This is a SAMPLE CERTIFICATE of EARLY RETIREMENT under COMPANY RETIREMENT PROGRAM
for the purpose of claiming Pag-ibig Provident benefits.
This is in response to some readers asking for a sample certificate that they can use to claim their Pag-ibig Provident benefits under the Early Retirement option.
Take note that you can only claim your Pag-ibig Provident benefits under the Early Retirement option if you have satisfied all of these 3 requirements:
1. You are at least 45 years old.
2. You are employed in the private sector.
3. Your company has a formal employee retirement fund or retirement benefit program and you have availed of and has been granted your early retirement benefit.
This is just a sample certificate. It is NOT Pag-ibig's form. You can revise it to conform to your requirements and situation.
143 Masaya St., Makati City
November 11, 2016
CERTIFICATE of EARLY RETIREMENT under COMPANY RETIREMENT PROGRAM
This is to certify that Susan Masipag, who was employed by our company HAPPY Co., with address at 143 Masaya St., Makati City, from April 1, 1990 to September 8, 2015, has retired from this company on September 8, 2015 under our company's EARLY RETIREMENT PROGRAM. All company retirement benefits due her has been released and issued to her.
This certification is issued upon Ms. Masipag's request for the processing of her Application for Provident Benefits claim from Pag-ibig Fund.
I affirm that I am the authorized signatory to this certification, and that the foregoing statements are true and correct to the best of my knowledge and belief.
Signature of Authorized Company Representative Name of Authorized Company Representative
Designation/Position of Authorized Representative
REPUBLIC OF THE PHILIPPINES) S.S.
PROVINCE OF __________)
CITY OF _______________)
SUBSCRIBED AND SWORN to before me this ____ day of ________, 2016, by above authorized representative ____________________________, who has satisfactorily proven to me his identity through his Identification Card No. _________________, issued by ____________ valid until ______________, that he is the same person who personally signed before me the foregoing certificate and acknowledged that he executed the same.
Doc. No. _______________;
Page No. _______________;
Book No. _______________;
Series of _______________;