Sample Template For LI Accreditation - Annex To MOA

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Republic of the Philippines

Region IX, Zamboanga Peninsula


PROVINCE OF ZAMBOANGA DEL SUR
Municipality of Guipos
-oOo-

OFFICE OF THE MUNICIPAL MAYOR


CERTIFICATION OF LENDING INSTITUTIONS
This is to certify that the below-listed Lending Institutions are accredited and/or recognized by LOCAL GOVERNMENT
UNIT OF GUIPOS (LGU-GUIPOS) and is being submitted to the Government Service Insurance System (GSIS) for
inclusion to the list of accredited Lending Institutions for GFAL II availment of our personnel:
BIR TIN
PAYEE NAME CLASSIFICATION COMPLETE BUSINESS POSTAL 12 digit field (eg 000-000- CONTACT CONTACT
(Bank, Cooperative, Rural 000-000) to include VAT(V)
(to be reflected in the check to be issued by
Bank, Lending Institution, ADDRESS CODE or Non-VAT PERSON NUMBER (Include
GSIS) (4 digit code)
Government) (N)Classification (First Name, Middle Initial area code)
and Surname)
National Highway,
Paglaum, Poblacion, 008-495-220-028 Ardee Warren P. 09486447446
RURAL BANK 7015
1ST VALLEY BANK Dumalinao, Arnejo
Zamboanga del Sur
DEVELOPMENT BANK Balangasan District, Maylin C. Agero
OF THE PHILIPPINES BANK Pagadian 7016 000-449-609-
00053
ZAMBOANGA DEL SUR
GOVERNMENT Dinas, Zamboanga del 004-323-659-000 Glenn Paciol 09481292568
OFFICIALS AND COOPERATIVE Sur 7030
EMPLOYEES MULTI-
PURPOSE COOPERATIVE
LAND BANK OF THE Pagadian City, 000-349-710-166 Josephine Repole 09465325777
BANK 7016
PHILIPPINES Zamboanga del Sur

Date Issued: November 26, 2019

Certified True and Correct: MELVINSON LOUI P. SARCAUGA


HRMO IV

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