Members Registration Remittance Form 060

FPF060
MEMBERSHIP REGISTRATION/REMITTANCE FORM
PRIVATE EMPLOYER
LOCAL GOVERNMENT UNIT
GOVERNMENT CONTROLLED CORP.
AGENCY BRANCH REGION
FOR PRIVATE
EMPLOYER SSS NO.
EMPLOYER
ADDRESS OF EMPLOYER
TIN
TIN
(Family Name
First Name
FOR GOVT
EMPLOYER
ZIP CODE
NAME OF EMPLOYEES
DATE OF BIRTH
YEAR
NATIONAL GOVERNMENT AGENCY
(Please read instructions at the back)
NAME OF EMPLOYER
MONTH
CODE
CODE
CODE
TELEPHONE NO/S.
CONTRIBUTIONS
EMPLOYEE
Middle Name)
EMPLOYER
TOTAL
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
No. of Employees
on this page
Total No.of Employees

if last page
PFR/VALIDATION No.
FOR Pag-IBIG USE ONLY
DATE
MM
DD
COLLECTING BANK
TICKET DATE
MM
DD
YY
RECONCILED BY
YY
AMOUNT
TOTAL FOR
THIS PAGE
GRAND TOTAL
(if last page)
CERTIFIED CORRECT BY:
P
REMARKS
SIGNATURE OVER PRINTED NAME
CHECKED BY
OFFICIAL DESIGNATION
DATE
PAGE NO.
NO. OF PAGES
NOTE: NEW REGISTRANTS SHALL PROVIDE TIN AND DATE OF BIRTH

THIS FORM CAN BE REPRODUCED. NOT FOR SALE
(Revised 12/2007)
HOW TO ACCOMPLISH THIS FORM
1.
2.
19th day
of the
month
Please
type
or
print
all
entries.
M to Q
Prepare
this form
in two (2)
copies
[three (3)
copies for
national
governme
nt
employers
]
every
end
of3.
each
calendar
month
when
making
remittance
s to
Pag-IBIG
Fund or to
any
collecting
agent
20th to
the 24th
day of
the
month
Up to P1,500.00
P1,501.00-P5,000.00
Over P5,000.00
EEs*
ERs**
TOTAL
1%
2%
2% of MC
2%
3%
2%
4%
2% of P5,000.00***
FPF060
MEMB
ERSHI
P
REGIS
TRATI
ON/RE
MITTA
NCE
FORM
R to Z
25th to
the end
of the
month
For employer
with
branch
offices, please
prepare
separate
Membership
Registration/Re
mittance Form
(MRRF)
for
each
branch
indicating
therein
their
respective
addresses.
Schedule of
Payments
Take note that
the maximum
Firs
Monthly
t
Compensation
lette
(MC) of Pagr of
IBIG
I
employeeDue
members
is
Dat
P5,000.00.
e
However, those
Employers/
with MC over
Company
P5,000.00 may
Name
declare
their
A to
actual
salary
D
levels
for
computing their
10th
monthly Pagto
IBIG
the
contribution.
14th
For purposes
day
of computing
of
the
the
mon
Employees/Em
th
ployers
E to
contribution,
L
please
be
guided by the
15th
following.
to
the
(BASIC + COLA)
PRIVATE EMPLOYER
LOCAL GOVERNMENT UNIT
GOVERNMENT CONTROLLED CORP.
NAME OF EMPLOYER
EMPLOYER SSS NO.
FOR PRIVATE
EMPLOYER
ADDRESS OF EMPLOYER
TIN
ZIP CODE
(Family Name
10
First Name
1.
11
BRANCH
CODE
REGION
CODE
TELEPHONE NO/S.
9
7
NAME OF EMPLOYEES
DATE OF BIRTH
AGENCY
CODE
FOR GOVT
EMPLOYER
6
TIN
MONTH
NATIONAL GOVERNMENT AGENCY
(Please read instructions at the back)
CONTRIBUTIONS
Middle Name)
12
EMPLOYEE
EMPLOYER
13
14
TOTAL
15
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
No. of Employees
on this page
40.
Total No. of Employees
if last page
16
FOR Pag-IBIG USE ONLY

PFR/VALIDATION No.
DATE
MM
AMOUNT
DD
COLLECTING BANK
TICKET DATE
MM
RECONCILED BY
DD
YY
TOTAL FOR
THIS PAGE
GRAND TOTAL
(if last page)
18
19
P
P
P
P
P
P
CERTIFIED CORRECT BY:
REMARKS
SIGNATURE OVER PRINTED NAME
CHECKED BY
OFFICIAL DESIGNATION
DATE
PAGE NO.NO. OF PAGES
20
NOTE: NEW REGISTRANTS

SHALL PROVIDE TIN AND DATE
OF BIRTH
MONTHLY COMPENSATION
YY
17
T
H
I
S
F
O
R
M
C
A
N
B
E
R
E
P
R
O
D
U
C
21
ED.
NOT
FOR
SALE
*EEs Employees
share
t.
For
local
government
and
controlled
corporation
s,
remit
employees
share
together
with
employers
counterpart
**ERs Employers
share
1**
The
employe
r
may
match
his
employe
es
contribut
ions
based
on their
higher
MC
If
the
employer
provides
only
the
mandatory
counterpart,
which is up
to P100.00,
the
employee
has
the
option
to
shoulder
the
ER
counterpart
for
the
portion
of
his MC over
P5,000.00
4.
5.
(3%)
penalty per
month
of
the amount
payable
from
the
date
the
contribution
s fall due
until
paid
(Sec. 22 of
PD 1752)
Put an X
mark
to
indicate
employer
classification.
When making
remittances to
Pag-IBIG
Fund, indicate
the applicable
month
and
year
of
contribution.
Print name of
the employer.
For
private
employers,
indicate your
Employer
SSS ID No.
For
government
employers,
indicate your
Agency,
For national
government
agencies,
indicate the
employee
and
employer
contribution
s in the
report
but
remit
only
the
employees
share. The
employers
share will be
to
the
Department
of
Budget
and
Managemen
Non-payment
of
contributions
shall subject
the employer
to a three
percent
Branch
and
Region
Codes.
e
the
correct Tax
Identificatio
n No. (TIN)
of
your
employees
to
ensure
the
contribution
s
are
credited to
their
respective
accounts.
Print the
full
address
of
the
employe
r.
For
employ
er with
branch
offices,
please
prepar
e
separat
e
MRRF
for
each
branch
indicati
ng
therein
their
respect
ive
addres
ses.
11
12
Indicate
employees
birth date in
numeric
format.
Example
March 20,
1956,
shall
be written as
03/20/56.
List
total amount
of employee
and employer
contributions.
16
Indicate the
number
of
employees
listed in this
page.
17
Indicate
18
Indicate the
total amount
of employee
contribution
s
(under
column 13 ),
the
total
amount of
employer
contribution
s
(under
column 14 )
and the total
amount of
employee
and
employer
contribution
s
(under
column 15 )
for
this
page.
the
name of your
employees.
This may be
for
the
purpose
of
registering
your
employees
for Pag-IBIG
membership
or
Indicate
employers
Tax
Identification
No. (TIN)
contributions
13
Indicate
the zip
code.
Indicate
14
the
telephon
e
number/
s of the
employe
r.
Indicat
19
10
for
remitting
15
Indicate the
amount of
employee
contribution
s. Do not
round
of
nor
drop
centavos.
Indicate the
amount of
employer
counterpart
contribution
s. Do not
round
of
nor
drop
centavos.
Indicate
the
the
total number
of employees
listed if this is
the last page
of the listing.
20
21
Indicate the
grand total
of employee
contribution
s
(under
column 13 ),
the
grand
total
of
employer
contribution
s
(under
column 14 )
and
the
grand total
of employee
and
employer
contribution
s
(under
column 15 )
if this is the
last page.
Indicate the
number
of
this page.
Indicate the
total number
of pages of
this listing.

Members Registration Remittance Form 060

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FPF060

MEMBERSHIP REGISTRATION/REMITTANCE FORM

LOCAL GOVERNMENT UNIT

GOVERNMENT CONTROLLED CORP.

AGENCY BRANCH REGION

EMPLOYER SSS NO.

NATIONAL GOVERNMENT AGENCY

(Please read instructions at the back)

Total No.of Employees

FOR Pag-IBIG USE ONLY

CERTIFIED CORRECT BY:

SIGNATURE OVER PRINTED NAME

NOTE: NEW REGISTRANTS SHALL PROVIDE TIN AND DATE OF BIRTH

HOW TO ACCOMPLISH THIS FORM

LOCAL GOVERNMENT UNIT

GOVERNMENT CONTROLLED CORP.

EMPLOYER SSS NO.

NATIONAL GOVERNMENT AGENCY

(Please read instructions at the back)

FOR Pag-IBIG USE ONLY

CERTIFIED CORRECT BY:

SIGNATURE OVER PRINTED NAME

NOTE: NEW REGISTRANTS

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