Without With CLAIMS MPL Loan Value / Amount _____________ ________________ _____________ ________________ Verified by: DV Date Total No. of Contributions Claim Type / Last Applicable Month _____________________ _____________________ Date
Loan Entitlement
Loan Entitlement
MSVS APPROVAL
Certified by: Date
MSVS APPROVAL
Approved
Disapproved
Certified by:
Date
Approved
Disapproved
Remarks
Remarks
PROVIDENT VERIFICATION
Year/Month LATEST CONTRIBUTION RECORD PFR No./Date Amount
Without CLAIMS MPL With Loan Value / Amount _____________ ________________ _____________ ________________ Verified by: DV Date Total No. of Contributions Claim Type / Last Applicable Month _____________________ _____________________ Date
PROVIDENT VERIFICATION
Year/Month LATEST CONTRIBUTION RECORD PFR No./Date Amount
Without With CLAIMS MPL Loan Value / Amount _____________ ________________ _____________ ________________ Verified by: DV Date Total No. of Contributions Claim Type / Last Applicable Month _____________________ _____________________ Date
Loan Entitlement
Loan Entitlement
MSVS APPROVAL
Certified by: Date
MSVS APPROVAL
Approved
Disapproved
Certified by:
Date
Approved
Disapproved
Remarks
Remarks
(August 2012)
(August 2012)