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Gsis Form e

This document is a remittance advice form listing employees with changes to their personal data. The form includes fields to list an employee's last name, first name, suffix, middle name, mailing address, cell phone number, email address, civil status, date of birth, gender, birthplace, position/title, status of employment, and indicates what data items have changed and the dates of those changes. Scanned copies of original birth and marriage certificates are required for certain changes.

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Janus Salinas
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1K views2 pages

Gsis Form e

This document is a remittance advice form listing employees with changes to their personal data. The form includes fields to list an employee's last name, first name, suffix, middle name, mailing address, cell phone number, email address, civil status, date of birth, gender, birthplace, position/title, status of employment, and indicates what data items have changed and the dates of those changes. Scanned copies of original birth and marriage certificates are required for certain changes.

Uploaded by

Janus Salinas
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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Agency Name:

Agency BP Number:

FOR AGENCY REMITTANCE ADVICE

FORM E. List of employees with changes / correction in their Personal Data

Last Name First Name Suffix Middle Name Mailing Address / Zip Code Cellular Phone no. Email Address Civil Status Date of Birth * Gender
Member BP Number From To From To From To From To From To From To From To From To From To From To

* For Change of date of birth please attach scanned copy of Original PSA authenticated Birth Certficate
* For Change of Last Name (to Married Name, for females) or Status (from 'Single' to 'Married') please attach scanned copy of Original PSA authenticated Marriage Certficate

Issue No. 01, Rev No.


Status of
Employment
Place of Birth Position / Title
From To From To From To

Issue No. 01, Rev No. 01, (16 August 2017), FM-GSIS-OPS-UMR-05

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