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Indorsement: Associated Philippine Seafarers' Union-Itf

The document is an endorsement form for seafarers to claim their retirement or provident fund (TCC) from the Associated Philippine Seafarers' Union-ITF. It requests the member's personal details, provident passbook number, total amount of claim, and bank or money transfer details. It lists required attachments like employment certificates and identification documents. The member signs to authorize PSU to use the information to process the fund withdrawal, which may take 10 to 15 working days.

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Samiracomputerstation Kuya Marvs
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3K views1 page

Indorsement: Associated Philippine Seafarers' Union-Itf

The document is an endorsement form for seafarers to claim their retirement or provident fund (TCC) from the Associated Philippine Seafarers' Union-ITF. It requests the member's personal details, provident passbook number, total amount of claim, and bank or money transfer details. It lists required attachments like employment certificates and identification documents. The member signs to authorize PSU to use the information to process the fund withdrawal, which may take 10 to 15 working days.

Uploaded by

Samiracomputerstation Kuya Marvs
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ASSOCIATED PHILIPPINE SEAFARERS’ UNION-ITF

Elliptical Road corner Maharlika Street, Diliman, Quezon City 1101, Philippines
Tels: (632) 8922-2575; 79; 8922-6168; 71; 99 Fax: (632) 3436-1270 Email: psumla@info.com.ph

INDORSEMENT Date: ___________________, 2020

To : Finance Department
Re : CLAIM FOR RETIREMENT/PROVIDENT (TCC)

Name of Member: Email Address:

Rank/Vessel-s: Provident Passbook No: Tel./Cel. Number:


( To be filled out by PSU Office)

PSU ID No./Date of Issue: Total Amount of Claim:


( To be filled out by PSU Office)

For bank deposit, please specify bank details ( BPI BDO / Peso Dollar Account only):

Account Name: _____________________________________ Account Number: _________________________________

Bank: _____________________________________________ Branch: _________________________________________

For money transfer transaction, please specify the following details (Palawan Express only):

Name of Receiver: ___________________________________ Address: _______________________________________

Contact Number: ____________________________________ Destination Branch: _______________________________

Note:
• For releasing of provident fund through bank deposit and money transfer transaction, the account must be
strictly under the member’s name.
• Bank charge/Money transfer fee will be deducted on the total amount of the member’s claim.
• Online processing of members’ PSU Provident Fund may take 10 to 15 working days.

Attachments:
Certificate of Employment Passport Doctor’s Certificate (In case of illness/disability)
Seaman’s Book PSU ID or any valid ID with signature Death Certificate (In case death of member)
Others (which PSU may deem necessary): ________________________________________________________________

This is to certify that the information I provided in this form are true and accurate to the best of my knowledge. I
hereby give my consent to the Associated Philippine Seafarers’ Union (PSU) to use the information above in order
to process the withdrawal of my provident fund contribution.

__________________________________________ _________________________
Signature over Printed Name Date

Documents Checked/Verified By:


(To be filled out by PSU Office)

_______________________________

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