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/Yr. TO Mo. /Yr. I HEREBY CERTIFY THAT THE ABOVE DATA AND INFORMATION ARE TRUE AND CORRECT. BY US AND IS A REGISTERED Pag-IBIG MEMBER WITH THE FOLLOWING RECORD 1. EMPLOYMENT STATUS 2. SALARY PERMANENT SIGNATURE OF MEMBER TEMPORARY DATE APPLICANT S SPECIMEN SIGNATURE BASIC SIGNATURES COLA INITIALS TOTAL AUTHORIZED SIGNATORY Signature Over Printed Name DESIGNATION EMPLOYER SSS ID No./GOV T AGENCY CODE PFR NO. FOR...
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