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CLIENT INFORMATION SHEET Client Status # : 01191 Date : February 29, 2024 1. CLIENT PROFILE | DECLARED DEPENDENT/S: I.D. Number : 01789 *** STOP PENSION: Feb-07-2022 ***| Name Birth Age Name/Type : Agustin, Venancio S. (RT) | --------------- ----------- --- Address : #22-12 Bagong Lipunan St., | CAA CPD PH BF Int'l Las Pinas | * NO DEPENDENTS * Phone Nos. : none|4558970/3304585 | Birthday/Age: October 30, 1938 (85 yrs.) | Debit/Acct. : _________________________/_____________| Email Addr. : _______________ | Facebook : _______________ | SSS/Coll.Day: _______________ (030) | Spouse : Gloria T. Agustin | --------------------------------------------------------------------------------------------- 2. ACCOUNT STATUS | OUTSTANDING LOAN/S: Bank/Acct : P.N.B.-Sucat (PNSCT) | ATM2815277034 Bankbal: -1.00 | * NO OUTSTANDING LOANS * Inst. Currnt: P 0.00 Pension: 2,420.00 | Latest: P 0.00 Coll'n.: 2,000.00 | Balance Term: 0 Mos Cntngnt: - - | Overdue : P 0.00 | Sukli Bal. : P 0.00 | Total O.B. : P 0.00 | L.C./Office : Chavez, Linda (LC1)/PSY | Coll'n Alert: Stop Pension (RSP) | Co-Maker : *** none *** | : *** none *** | Concerns : ___ ______________ ___ ______________ | Client age: 70 up ___ ______________ | --------------------------------------------------------------------------------------------- ADDITIONAL NOTES/REMARKS: | DATE REFERENCE STS COLLECTION INSTALLS A/P id#1789: Correct SSS No: 03-3057827-3, naginquire sa | ----------- ------------ --- ---------- ---------- ---------- Buenavista ang client sa Las Pi�as Br. | Jul-26-2012 Jul'12 Prblm RSP Stop Pension nila..khatt10.09.13 | Aug-28-2012 Aug'12 Prblm RSP Stop Pension id#1789: ayaw i rcvd(ruel11/17/09)...wowie11/18/09 | Sep-24-2012 Sep'12 Prblm RSP Stop Pension **no SSS# sa 201(nasa Pasay) . no record found (sss) sa | Oct-25-2012 Oct'12 Prblm RSP Stop Pension birthday.ndi ko alam Y naging PSA ito? kukai's | Nov-23-2012 Nov'12 Prblm RSP Stop Pension time.address ndi ma-locate...jing06/27/07 | Dec-21-2012 Dec'12 Prblm RSP Stop Pension notice 01/05/05 | Jan-28-2013 Jan'13 Prblm RSP Stop Pension stop pension contested claim hinahanap ang b-certificte | Feb-22-2013 Feb'13 Prblm RSP Stop Pension ng anak | Mar-21-2013 Mar'13 Prblm RSP Stop Pension | Apr-24-2013 Apr'13 Prblm RSP Stop Pension | May-27-2013 May'13 Prblm RSP Stop Pension | Jun-26-2013 Jun'13 Prblm RSP Stop Pension | Jul-25-2013 Jul'13 Prblm RSP Stop Pension | Aug-23-2013 Aug'13 Prblm RSP Stop Pension | Sep-24-2013 Sep'13 Prblm RSP Stop Pension | Oct-10-2013 Adjst writeoff 31,100.00 | Oct-10-2013 Oct'13 Adjst RSP Adjustment 30,500.00 -30,500.00 | Dec-18-2013 Dec'13 Prblm RSP Stop Pension | Mar-25-2014 Mar'14 Prblm RSP Stop Pension _____________________ _________________________ ____________________________________ Analyst Interviewer Client Conforme (Signature Verified)
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