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    Pensioners Update Form Transferee

    Uploaded by

    ayeleanne

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Pensioners Update Form Transferee

    Uploaded by

    ayeleanne
    36 views1 page

    Original Title

    PENSIONERS-UPDATE-FORM-TRANSFEREE

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    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
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    36 views1 page

    Pensioners Update Form Transferee

    Uploaded by

    ayeleanne

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Republic of the Philippines

    Department of the Interior and Local Government


    BUREAU OF FIRE PROTECTION
    NATIONAL HEADQUARTERS
    Agham Road, Sitio San Roque, Brgy. Bagong Pag-asa, Diliman, Quezon City
    Telefax Number: 8426-0246 loc 201
    Email: pgd.rbas@bfp.gov.ph

    PENSIONER’S UPDATE FORM


    TRANSFEREE

    INSTRUCTION: Fill all applicable spaces legibly. Reproduction of this form is allowed.

    Name _____________________________________ ________ Region _________________


    Last Name First Name Middle Name Suffix

    Present Address ___________________________________________________________ Contact No/s. ___________

    Rank/Name of Deceased BFP Personnel _________________________________________ Relationship ____________

    Date Retired ________________ Amount of Pension __________ ATM/Bank Account No. _______________________

    Date of Birth ________________ Place of Birth _______________ Age _______ Gender _______ Civil Status _________

    Beneficiaries Date of Birth Relationship

    (Add additional sheet if necessary)

    Attach 3R (3 ½ x 5 in.) full-body picture holding latest FOR PENSIONER/SURVIVOR OFFICER USE ONLY.
    newspaper of national circulation with the date clearly DO NOT WRITE ON THIS PORTION
    shown, and two (2) valid IDs, such as Transferee’s ID, INSTRUCTION: Check/fill-out appropriate spaces:
    Driver’s License, Voter’s ID, PRC/IBP ID and Passport.
    1. Health Condition of Transferee
    If living abroad, provide red ribbon from consul. Ambulant ______ Incapacitated ______
    2. Living Condition of Transferee
    Local __________ Abroad ___________
    3. With own house? Yes _____ No _____
    4. With illegitimate children? Yes _____ No _____

    If Yes, pls. give details:


    __________________________________________
    __________________________________________
    (Add additional sheet if necessary)

    I hereby certify that I am the pensioner/survivor officer who


    Left Thumbmark Right Thumbmark checked the veracity of updating and proof of life of this
    pensioner/survivor.

    ______________________________ ________________
    Name and Signature of Date
    Pensioner/Survivor Officer
    I hereby certify that the above information are true
    and correct to the best of my knowledge and belief. Noted by:

    _________________________ ________________
    Signature over printed name Date ______________________________ _________________
    of Transferee Regional/Provincial Chief, RBS Date

    BFP-QSF-RBAS-030 Rev.00 (05.17.23)

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