VOLUNTARY TRANSFER TO GSIS

I am voluntarily transferring to GSIS beginning ________________________ and I am

authorizing CDC to deduct from my monthly payroll the required employee’s share for my
GSIS membership.

I know that CDC provided various occasions to provide information regarding the transfer
to GSIS through orientations and dialogues with GSIS, SSS, and Management, but I know
the full responsibility of evaluating my choice rely solely on me.

___________________________
Name and Signature of Employee

Date:______________________
Republic of the Philippines)
Angeles City ) S.S.

UNDERTAKING FOR RETROACTIVE COVERAGE:

1. This is to certify that I, _________________________________, of legal age,

Filipino, _____________, with residence and postal address
__________________________ and an employee of CDC hereby manifest the
following:
 Start of my employment with CDC on: ___________;
 Starting this date: _________________________;

2. That I understand that based on the CDC “GSIS Calculator”, the amount that I
should pay for the retroactive coverage is approximately
_______________________, but the exact amount shall later be formalized by
GSIS and that I should later confirm in writing without need for notarization,
agreement to the amount computed by GSIS;

3. That I will pay the employees’ arrears for retroactive coverage using any or
combination of these:
 From my personal funds:
 From the advances to be made by CDC in my behalf;

4. That I understand the advances to be made by CDC for my employee’s share shall
be non-interest bearing and should be fully collected by CDC before my retirement
/ separation from the organization;

5. That I will pay CDC advances for a maximum of ten (10) years by:
 Deductions from my monthly salary:
 From my future employee and employer’s provident fund share;
 Reimbursements from SSS
 Loan from GSIS
 Combination of all or any

6. Balance from the above to be paid from retirement/separation payment of

employee;

7. That CDC has provided various occasions to enlighten its employees regarding
the benefits, responsibilities, and restrictions with regards to the transfer to GSIS
through various orientations and dialogues with GSIS, SSS, and Management, but
I acknowledge the full responsibility of evaluating my options rely on me;

8. That I am manifesting this undertaking voluntarily.

Done this _______________ of __________________, at Clark Freeport Zone,

Philippines.

___________________________
Name and Signature of Employee