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Member data MDF form is an important document that stores all the information of a member. This form is used to track membership details, such as name, address, contact number, and other important information. By having this form, the club can easily identify its members and keep them updated on the latest news and events.

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Question	Answer
Form Name	Member Data Mdf
Form Length	5 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	1 min 15 sec
Other names	how to print mdf pag ibig, pag ibig mdf form edit, pag ibig mdf, mdf online

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MEMBER’S DATA FORM (MDF)

INSTRUCTIONS

HQP-PFF-039 (V08, 11/2020)

FOR Pag-IBIG Fund USE ONLY

Pag-IBIG MID NUMBER

REGISTRATION TRACKING NUMBER

1.Accomplish this form in one (1) copy only. If registration is thru online, the form should be printed back to back on a single sheet of paper.

2.Type or print all entries in BLOCK or CAPITAL LETTERS.

3.All fields marked with asterisk (*) are mandatory.

4.On the “OCCUPATIONAL STATUS” portion, if not employed or purpose is pre-employment, select “UNEMPLOYED/NOT YET EMPLOYED”.

5.The “NAME EXTENSION” shall refer to JR., II, III and the like.

6.Indicate the full name of your FATHER and MOTHER as they appear in your birth certificate.

7.On the “OCCUPATION” portion, indicate your job, profession, or type of work to earn a living.

8.On the “HEIRS” portion, the provision on the Laws on Succession, under the New Civil Code, shall be observed.

9.For any subsequent change of information, please secure and accomplish Member’s Change of Information Form (MCIF, HQP-PFF-049) and submit to any Pag-IBIG Branch nearest you.

*OCCUPATIONAL STATUS

 EMPLOYED

 UNEMPLOYED/NOT YET EMPLOYED

 CHECK THIS BOX IF FIRST TIME JOB SEEKER

*MEMBERSHIP CATEGORY

MANDATORY

VOLUNTARY

 EMPLOYED (PRIVATE)

 SELF-EMPLOYED

 EMPLOYED (FOREIGN GOVERNMENT)

 MEMBER OF COOPERATIVE/

 EMPLOYED (GOVERNMENT)

 PROFESSIONAL/BUSSINESS OWNER

 BARANGAY OFFICIAL/EMPLOYEE

TRADE UNION

 EMPLOYED PRIVATE HOUSEHOLD  JOB ORDER PERSONNEL

 NON-WORKING SPOUSE

 OVERSEAS FILIPINO IMMIGRANT

 OVERSEAS FILIPINO

 OTHER EARNING GROUP (OEGs)

 MEMBER OF RELIGIOUS GROUP

 OTHERS, Please specify

WORKER (OFW)

 PENSIONER/INVESTOR/LESSOR

__________________________

PERSONAL DETAILS

NAME

LAST NAME

FIRST NAME

NAME EXTENSION

MIDDLE NAME

NO MIDDLE NAME

(e.g. Jr., II)

(check if applicable only)

*MEMBER



FATHER



*MOTHER (Maiden Name)



*SPOUSE (If Married)



MEMBER’S NAME AS APPEARING IN



THE BIRTH CERTIFICATE

*DATE OF BIRTH

*MARITAL STATUS

TAXPAYER IDENTIFICATION NUMBER (TIN)

 Single/Unmarried  Widow/er

 Annulled

 Married

 Legally Separated

m m

d d

y y y

SSS/GSIS NUMBER

*PLACE OF BIRTH (City/Municipality/Province/Country)

*CITIZENSHIP

(Please indicate country if born outside the Philippines)

EMPLOYEE NUMBER

*SEX

HEIGHT

WEIGHT

PROMINENT DISTINGUISHING FACIAL FEATURES

 Male

(Ex. Moles, Scars, etc.)

______ (cm)

______ (kg)

For AFP/PNP Employee, Serial/Badge No.

 Female

COMMON REFERENCE NUMBER (CRN)

FREQUENCY OF MEMBERSHIP SAVINGS (MS)

(If Available)

PAYMENT (If payment of MS is not thru payroll deduction)

For DepEd Employee, Division Code-Station Code

 Monthly

 Semi-Annually

 Quarterly

 Annually

ADDRESS AND CONTACT DETAILS

*PERMANENT HOME ADDRESS

(Indicate country code if abroad)

Unit/Room No., Floor

Building Name

Lot No., Block No., Phase No. House No

Street Name

COUNTRY + AREA CODE

TELEPHONE NUMBER

Home

Subdivision

Barangay

Municipality/City

Province/State/Country (if abroad)

ZIP Code

Cell Phone

*PRESENT HOME ADDRESS

Business (Direct Line)

Unit/Room No., Floor

Building Name

Lot No., Block No., Phase No. House No

Street Name

Business (Trunk Line)

Local

Subdivision

Barangay

Municipality/City

Province/State/Country (if abroad)

ZIP Code

Email Address

*PREFERRED MAILING ADDRESS

 Present Home Address  Permanent Home Address

 Employer/Business Address

THIS FORM MAY BE REPRODUCED. NOT FOR SALE.

HQP-PFF-039

(V08, 11/2020)

PRESENT EMPLOYMENT DETAILS (If with more than one (1) employer, use separate sheet and follow format below)

*OCCUPATION

EMPLOYMENT STATUS

TYPE OF WORK (For OFW only)

 Permanent/Regular  Contractual

 Part-time/

(Pls. specify country of assignment)

 Land-based

__________________________

 Casual

 Project-based

Temporary

 Sea-based

__________________________

*EMPLOYER/BUSINESS NAME

MONTHLY INCOME

Basic

*EMPLOYER/BUSINESS ADDRESS

Allowances/Others

Unit/Room No., Floor

Building Name

Lot No., Block No., Phase No. House No.

Total Mo. Income

Street Name

Subdivision

Barangay

OFFICE ASSIGNMENT

 Head Office

 Branch ____________

Municipality/City

Province

State/Country (If abroad)

ZIP Code

DATE EMPLOYED (Month, Year)

PREVIOUS EMPLOYMENT FROM DATE OF

Pag

-IBIG Fund MEMBERSHIP (Use another sheet if necessary)

EMPLOYER/BUSINESS NAME

OFFICE ASSIGNMENT

 Head Office

 Branch ____________

EMPLOYER/BUSINESS ADDRESS

FROM

m m

y y y y

m m

y y y y

EMPLOYER/BUSINESS NAME

OFFICE ASSIGNMENT

 Head Office

 Branch ____________

EMPLOYER/BUSINESS ADDRESS

FROM

m m

y y y y

m m

y y y y

EMPLOYER/BUSINESS NAME

OFFICE ASSIGNMENT

 Head Office

 Branch ____________

EMPLOYER/BUSINESS ADDRESS

FROM

m m y y y y

HEIRS (In case of death, Fund benefits shall be divided among the member’s heirs in accordance with the Rules of Succession under the New Civil Code, as amended) (Use another sheet if necessary)

LAST NAME

FIRST NAME

NAME

MIDDLE NAME

NO MIDDLE NAME

RELATIONSHIP

DATE OF BIRTH

EXTENSION

(Check only if applicable)



CERTIFICATION

I hereby certify that the information given, and all statements made herein are true and correct. Likewise, I hereby authorize Pag-IBIG Fund to collect record, organize, update/modify, consult, use, consolidate, block, erase or destruct my personal data as part of my information. I hereby affirm my right to: (a) be informed; (b) object to processing; (c) access; (d) rectify, suspend or withdraw my personal data; (e) damages; and (f) data portability pursuant to the provision of R.A. No. 10173 (Data Privacy Act of 2012).

______________________________________	_________________
SIGNATURE OF INFORMANT	DATE

FOR Pag-IBIG FUND USE ONLY

RECEIVED BY
_________________________________	________________________	____________________
Signature over Printed Name	Designation/Position	Branch/Unit

DATE

DISCLAIMER

Membership registration with the Fund does not automatically qualify a Pag-IBIG member to avail of the Fund’s various loan programs. A Pag-IBIG member must satisfy the eligibility requirements and comply with the documentary requirements, which is subject to verification and approval.

ANNEX A

GUIDE IN ACCOMPLISHING MEMBER’S DATA FORM (MDF)

FRONT

Submit MDF in one (1) copy and observe the following:

1Pag-IBIG Membership ID (MID) Number - a unique 12- digit number series assigned to a registered member. To be accomplished by Pag-IBIG Fund.

2Registration Tracking Number (RTN) - refers to system-generated number issued after completion of online registration.

3Instructions - refers to quick guide in accomplishing the MDF.

4Occupational Status - check the appropriate box to indicate working status of a person either employed, unemployed or not yet employed (for first time job seeker).

5Membership Category - check the appropriate box to indicate type of membership coverage as defined under R.A. 9679.

BACK

Mandatory Coverage

a.Employed (Private) - any person in service of a private employer and who receives compensation for such services rendered, may or may not be registered yet with the Social Security System (SSS); will also include the following:

-Employees of foreign-based employers with an administrative agreement with the Fund

b.Employed (Government) - any person in service of any of the government offices that are coverable by the GSIS; will also include the following:

-Uniformed personnel of the Armed Forces of the Philippines, Philippine National Police, Bureau of Fire Protection, Bureau of Jail Management and Penology

-Members of the Judiciary and Constitutional Commissions

c.Overseas Filipino Worker (OFW) - any person working for a foreign-based employer, whether deployed or for deployment abroad, or a combination of local and overseas deployment, whether based on land or at sea.

d.Self-employed (SE) - any person not over sixty (60) years old, who is practicing his/her profession, or engaged in any trade, business or occupation, with monthly average income/ earnings of at least P1,000 and is not under an employer-employee relationship.

Professional/Business Owner - refers to individual that earns income through conducting profitable operations from a trade or business that he operates directly.

Job Order Personnel - refers to hired workers for a piece of work or intermittent job of short duration not exceeding six (6) months and is paid on a daily or hourly basis and has no employee-employer relationship.

Other Earning Group (OEGs) - this refers to small scale units engaged in the production of goods and services with the primary objective of generating employment and income to the person concerned in order to earn a living.

-Public Utility Transport Driver

-Market Vendor

-Farmer

-Fisher Folk

-Others (Other similar self-employed individuals)

Voluntary Coverage

a.Employed (Foreign Government) - refers to

employee of foreign government

(embassies/consulates) or international organizations without an administrative agreement with the Fund.

b.Barangay Official/Employee - refers to any person in authority in their jurisdictions, or who may be designated by law or ordinance and charged with the maintenance of public order, protection and security of life and property, or the maintenance of a desirable and balanced environment, or who comes to the aid of persons in authority.

c.Non-Working Spouse - refers to a spouse who devotes full time to managing the household and family affairs.

d.Member of Religious Group - refers to individual, head or leader of any organization in the exercise of religious belief.

e. Pensioner - any person receiving old-age or permanent total disability pension or any person who has received the lump sum excluding one receiving survivorship pension benefits; or

Investor - the owner of investor securities or investor share where investor securities or shares mean shares of stock issued by a Real Estate Investment Trust (REIT) or derivatives thereof; or

Lessor - shall include the owner or administrator or agent of the owner of the residential unit.

f. Member of Cooperative - a member of an autonomous and duly registered association of persons, with a common bond of interest, who have voluntarily joined together to achieve their social, economic, and cultural needs and aspirations by making equitable contributions to the capital required, patronizing their products and services and accepting a fair share of the risks and benefits of the undertaking in accordance with the universally accepted cooperative principles; or

Member of Trade Union - a member of an organization whose membership consists of workers and union leaders, united to protect and promote their common interest.

g.Overseas Filipino Immigrant - refers to a person of Filipino origin who lives out of the Philippines as citizen or as permanent resident of a different country.

6Member’s Name - this portion shall be accomplished in the following order:

Last Name - refers to the family name or surname.

First Name - refers to the given name.

Name Extension - refers to Jr., II, III and the like.

Middle Name - refers to registrant’s mother’s maiden last name or for married women, refers to father’s last name.

No Middle Name - this portion shall be checked if informant is not using a middle name, such as the Chinese.

7	Father’s Name	Please refer to item
		Please refer to item
8	Mother’s Name (Maiden Name)	no. 6 in accomplishing
8	Mother’s Name (Maiden Name)	Last Name, First
		Name, Name
9	Spouse’ Name	Extension, and Middle
		Name

10Member’s Name as Appearing in the Birth Certificate

- indicate Member’s name based on Birth Certificate.

11Date of Birth - indicate date of birth in the following format: mm/dd/yyyy

Example: If born on January 14, 1980, please write 01 14 1980.

12 Place of Birth - indicate the City/Municipality/ Province/Country where the registrant was born. Specify only the country if born outside the Philippines.

13Sex - check the appropriate box.

14Height - indicate height in centimeters (cm). Conversion: 1 foot = 30.48 cm

1 inch = 2.54 cm

Example: 5’3” = 160.02 cm

15Weight - indicate weight in kilograms (kg). Conversion: 1 pound (lb) = 0.4536 kilogram Example: 120 lbs = 54.43 kg

16Common Reference Number (CRN) - indicate if available.

17Marital Status - check the appropriate box.

18Citizenship - indicate your nationality.

19Prominent Distinguishing Facial Features - indicate your distinguishing features that can be found on the face such as “mole under the right eye” or “mole or birth mark on the left cheek/forehead”.

20Frequency of Membership Savings (MS) Payment - check appropriate box if payment of MS is not thru payroll deduction.

21Taxpayer Identification Number (TIN) - indicate your 9-digit TIN issued by the Bureau of Internal Revenue (BIR).

22SSS/GSIS Number - for private employees, indicate your 10-digit Social Security Number, and for government employees, indicate your 11-digit Business Partner Number.

23Employee Number - refers to your company ID number.

For AFP/PNP Employee, indicate Serial/Badge No.

For DepEd Employee, aside from Employee Number, indicate Division Code-Station Code

24Permanent Home Address - indicate the address of your permanent residence.

25Present Home Address - indicate the address where you currently reside, and the state/country only if present address is outside the Philippines.

26Preferred Mailing Address - check the appropriate box to indicate your chosen address to receive mail.

27Contact Numbers - indicate the country and area code only if outside Metro Manila or based abroad.

28Occupation - indicate your job, profession, or type of work to earn a living.

For Other Working Group (OWG)/Informal Sector, select from the following:

-Public Utility Transport Driver

-Market Vendor

-Farmer

-Fisher Folk

-Others (Other workers in the informal sector)

29Employment Status - check the appropriate box.

30Employer/Business Name - indicate complete Employer/Business Name appearing in the registration certificate or employment contract (applicable for Formally Employed, OFW and Self-employed Professional/Business Owner).

31Employer/Business Address - indicate complete Employer/Business Address appearing in the registration certificate or employment contract (applicable for Formally Employed, OFW and Self- employed Professional/Business Owner).

32Type of Work - check the appropriate box (applicable for OFW only).

33Monthly Income - indicate your income or earning per month.

34Office Assignment - check the appropriate box to indicate whether assigned to Head Office or a particular Branch.

35Date Employed - indicate inclusive date of employment under current employer.

36Previous Employment From Date of Pag-IBIG Membership - indicate details of your previous employment.

37Heirs - indicate your legal heir/s in accordance with the Laws of Succession, as provided in the New Civil Code of the Philippines, as amended.

38Certification - affix your signature and indicate the date when the MDF was accomplished.

39Acknowledgement - to be accomplished by Pag-IBIG Fund.

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step 1 to filling in pag ibig mdf form edit

Provide the appropriate information in MOTHER Maiden Name, SPOUSE If Married, MEMBERS NAME AS APPEARING IN THE, DATE OF BIRTH, m m, y PLACE OF BIRTH, SEX Male Female, HEIGHT, WEIGHT, COMMON REFERENCE NUMBER CRN If, MARITAL STATUS SingleUnmarried, CITIZENSHIP, PROMINENT DISTINGUISHING FACIAL, FREQUENCY OF MEMBERSHIP SAVINGS MS, and SemiAnnually Annually part.

Entering details in pag ibig mdf form edit part 2

Focus on the most significant information about the Subdivision, Barangay, MunicipalityCity, Business Trunk Line Local, PREFERRED MAILING ADDRESS Present, EmployerBusiness Address, Email Address, and THIS FORM MAY BE REPRODUCED NOT section.

part 3 to entering details in pag ibig mdf form edit

The PRESENT EMPLOYMENT DETAILS If with, OCCUPATION, EMPLOYMENT STATUS, PermanentRegular Casual, Contractual Projectbased, Parttime Temporary, TYPE OF WORK For OFW only, Pls specify country of assignment, Landbased Seabased, EMPLOYERBUSINESS NAME, EMPLOYERBUSINESS ADDRESS UnitRoom, MONTHLY INCOME, Basic, AllowancesOthers, and Total Mo Income area can be used to specify the rights and responsibilities of each side.

step 4 to entering details in pag ibig mdf form edit

End by looking at these fields and writing the proper details: EMPLOYERBUSINESS NAME, EMPLOYERBUSINESS ADDRESS, m m y y y y m m y y y y OFFICE, Head Office Branch, FROM, m m y y y y m m y y y y, HEIRS In case of death Fund, LAST NAME, FIRST NAME, NAME EXTENSION, MIDDLE NAME, NO MIDDLE NAME Check only if, RELATIONSHIP, DATE OF BIRTH, and CERTIFICATION.

Completing pag ibig mdf form edit part 5

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