FPF060

MEMBERSHIP CONTRIBUTIONS REMITTANCE FORM (MCRF)

PERIOD COVERED
(month

AUGUST

Employers Pag-IBIG ID No.

year)

2016

EMPLOYER/BUSINESS NAME (Per SEC Registration, if private)

GODDY J. AMBOWANG

EMPLOYER SSS NO.

AGENCY/BRANCH/DIVISION CODE

(for private Employers only)

(for government Employers only )

08-0922134-9

BUSINESS ADDRESS (Unit/Room/Floor/Building/Street)

ZIP CODE

121-PUROK 4 TALAIRON OROQUIETA CITY MIS. OCC

7207

Pag-IBIG ID No.

NAME OF EMPLOYEES
First Name
Name Extension
(Jr., III, etc.)

Last Name
1.
2.
3.
4.

BONGCAWEL, FELIX
CAGAMCAM, FLORIAN
JAMERO,
REMY
LUMACAD,
RUDY

TIN

CONTACT NO/S.

088-531-1245
CONTRIBUTIONS

REMARKS

Middle Name

ESTABAS
ELECOT
OMPOC
ARADO

EMPLOYEE

EMPLOYER

TOTAL

150
150
150
150

150
150
150
150

300
300
300
300

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

TOTAL FOR
THIS PAGE

GRAND TOTAL
(if last page)

FOR Pag-IBIG USE ONLY

POSTED BY:

___________________

DATE: _______________

APPROVED BY: ___________________

DATE: _______________

1,200

CERTIFIED CORRECT BY:

SIGNATURE OVER PRINTED NAME

DATE

OFFICIAL DESIGNATION

PAGE NO.

GODDY J. AMBOWANG
PROPRIETOR

NOTE: PLEASE READ INSTRUCTIONS AT THE BACK.

THIS FORM CAN BE REPRODUCED. NOT FOR SALE

NO. OF PAGES

(Revised 10/2008)

HOW TO ACCOMPLISH THIS FORM

a. Please type or print all entries.

b. Prepare this form in two (2) copies every end of each calendar month when
making remittances to Pag-IBIG Fund or to any collecting agent.

The maximum MC to be used in computing employee and employer

contributions shall not be more than P5,000.00. A member may be
allowed to contribute more than what is required, however, the
employer shall only be mandated to contribute up to P100.00, unless the
employer agrees to match the employees upgraded contribution.

Schedule of Payments
First letter of
Employers/Company Name
A to D
E to L
M to Q
R to Z

Due Date
10th
15th
20th
25th

e. Non-payment of contributions shall subject the employer to a three

percent (3%) penalty per month of the amount payable from the date the
contributions fall due until paid (Sec. 22 of PD 1752).

to the 14th day of the month

to the 19th day of the month
to the 24th day of the month
to the end of the month

c. For employer with branch offices, please prepare separate Membership

Contributions Remittance Form (MCRF) for each branch indicating therein
their respective addresses.

d. RATE OF MEMBERSHIP CONTRIBUTIONS (MC)

Period Covered - the applicable month and year of membership

contributions to be remitted
Employers Pag-IBIG ID Number - assigned Employers Pag-IBIG ID
Number.
Employer/Business Name

Employer SSS ID No.- indicate, if private Employers.

5
6

Agency, Branch and Division Code - indicate, if government

Employers.
Employer/Business Address

Zip code

Tax identification Number

Employer/Business Contact Number/s

MONTHLY COMPENSATION
(BASIC + COLA)
EE Share

Up to P1,500.00
More than P1,500.00

ER Share

1%
2%

TOTAL

2%
2%

3%
4%

FPF060

MEMBERSHIP CONTRIBUTIONS REMITTANCE FORM (MCRF)

10
PERIOD COVERED
(month

2
AGENCY/BRANCH/DIVISION CODE
(for government Employers)

EMPLOYER SSS NO.

(for private Employers)

EMPLOYER/BUSINESS NAME (Per SEC Registration, if private)

ZIP CODE

BUSINESS ADDRESS (Unit/Room/Floor/Building/Street)

Pag-IBIG ID No.

1.

TIN

12

14 Indicate the amount of employee contributions under column 12 , the

total amount of employer contributions under column 13 , and the
total amount of employee and employer contributions under column
14. Do not round off nor drop centavos.

15

REMARKS - indicate status of employees (new employee, on-leave,

resigned, retired, etc.).

16

Indicate the number of employees listed in this page.

17

Indicate the total number of employees listed if this is the last page of the
listing.

18

Indicate the total amount of employee, employer and total amount of

employee-employer contributions for this page.

19

Indicate the grand total of employee, employer and total amount of

employee-employer contributions if this is the last page.

20

Indicate the number of this page.

21

Indicate the total number of pages of this listing.

CONTACT NO/S.
9

NAME OF EMPLOYEES
First Name
Name Extension
Jr., III, etc.

Last Name

10

11

Employers Pag-IBIG ID No.

year)

Pag-IBIG ID Number - indicate employees assigned Pag-IBIG ID

Number.
Name of Employees - list of employees.

CONTRIBUTIONS
Middle Name

11

TOTAL

EMPLOYER

EMPLOYEE
12

13

REMARKS

15

14

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

16

Total No. of Employees

if last page

17

TOTAL FOR
THIS PAGE

18

GRAND TOTAL
(if last page)

19

CERTIFIED CORRECT BY:

FOR Pag-IBIG USE ONLY

____________________

DATE: _________________

APPROVED BY: ____________________

POSTED BY:

DATE: _________________

SIGNATURE OVER PRINTED NAME

DATE

OFFICIAL DESIGNATION

PAGE NO.

NO. OF PAGES

20

NOTE: PLEASE READ INSTRUCTIONS AT THE BACK.

THIS FORM CAN BE REPRODUCED. NOT FOR SALE

21