Fillable Printable Pensioners Update Template
Fillable Printable Pensioners Update Template
Pensioners Update Template
INSTRUCTIONS: PAUNAWA:
1) Type or Write clearly 1) I-type o isulat nang maayos at malin aw.
2) Send or mail the accomp lished form Pension FSU, AFP
Finance Center, Quezon City 1110.
2) Ipadala kalakip ang iba pang dokum entong kaila ngan sa Pensi on
FSU, AFP Finance Ce nter, Camp Aguinaldo, Quezon Cit y 1110.
3) See back page for additional information. 3) Tingnan a ng likod ng pahina para sa inyong gabay.
4) Reproduction of this form is allowed. 4) Maaaring mag pagawa ng maraming kopya.
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 Ra nk
5. AFP Serial Number 6. Branch of Service (Check box)
PA PN PAF P C
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/S e paration Orde rs)
(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)
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 DECE ASED, 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 SIGNE D
(Signature Over Printed Name) (Day, Month, Year)
LEFT THUMB MARK RIGHT THUMBMARK
SECTION II. BENEFICIARY’S PERSON AL DAT
A
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 separ ated
AFP personnel
Spouse Parent
Brother/S ister Child
8. If the beneficiary is a 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 DECEAS ED, 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 SIGNE D
(Signature Over Printed Name) (Day, Month, Year)
LEFT THUMB MARK 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/Princip al Pensioner:
- spouse and c hildren below 21 years old;
For Deceased Unmarried (Single) AFP Retiree/Principal
Pensioner
- Parents or
- Acknowledge d Natural Children below 21 years old
For any inquiry or comment, you may text AFP Finance Center at
0929-838-4171 for Smart and 09 15-909 -3344 for Globe subscribers or you
may contact us at (02) 995-8654 or 911-6001 local 6531.
1) Retirement/Separation Order (GO/SO);
2) Marriage Certif icate (F or 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 pe nsioner is the
wife/husband or birth certificate of the principal
pensioner if the ben eficiary is/are the parent/s
FOR NON APPEARANCE OR SUBMISSION THRU
MAILING OR COURIER, SUBMIT THE FOLLOWING
REQUIREMENTS:
1) Whole body picture hol ding any current newspaper of
major circulation;
2) Camera film or negativ e used for the picture;
3) Mail or send it to:
Pension FSU, AFP Finance Center
Camp Gen. Emilio Aguinaldo, Quezon City
