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FPF400 REQUEST FOR TRANSFER OF MEMBER S RECORDS AND LOAN DETAILS RTMRLD Date Dear Sir/Madam I would like to request transfer of my membership records and loan details to the with the following information Name of member Last Name Civil Status First Name Name Extensions Jr. Sr. II etc* Single Married Widow/er Middle Name Maiden Legally Separated Annulled Home Address Telephone No* Present Company/Employer Company/Employer Address Purpose of Transfer Check if with Housing Loan Takeout date Loan Status Outstanding Balance Company ID No* Claims STL Others pls. Specify Name of Previous Company/Employer Consolidation o Intra-branch within the branch o Inter-branch among branches DV/Check Date Inclusive Date s Requesting Pag-IBIG Fund Branch Requested by Processed by Member s Signature Over Printed Name Noted by Revised 08/2008. Sr. II etc* Single Married Widow/er Middle Name Maiden Legally Separated Annulled Home Address Telephone No* Present Company/Employer Company/Employer Address Purpose of Transfer Check if with Housing Loan Takeout date Loan Status Outstanding Balance Company ID No* Claims STL Others pls. Specify Name of Previous Company/Employer Consolidation o Intra-branch within the branch o Inter-branch among branches DV/Check Date Inclusive Date s Requesting Pag-IBIG Fund Branch Requested by Processed by Member s Signature Over Printed Name Noted by Revised 08/2008.

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