HQP-TMF-191

(V04, 12/2020)
Pag-IBIG Fund

PAYMENT INSTRUCTION FORM (PIF)

______________________
ANTIPOLO

Employer ID Number : 210920330009

Payment Instruction Date : July 08, 2024
7241 90ED 2195
Payment Instruction Number (PIN)

EMPLOYER/BUSINESS NAME : ACG CONSULTANCY CORPORATION

ADDRESS AND CONTACT DETAILS

Unit/Room No., Floor Building Name Lot No., Block No. AREA CODE TELEPHONE NUMBER

ACG 19 1 Business (Direct Line)

Phase No. House No. Street Name
6 Business (Trunk Line) Local
Subdivision Barangay Municipality
Cell Phone Number
EASTWOOD RESIDENCES SAN ISIDRO RODRIGUEZ (MONTALBAN)
09672933055
Province Region Zip Code
Business Email Address
RIZAL REGION 4-A (CALABARZON) 1860 acgconsultancy2018@gmail.com

PERIOD COVERED
TYPE OF PAYMENT AMOUNT DUE CLIENT PRINT VALIDATION
From To
MEMBER SAVINGS 06 - 2024 06 - 2024 4,000.00

TOTAL AMOUNT 4,000.00

Prepared by: Date:
MA CHRISTINA ARTILLERO LAPPAY
ACCOUNTING STAFF
______________________________ 07/08/2024
____________

REMINDERS:
07/08/2024
1. This form is valid from ______________ 08/06/2024
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 210920330009

Total Amount Due Php 4,000.00

PIN: 724190ED2195 TO BE FILLED OUT BY THE PAYOR

ACG CONSULTANCY CORPORATION Cash Payment

ACG, 19, 1, 6, EASTWOOD RESIDENCES, SAN ISIDRO, RODRIGUEZ Check Payment
(MONTALBAN), RIZAL, 1860 Check No.
Bank/Branch