V03 Employer's Change of Information Form (ECIF)

1. This form shall be accomplished in one (1) copy).
2. Accomplish the applicable portions to be
changed/corrected only.
3. Type or print all entries in BLOCK/CAPITAL
LETTERS.
4. Submit duly accomplished form together with
required supporting documents to any Pag-IBIG
Branch nearest you.
Note: Please submit photocopy of the documents
depending on the information to be changed. The
Certified True Copy of the said documents shall be
presented for authentication.

1. Change/correction of Employer/Business Name
2. Change of Legal Personality
and/or Address
A. Single Proprietorship to Corporation
A. For Single Proprietorship
 SEC Certificate
 Amended DTI Certificate
 Articles of Incorporation
 Business/Mayor’s Permit
 Certificate of Cancellation as Single
B. For Partnership/Corporation
Proprietorship
 Amended SEC Certificate
B. Partnership to Corporation
 Amended Articles of Partnership/Incorporation
 Articles of Incorporation
C. For Cooperative/Trade Association
 Deed of Dissolution of Partnership
 CDA Certificate (For Cooperative)
 Amended SEC Certificate of Incorporation (For
Trade Association)

CHECK APPROPRIATE BOX ONLY

 1. CHANGE/CORRECTION OF EMPLOYER/BUSINESS NAME  3.
 2. CHANGE/CORRECTION OF ADDRESS/CONTACT DETAILS  4.

CHANGE OF LEGAL PERSONALITY
CHANGE OF AUTHORIZED REPRESENTATIVE

3. Additional/Change of Authorized
Representative/s
A. For Single Proprietorship
 Specimen Signature Form (SSF)
 DTI Certificate or Business/
Mayor’s Permit
B. For Partnership/Corporation
 Specimen Signature Form (SSF)
 Board Resolution
 Secretary’s Certificate

OTHERS (PLEASE SPECIFY)

TAXPAYER IDENTIFICATION NUMBER (TIN)

1. CHANGE/CORRECTION OF EMPLOYER/BUSINESS NAME
FROM

2. CHANGE/CORRECTION OF EMPLOYER’S ADDRESS/CONTACT DETAILS (Please accomplish portions to be changed only)
Unit/Room No., Floor

COUNTRY+AREA CODE TELEPHONE NUMBER
Business (Direct Line)

Street Name
Business (Fax)

Barangay
Business (Trunkline)

ZIP Code
Email Address

3. CHANGE OF LEGAL PERSONALITY
FROM

4. CHANGE OF AUTHORIZED REPRESENTATIVE (Use separate sheet if necessary)
FROM

___________________________________ _____________________________
Name
Official Designation

___________________________________ _____________________________
Name
Official Designation

___________________________________ _____________________________
Name
Official Designation

___________________________________ _____________________________
Name
Official Designation

___________________________________ _____________________________
Name
Official Designation

___________________________________ _____________________________
Name
Official Designation

5. OTHERS (Please specify)
FROM

CERTIFICATION
I HEREBY CERTIFY THAT THE INFORMATION GIVEN AND ALL STATEMENTS MADE HEREIN ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE A ND
BELIEF. I FURTHER CERTIFY THAT MY SIGANTURE APPEARING HEREIN IS GENUINE AND AUTHENTIC.

HEAD OF OFFICE OR AUTHORIZED REPRESENTATIVE
(Signature Over Printed Name)

FOR Pag-IBIG FUND USE ONLY
DOCUMENTS SUBMITTED

 DTI/SEC Registration
 Business/Mayor’s Permit
 Amended Articles of Partnership/
Incorporation/Cooperation

CDA Certificate
SEC Certificate of Incorporation
Secretary’s Certificate
Specimen Signature Form (SSF)
Others (Please specify)
__________________________

THIS FORM MAY BE REPRODUCED. NOT FOR SALE.