Pag Ibig Form

HQP-PFF-039

FOR Pag-IBIG Fund USE ONLY

MEMBER’S DATA

FORM (MDF)

Pag-IBIG MID NUMBER

REGISTRATION TRACKING NUMBER

INSTRUCTIONS

1. Accomplish this form in one (1) copy only. If registration is thru online, the

form should be printed back to back on one single sheet of paper.

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

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

4. On the “OCCUPATIONAL STATUS” portion, if without employment or purpose

is pre-employment or never been employed, 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.

 EMPLOYED

*OCCUPATIONAL STATUS

7. On the “OCCUPATION” portion, indicate occupation based on the List of

Occupation, as provided in the Philippine Standard Occupational Classification

(PSOC).

8. On the “HEIRS” portion, the provision on the Laws on Succession, as provided

in the New Civil Code of the Philippines, as amended by the New Family 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

the concerned Pag-IBIG Branch.

 UNEMPLOYED/ NOT YET EMPLOYED

*MEMBERSHIP CATEGORY

MANDATORY

 EMPLOYED PRIVATE

 EMPLOYED GOVERNMENT

 OVERSEAS FILIPINO WORKER (OFW)

 SELF-EMPLOYED (SE)

INDIVIDUAL PAYOR (IP)

 NON-WORKING SPOUSE

 MEMBER OF RELIGIOUS GROUP

 PENSIONER/INVESTOR/LESSOR

 MEMBER OF COOPERATIVE/TRADE UNION

 OTHERS

Please specify ________________

VOLUNTARY

EMPLOYED

 EMPLOYED FOREIGN GOVERNMENT

 BARANGAY OFFICIAL/EMPLOYEE

LAST NAME

NAME

EXTENSION

FIRST NAME

MIDDLE NAME

(e.g. Jr., II)

NO MIDDLE NAME

(check if applicable only)

*MEMBER



FATHER



*MOTHER (Maiden Name)



*SPOUSE (If Married)



MEMBER’S NAME AS

APPEARING IN THE BIRTH

CERTIFICATE



*DATE OF BIRTH

m

m

d

d

y

y

y

*MARITAL STATUS

 Single/Unmarried ...