AFP PGMC

Revised Form Nr. 1A (01 September 2007)

PENSIONER UPDATE FORM (PUF)

Is the Principal Pensioner still alive?

 

(check box)             Yes                         No

 

If not, indicate the date of death and Cause of Death (day, month,  year)

 

 

 

SECTION I – AFP RETIREE’S / SEPARATED PERSONAL DATA

1.  LAST NAME

 

 

2. FIRST NAME

3. MIDDLE NAME

4.  Retirement/Separation Rank

    

5. AFP Serial Number

6.  Branch of Service (Check box)

 

    PA           PN           PAF         PC

                                                            

 

7.  Date of Birth (Day, Month, Year)

8.  Address: (House Nr., Street, Barangay, Town or City, Province

 

 

 

9.  Postal (Zip Code)

10.  Telephone Nr

11. Cell phone Nr

12. Religion                             

13.  Civil Status (Check box)

 

                Single                      Widow/er

 

                Married                    Separated

14. Citizenship

15.  Sex (Check box)

 

                Male

 

                Female

16.  Date of Original Entry to the AFP

       (Day, Month, Year)

17.  Date of Separation from the AFP

       (Day, Month, Year)

18.  Cause of separation from the AFP (check box)

 

                Compulsory Retirement                Posthumous

 

                Optional Retirement                      CDD                   

19.  Authority of retirement/separation from the AFP (General Orders Nr, Para Nr, Date (month, day, year) (Attach copy of retirement/Separation Orders)

       (ex: GO Nr 1, Para Nr 20, GHQ, AFP dtd 01 Dec 1965,  Pursuant Sec 1a & 10 in conjunction with sec 8, RA 340)

 

 

20.  Are you receiving monthly pension?

       (check box)     

THIS FORM IS NOT FOR SALE                            Yes            No 

 

21. If Yes, how much?

 

P                                 

22.  How do you receive your pension? (Check box)

 

                Local Pick-up                           Mailing                     Banking

 

23.  AFP RETIREE’S/SEPARATED SPECIMEN

           (IF DECEASED, IGNORE THIS BOX)

                                                               

 

 

2 x 2 picture

(AFP Pensioner)

                I declare under the penalties of perjury pursuant to the provisions of existing laws, that this has been made in good faith, verified by me, and to the best of my knowledge and belief, is true and correct.

 

 

                                                                                               

         AFP PENSIONER                                  DATE SIGNED

(Signature Over Printed Name)                (Day, Month, Year)

 

 

     LEFT THUMBMARK

   RIGHT THUMBMARK

SECTION II. BENEFICIARY’S PERSONAL DATA                                            

1.  LAST NAME

 

 

2. FIRST NAME

3. MIDDLE NAME

4.  Date of Birth (Day, Month, Year)

5.  Place of Birth

6.  Citizenship

 

 

7.  Relationship with the AFP Retired or separated AFP personnel

 


            Spouse                          Parent

 


            Brother/Sister                Child

 

8. If the beneficiary isa spouse, write the date of marriage. (day/month/year)

 

 

9. If the beneficiary is a minor child (below 18        years old),  write the name of guardian.

 

 

10.  Address: (House Nr, Street, Barangay, Town or City, Province)

 

 

 

11.  Postal (Zip) Code

 

12.  Telephone/Cellular Phone Nr:

13. Civil Status (check box)

 

  Single    Widow/er      Married     Separated

 

 

14. Sex (Check Box)

 


Male                Female

15. Religion

16.  Are you receiving monthly pension?

 

(Check box)                Yes               No

17. If Yes, how much?

 

P                                 

18.  How do you receive your pension? (Check box)

 

                Local Pick-up                           Mailing                     Banking

 

19.  BENEFICIARY’S SPECIMEN

       (IF DECEASED, IGNORE THIS BOX)

                                                               

 

 

 

2 x 2 picture

(Beneficiary)

       

 

 

 

                I declare under the penalties of perjury pursuant to the provisions of existing laws, that this has been made in good faith, verified by me, and to the best of my knowledge and belief, is true and correct.

 

 

                                                                                               

            BENEFICIARY                                   DATE SIGNED

(Signature Over Printed Name)                 (Day, Month, Year)

 

 

     LEFT THUMBMARK

   RIGHT THUMBMARK

 

 

 

 

 

 

ADDITIONAL INSTRUCTIONS:

 

REQUIREMENTS FOR AFP RETIREE:

1)    If the AFP Retiree is still alive:

        Fill-up Section I;

        Fill-up Section II for future beneficiary/ies such as the Spouse and         Children below 21 years old.

 

2)    If the AFP Retiree is already deceased:

        If married, spouse must fill-up Section I and II;

        If unmarried (single), the parents must fill-up Section I and II.

 

3)    Qualified to be Beneficiary/ies:

        For deceased  married AFP Retiree/Principal Pensioner:

                - spouse and children below 21 years old;

        For Deceased Unmarried (Single) AFP Retiree/Principal Pensioner

                - Parents or

                - Acknowledged  Natural Children below 21 years old

 

 

For any inquiry or comment, you may text  AFP PGMC at

0927 856 6748/0921-570-8483 or contact us at (02) 911-6001 local 6531.

AFPPGMC can be accessed at http://www..ghq-mfo.com or

afppgmc@hotmail.com.

1)  Retirement/Separation Order (GO/SO);

2)  Marriage Certificate (For Married AFP Retiree);

3)  AFP Retiree’s ID (Xerox back to back)

 

REQUIREMENTS FOR BENEFICIARY:

 

1)  Retirement/Posthumous Order;

2)  Declaration of Beneficiaries from JAGO, AFP;

3)  Pensioners ID (Xerox back to back);

4)  NSO issued Marriage Contract  with signature of both parties if the beneficiary of the principal pensioner is the wife/husband or  birth certificate of the principal pensioner if the beneficiary is/are the parent/s

 

FOR NON APPEARANCE OR SUBMISSION THRU MAILING OR COURIER, SUBMIT THE FOLLOWING REQUIREMENTS:

 

1)  Whole body picture holding any current newspaper of          major circulation;

3)  Mail or send it to:   

                   

                   Monitoring & Assistance Unit (MAU)

                   AFP Pension  Gratuity Management Center

                   Camp Gen. Emilio Aguinaldo, Quezon City