HQP-TMF-191

(V03, 07/2018)

PAYMENT INSTRUCTION FORM (PIF)

DAVAO NORTH
______________________________
Pag-IBIG Servicing Branch

Employer ID Number : 200650240000

Payment Instruction Date : August 04, 2021
7212 16E1 8E26
Payment Instruction Number

EMPLOYER/BUSINESS NAME : DAVAO INSULAR WATER ASSOCIATION INCORPORATED

ADDRESS AND CONTACT DETAILS

Unit/Room No., Floor Building Name Lot No., Block No. AREA CODE TELEPHONE NUMBER
19-02 Business (Direct Line)
Phase No. House No. Street Name 082 2241477
2 COR BASILAN FILIPINAS AVE Business (Trunk Line) Local
Subdivision Barangay Municipality
Cell Phone
INSULAR VILL 2 VICENTE HIZON SR. DAVAO CITY
09569910290
Province Region Zip Code
Business Email Address
DAVAO DEL SUR REGION 11 (DAVAO REGION) 8000 diwa_inc@yahoo.com.ph

PERIOD COVERED
TYPE OF PAYMENT AMOUNT DUE CLIENT PRINT VALIDATION
From To
MEMBER SAVINGS 07 - 2021 07 - 2021 2,790.60

TOTAL AMOUNT 2,790.60

Prepared by: Date:

______________________________ 08/04/2021
____________
MARY
NameGRACE
andLAGAMAYO SALADO
Designation
ACCOUNTING STAFF

REMINDERS:
08/04/2021
1. This form is valid from ______________ 09/02/2021
to ______________. If payment to be made is beyond the reflected validity period, this form will not be accepted
by any accredited collecting partner/s.
2. Please remit MS/pay loan obligation on or before the due date to avoid incurring penalties.

Employer ID Number 200650240000

PIN: 721216E18E26 Total Amount Due Php 2,790.60

TO BE FILLED OUT BY THE PAYOR
DAVAO INSULAR WATER ASSOCIATION INCORPORATED
Cash Payment
19-02, 2, COR BASILAN FILIPINAS AVE, INSULAR VILL 2,
Check Payment
VICENTE HIZON SR., DAVAO CITY, DAVAO DEL SUR, 8000
Check No.
Bank/Branch