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Click ‘Get Form’ to open it in the editor.
Begin by filling in your full name in the designated field, ensuring accuracy as this will be part of your legal declaration.
Indicate your civil status (single, married, widow/er) and provide your complete residence and postal address.
Enter your Pag-IBIG ID number if you are a member of the Home Development Mutual Fund.
Specify your current employment status by stating whether you are employed or have recently resigned, along with the employer's postal address.
Fill in your passport details including the passport number and issuing authority.
State the country you are migrating to and confirm that you will stay there permanently.
Indicate your intended departure date from the Philippines within sixty days from signing this declaration.
Acknowledge that if your departure does not occur, you agree to return any benefits received from the Fund.
Finally, sign and date the document at the bottom where indicated, ensuring all information is correct before submission.
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