New Pagibig STLRF Format

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HQP-SLF-017

SHORT-TERM LOAN Pag-IBIG EMPLOYER'S ID NUMBER

REMITTANCE FORM ( STLRF ) 201054120003


EMPLOYER/BUSINESS NAME
STE. ANNE DE BEAUPRÉ SCHOOL
EMPLOYER/BUSINESS ADDRESS 7 Faith St., Teresa Vill. Brgy. Bahay Toro, Quezon City PERIOD COVERED
Unit/Room No., Floor Building Name Lot No., Block No., Phase No. House No Street name Mar-19

Subdivision Barangay Municipality/City Province/State/Country (if abroad) ZIP Code TELEPHONE NUMBER
1106 508 - 9327
NAME OF BORROWER EMPLOYER
MID No. APPLICATION / Last Name REMARKS
Ext. (JR,SR,III) First Name Middle Name LOAN TYPE AMOUNT
AGREEMENT No.
107000601364 P 07S09797 NICOLAS IVY IRISH BUENA MPL 1046.84
121116215187 P 07R99978 SALOMON JOANA BUENAOBRA MPL 1197.97
121116193675 173210000783582 LIMPIN CONSUELO TUMANG MPL 802.43
107001512187 173460000943986 GABUTAN THELMA AQUINO MPL 1,491.52
107001512176 173540000983144 COLLADOS JOVENCIO CAYACAY MPL 1,094.48
107001512198 173540000983199 HERNANDEZ SHIRLEY CABANA MPL 1,606.48
121040216667 180030000025382 FRANCO MARJORIE ZERRUDO MPL 674.03
101001731053 182880000353145 BOLOCANO ALPABETO TACBAYA MPL 3,112.89
107001512041 180710000488370 ARCANGEL DOLLY OLIVERA MPL 1,096.82
121059431300 180720000498784 MAGNATE MAYBAN IBAÑEZ MPL 1017.78

TOTAL FOR THIS PAGE 13,141.24

EMPLOYER CERTIFICATION
I hereby certify under pain of perjury that the information given and all statements made herein are true and correct to the best of my knowledge and belief. I further certify that mu signature
appearing herein is genuine and authentic.

AURORA T. APUADA Directress Apr. 15, 2019


HEAD OF OFFICE OR AUTHORIZED REPRESENTATIVE DESIGNATION/POSITION DATE
(Signature Over Printed Name)

THIS FORM MAY BE REPRODUCED. NOT FOR SALE (Rev. 00, 02/2013)

EMPLOYER/BUSINES HQP-SLF-017
S NAME
STE. ANNE DE
BEAUPRÉ
SCHOOL
Compatibility Report for NEW PAGIBIG STLRF FORMAT (3).xls
Run on 5/7/2018 10:43

The following features in this workbook are not supported by earlier versions of
Excel. These features may be lost or degraded when opening this workbook in
an earlier version of Excel or if you save this workbook in an earlier file format.

Minor loss of fidelity # of occurrences

Some cells or styles in this workbook contain formatting that is not supported 13
by the selected file format. These formats will be converted to the closest
format available.
Version

Excel 97-2003

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