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CLIENT INFORMATION SHEET Client Status # : 13289 Date : February 29, 2024 1. CLIENT PROFILE | DECLARED DEPENDENT/S: I.D. Number : 14059 *** RELEASED: Jan-17-2014 *** | Name Birth Age Name/Type : Dela Cruz, Benito M. (RT) | --------------- ----------- --- Address : #166 Rd2, Old Balara | Quezon City | * NO DEPENDENTS * Phone Nos. : 09065539833| | Birthday/Age: August 23, 1934 (90 yrs.) | Debit/Acct. : _________________________/_____________| Email Addr. : _______________ | Facebook : _______________ | SSS/Coll.Day: GS36082301032 (008) | Spouse : Julieta | --------------------------------------------------------------------------------------------- 2. ACCOUNT STATUS | OUTSTANDING LOAN/S: Bank/Acct : Union-G.S.I.S. Client (UBGSS) | ATM109592841534 Bankbal: 358.70 | * NO OUTSTANDING LOANS * Inst. Currnt: P 0.00 Pension: 2,396.52 | Latest: P 0.00 Coll'n.: 2,300.00 | Balance Term: 0 Mos Cntngnt: 08-23-1997 | Overdue : P 0.00 | Sukli Bal. : P 0.00 | Total O.B. : P 0.00 | L.C./Office : Salmorin, Lilia (LS2)/TSR | Coll'n Alert: update bank balance (OUB) | Co-Maker : Geraldo, Maria Lourd 2013-11 | : 09492741435 | Concerns : ___ ______________ NON-ADA Bnk: UBGSS | Client age: 70 up ___ ______________ | --------------------------------------------------------------------------------------------- ADDITIONAL NOTES/REMARKS: | DATE REFERENCE STS COLLECTION INSTALLS A/P B.I MON OK 11-13-12 | ----------- ------------ --- ---------- ---------- ---------- - the GSIS Client hereby authorized his Daugter, | Jun-05-2013 Sukli C-S A/P Ck PST -3,200.00 Beverly Garcia to personally received his monthly | Jun-08-2013 Jun'13 Colln 4,700.00 1,500.00 3,200.00 pension excess for the month of August 2011. - Limuel | Jul-04-2013 Sukli Pst Jul 4'13 -2,700.00 08/16/2011 | Jul-07-2013 Jul'13 Colln 4,700.00 2,000.00 2,700.00 - the GSIS Client hereby authorized his Daughter, | Aug-02-2013 Sukli Pst Aug 2'13 -2,700.00 Beverly Garcia to personally received his monthly | Aug-09-2013 Aug'13 Colln 4,700.00 2,000.00 2,700.00 pension excess for the month of July 2011. | Sep-02-2013 Sukli Pst Sep 2'13 -2,700.00 - Limuel 07/13/2011 | Sep-07-2013 Sep'13 Colln 4,700.00 2,000.00 2,700.00 - the GSIS Client hereby authorized his Daughter, | Oct-01-2013 Sukli Pst Oct 1'13 -2,700.00 Beverly Garcia to personally received his monthly | Oct-08-2013 Oct'13 Colln 4,700.00 2,000.00 2,700.00 pension excess for the month of June 2011. | Oct-31-2013 Sukli Pst Oct 31'13 -2,700.00 - Limuel 06/15/2011 | Nov-11-2013 Nov'13 Colln 4,700.00 2,000.00 2,700.00 - the pensioner hereby authorized, Cindy Dela Cruz to | Nov-27-2013 Sukli Pst Nov 27'13 -2,700.00 personally received his monthly GSIS Pension Excess for | Dec-10-2013 Dec'13 Colln TOD 4,700.00 4,700.00 the month of Feb. 2010. | Dec-12-2013 Dec'13 Prblm TOD Overdue (short collection) - Limuel 05/14/2010 | Dec-27-2013 Sukli Pst Dec 27'13 -1,000.00 - the pensioner hereby authorized his daughter, Beverly | Jan-08-2014 Jan'14 Colln 4,700.00 300.00 4,400.00 Garcia to personally receive his monthly SSS pension | Jan-09-2014 Jan'14 Prblm OUB update bank balance excess for the month of November 2009. | Jan-10-2014 Sukli Pst Jan 10'14 -700.00 _____________________ _________________________ ____________________________________ Analyst Interviewer Client Conforme (Signature Verified)
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