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GSIS Enrollment for Educators

This document is a remittance advice form collecting personal and employment data for GSIS UMID enrollment. It requests information such as name, address, contact details, civil status, date of birth, employment details including position, salary, and account numbers for government service insurance programs. The form is for permanent, substitute and newly hired teaching and non-teaching staff.

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jerish estem
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2K views2 pages

GSIS Enrollment for Educators

This document is a remittance advice form collecting personal and employment data for GSIS UMID enrollment. It requests information such as name, address, contact details, civil status, date of birth, employment details including position, salary, and account numbers for government service insurance programs. The form is for permanent, substitute and newly hired teaching and non-teaching staff.

Uploaded by

jerish estem
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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AGENCY REMITTANCE ADVICE AGEN

DATA FOR GSIS UMID ENROLLMENT DATA FO


PERMANENT, SUBSTITUTE, NEWLY HIRED TEACHING & NON-TEACHING PERMANENT, SUBSTITUTE
(Revised Form 2018)

LAST NAME LAST NAME


FIRST NAME FIRST NAME
MIDDLE NAME MIDDLE NAME

COMPLETE MAILING PUROK/STREET NO. BARANGAY COMPLETE MAILING


ADDRESS ADDRESS

MUNICIPAL/CITY PROVINCE/ZIP CODE


CELLPHONE NO. CELLPHONE NO.
EMAIL ADDRESS EMAIL ADDRESS
GENDER GENDER
CIVIL STATUS CIVIL STATUS
DATE OF BIRTH DATE OF BIRTH
PLACE OF BIRTH PLACE OF BIRTH
DATE OF APPOINTMENT DATE OF APPOINTMENT
FIRST DAY OF SERVICE FIRST DAY OF SERVICE
BASIC MONTHLY SALARY BASIC MONTHLY SALARY
POSITION POSITION
STATUS OF APPOINTMENT PERMANENT PROVISIONAL SUBSTITUTE STATUS OF APPOINTMENT
NO. OF NO. OF
CHILDREN/DEPENDENTS CHILDREN/DEPENDENTS
DISTRICT DISTRICT
SCHOOL ASSIGNED SCHOOL ASSIGNED
TIN NO. TIN NO.
PHILHEALTH NO. PHILHEALTH NO.
PAG-IBIG NO. PAG-IBIG NO.
ACCOUNT NO. ACCOUNT NO.
GSIS BP NUMBER GSIS BP NUMBER
AGENCY REMITTANCE ADVICE
DATA FOR GSIS UMID ENROLLMENT
SUBSTITUTE, NEWLY HIRED TEACHING & NON-TEACHING
(Revised Form 2018)

PUROK/STREET NO. BARANGAY

MUNICIPAL/CITY PROVINCE/ZIP CODE

PERMANENT PROVISIONAL SUBSTITUTE

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