FPF060

MEMBERSHIP CONTRIBUTIONS REMITTANCE FORM (MCRF)

PERIOD COVERED Employer’s Pag-IBIG ID No.
(month year)

October 2015
EMPLOYER/BUSINESS NAME (Per SEC Registration, if private) EMPLOYER SSS NO. AGENCY/BRANCH/DIVISION CODE
(for private Employers only) (for government Employers only )

CARLOS I. CASTILLO, JR. 03-8583017-3

BUSINESS ADDRESS (Unit/Room/Floor/Building/Street) ZIP CODE TIN CONTACT NO/S.

102 Baraca, Subic, Zambales 2209 146-556-104 (047) 232-5940

NAME OF EMPLOYEES CONTRIBUTIONS
Pag-IBIG ID No. REMARKS
Last Name First Name Name Extension Middle Name
(Jr., III, etc.) EMPLOYEE EMPLOYER TOTAL

1. Castillo Carlos Jr. Isip 200 200 400

1340-00007-9884 2. Acorda Socorro Isaguirre 200 200 400
3.
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TOTAL FOR
No. of Employees Total No.of Employees
THIS PAGE P 400 P 400 P 800
on this page if last page GRAND TOTAL
(if last page) P 400 P 400 P 800
FOR Pag-IBIG USE ONLY CERTIFIED CORRECT BY:
POSTED BY: ___________________ DATE: _______________ SIGNATURE OVER PRINTED NAME DATE
CARLOS I. CASTILLO, JR.
APPROVED BY: ___________________ DATE: _______________ PAGE NO. NO. OF PAGES
OFFICIAL DESIGNATION

(Revised 10/2008)
NOTE: PLEASE READ INSTRUCTIONS AT THE BACK.
THIS FORM CAN BE REPRODUCED. NOT FOR SALE
 HOW TO ACCOMPLISH THIS FORM

a. Please type or print all entries. The maximum MC to be used in computing employee and employer
b. Prepare this form in two (2) copies every end of each calendar month when contributions shall not be more than P5,000.00. A member may be
making remittances to Pag-IBIG Fund or to any collecting agent. allowed to contribute more than what is required, however, the
employer shall only be mandated to contribute up to P100.00, unless the
Schedule of Payments
employer agrees to match the employee’s upgraded contribution.
First letter of Due Date
Employer’s/Company Name e. Non-payment of contributions shall subject the employer to a three
A to D 10th to the 14th day of the month percent (3%) penalty per month of the amount payable from the date the
E to L 15th to the 19th day of the month contributions fall due until paid (Sec. 22 of PD 1752).
M to Q 20th to the 24th day of the month
R to Z 25th to the end of the month

c. For employer with branch offices, please prepare separate Membership 1 Period Covered - the applicable month and year of membership
Contributions Remittance Form (MCRF) for each branch indicating therein contributions to be remitted
their respective addresses. 2 Employer’s Pag-IBIG ID Number - assigned Employer’s Pag-IBIG ID
Number.
d. RATE OF MEMBERSHIP CONTRIBUTIONS (MC) 3 Employer/Business Name

MONTHLY COMPENSATION 4 Employer SSS ID No.- indicate, if private Employers.

(BASIC + COLA) EE Share ER Share TOTAL
5 Agency, Branch and Division Code - indicate, if government
Employers.
6 Employer/Business Address
Up to P1,500.00 1% 2% 3%
More than P1,500.00 2% 2% 4% 7 Zip code

8 Tax identification Number

FPF060 9 Employer/Business Contact Number/s

MEMBERSHIP CONTRIBUTIONS REMITTANCE FORM (MCRF)
10 Pag-IBIG ID Number - indicate employees’ assigned Pag-IBIG ID
Number.
PERIOD COVERED
(month year)
Employer’s Pag-IBIG ID No. 11 Name of Employees - list of employees.
1 2
EMPLOYER SSS NO. AGENCY/BRANCH/DIVISION CODE

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

EMPLOYER/BUSINESS NAME (Per SEC Registration, if private)
3
(for private Employers)
4
(for government Employers)
5 12
BUSINESS ADDRESS (Unit/Room/Floor/Building/Street)
6
ZIP CODE
7
TIN
8
CONTACT NO/S.
9
total amount of employer contributions under column 13 , and the
Pag-IBIG ID No. Last Name
NAME OF EMPLOYEES
First Name Name Extension Middle Name
CONTRIBUTIONS
REMARKS
total amount of employee and employer contributions under column
EMPLOYEE EMPLOYER TOTAL
Jr., III, etc.
14. Do not round off nor drop centavos.
10 1. 11 12 13 15
14
2.

3. 15 REMARKS - indicate status of employees (new employee, on-leave,

4. resigned, retired, etc.).
5.

6.
16 Indicate the number of employees listed in this page.
7.

8.

9.
17 Indicate the total number of employees listed if this is the last page of the
10. listing.
11.

12.
18 Indicate the total amount of employee, employer and total amount of
13.

14.
employee-employer contributions for this page.
15.

16. 19 Indicate the grand total of employee, employer and total amount of
17. employee-employer contributions if this is the last page.
18.

19. 20 Indicate the number of this page.

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22. 21 Indicate the total number of pages of this listing.

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40.
TOTAL FOR
No. of Employees Total No. of Employees THIS PAGE P 18 P P
on this page 16 if last page 17
GRAND TOTAL 19
(if last page) P P P
FOR Pag-IBIG USE ONLY CERTIFIED CORRECT BY:

SIGNATURE OVER PRINTED NAME DATE

POSTED BY: ____________________ DATE: _________________
APPROVED BY: ____________________ DATE: _________________ OFFICIAL DESIGNATION PAGE NO. NO. OF PAGES
20 21

NOTE: PLEASE READ INSTRUCTIONS AT THE BACK.

THIS FORM CAN BE REPRODUCED. NOT FOR SALE