Employer'S Change of Information Form (Ecif) : Instructions Requirements

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HQP-PFF-106

(V04, 01/2019)
Pag-IBIG EMPLOYER’S ID NUMBER
EMPLOYER’S CHANGE OF
INFORMATION FORM ( ECIF)

INSTRUCTIONS REQUIREMENTS
1. This form shall be accomplished in one (1) copy). 1. Change/correction of Employer/Business Name 2. Change of Legal Personality 3. Additional/Change of Authorized
2. Accomplish the applicable portions to be and/or Address A. Single Proprietorship to Corporation Signatory/ies changed/corrected only. A. For Single Proprietorship  SEC Certificate A. For Single
Proprietorship
3. Type or print all entries in BLOCK/CAPITAL  Amended DTI Certificate  Articles of Incorporation  Specimen Signature Form (SSF)
LETTERS.  Business/Mayor’s Permit  Certificate of Cancellation as Single  DTI Certificate or Business/
4. Submit duly accomplished form together with B. For Partnership/Corporation Proprietorship Mayor’s Permit required supporting documents to any Pag-IBIG  Amended SEC
Certificate B. Partnership to Corporation B. For Partnership/Corporation Branch nearest you.  Amended Articles of Partnership/Incorporation  Articles of Incorporation 
Specimen Signature Form (SSF)
Note: Please submit photocopy of the documents C. For Cooperative/Trade Association  Deed of Dissolution of Partnership  Board Resolution
depending on the information to be changed. The  CDA Certificate (For Cooperative)  Secretary’s Certificate
Certified True Copy of the said documents shall be  Amended SEC Certificate of Incorporation (For presented for authentication. Trade Association)

CHECK APPROPRIATE BOX ONLY


 1. CHANGE/CORRECTION OF EMPLOYER/BUSINESS NAME  3. CHANGE OF LEGAL PERSONALITY  5. OTHERS (PLEASE SPECIFY)
 2. CHANGE/CORRECTION OF ADDRESS/CONTACT DETAILS  4. CHANGE OF AUTHORIZED SIGNATORY/IES
____________________________________
EMPLOYER/BUSINESS NAME TAXPAYER IDENTIFICATION NUMBER (TIN)

1. CHANGE/CORRECTION OF EMPLOYER/BUSINESS NAME


FROM TO

2. CHANGE/CORRECTION OF EMPLOYER’S ILS (Please accomplish portions to be changed only)


ADDRESS/CONTACT DETA Building Name COUNTRY+AREA CODE TELEPHONE NUMBER
Unit/Room No., Floor Business (Direct Line)

Lot No. Block No. Phase No. House No. Street Name

Business
(F

Subdivision Barangay Business kline) Local


ax)
(Tr

un

Municipality/City Province ZIP Code Email


Address

3. CHANGE OF LEGAL PERSONALITY


FROM TO

4. CHANGE OF AUTHORIZED SIGNATORY/IES (Use separate sheet if necessary)


FROM TO
___________________________________ _____________________________ ___________________________________
Name Official Designation __________________________
Name Official Designation

___________________________________
___________________________________ _____________________________ __________________________
Name Official Designation Name Official Designation

___________________________________ _____________________________ ___________________________________


Name Official Designation ___________________________
Name Official Designation
5. OTHERS (Please specify)
FROM
TO

CERTIFICATION

I HEREBY CERTIFY 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 MY SIGANTURE APPEARING HEREIN IS GENUINE AND AUTHENTIC.

____________________________________________________ __________________________________ _________________________


HEAD OF OFFICE OR AUTHORIZED SIGNATORY/IES DESIGNATION/POSITION DATE
(Signature Over Printed Name)
FOR Pag-IBIG FUND USE ONLY
DOCUMENTS SUBMITTED RECEIVED BY DATE APPROVED BY DATE
 DTI/SEC Registration  CDA Certificate
 Business/Mayor’s Permit  SEC Certificate of Incorporation
 Amended Articles of Partnership/  Secretary’s Certificate
Incorporation/Cooperation
 Specimen Signature Form (SSF)
 Board Resolution
 Others (Please specify)
__________________________

THIS FORM MAY BE REPRODUCED. NOT FOR SALE.

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