Pag-IBIG Form – Fill Out and Use This PDF

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

On the OCCUPATIONAL STATUS portion, if not employed or purpose is pre-employment, select UNEMPLOYED/NOT YET EMPLOYED. For first time jobseekers, select also the CHECK THIS BOX IF FIRST TIME JOBSEEKERS.

Not yet employed individuals or first time jobseekers shall not be required to submit proof of income.

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

Private Household: any individual rendering domestic services exclusively to a household.

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.

Member'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.

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

7 Father's Name, 8 Mother's Name Maiden Name (As It Appears on the Birth Certificate), 9 Spouse's Name. 10 Member's Name (As It Appears on the Birth Certificate): indicate Member's name based on Birth Certificate.

11 Date of Birth: indicate date of birth in the following format: mm/dd/yyyy. Example: If born on December 02, 2025, please write 12 02 2025.

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

13 Sex: check the appropriate box.

17 Marital Status: check the appropriate box.

18 Citizenship: indicate your nationality.

19 Prominent 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”.

14 Height: indicate height in centimeters (cm). Conversion: 1 foot = 30.48 cm, 1 inch = 2.54 cm. Example: 5'3” = 160.02 cm. 15 Weight: indicate weight in kilograms (kg). Conversion: 1 pound (lb) = 0.4536 kilogram. Example: 120 lbs = 54.43 kg. 16 Common Reference Number (CRN): indicate if available.

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

21 National ID Card Number: indicate the sixteen (16) digit number found on the front of National ID.

22 Taxpayer Identification Number (TIN): indicate your 9-12 digit TIN issued by the Bureau of Internal Revenue (BIR).

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

24 Employee 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. 25 Permanent Home Address: indicate the address of your permanent residence.

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

27 Preferred Mailing Address: check the appropriate box to indicate your chosen address to receive mail.

28 Contact Details: indicate the home/cell phone number, email address and/or account username, as applicable. For home telephone number, indicate the country and area code only if outside Metro Manila or based abroad.

29 Employment Details: check the appropriate box to indicate the employment details either first employment or with previous employment.

PRESENT EMPLOYMENT is mandatory for both first-time employed registrants and previously employed registrants. TYPE OF WORK is for OFW only: Pls. specify country of assignment, Land-based or Sea-based.

30 Occupation: indicate your job, profession, or type of work to earn a living. For Other Earning Group (OEG)/Informal Sector, select from the following: Public Utility Transport Driver, Market Vendor, Farmer, Fisher Folk, Others (Other workers in the informal sector). 31 Employment Status: check the appropriate box.

32 Employer/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). Please refer to item no. 6 in accomplishing Last Name, First Name, Name Extension, and Middle Name.

33 Employer/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).

34 Type of Work: check the appropriate box (applicable for OFW only).

35 Monthly Compensation: indicate your income or earning per month.

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

37 Date Employed: indicate inclusive date of employment under current employer.

PREVIOUS EMPLOYMENT FROM DATE OF Pag-IBIG MEMBERSHIP is mandatory for registrant with previous employment only. Use another sheet if necessary.

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

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.

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

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

CERTIFICATION: “I hereby certify that the information given, and all statements made herein are true and correct.”

The form has a box: I allow Pag-IBIG Fund to send me any updates, promotions, marketing, or programs offered by the Fund through my registered cell phone number, email address and/or messaging applications.

If registered as foundling: The name of Finder shall be indicated under the MOTHER or FATHER portion, as applicable. In case the DATE OF BIRTH is not available, the information under Date When Found shall be indicated. If the PLACE OF BIRTH is not available, the information under Place Where Found shall be indicated.

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.