Here's a photo of a Bayad Center Transaction Form:
Here are the details of the form:
BAYAD CENTER TRANSACTION FORM
Please provide all required information below
Account Name (Surname, Given Name, Middle Name)
____________________________________________
Present Address _______________________________
__________________________Contact No. ________
TRANSACTION DETAILS
( ) Bills Payment ( ) Others _______
Biller _______ Date _______
Amount Due _______ Due Date _______
SOA/Invoice No. _______ Statement Date _______
Account Number _______
FOR GOVERNMENT TRANSACTIONS ONLY
ID Number _______
Payment Type ( ) Contribution ( ) Short Term Loan ( ) Real Estate
Payor Type ( ) SE ( ) VM ( ) )OFW ( ) Others_______
Loan Acct No. _______ Loan Type _______
Applicable Month(s) From _______ To _______ Year_______
Contribution/Month _______ Total Amount_______
PAYMENT DETAILS
( ) Cash ( ) Check ( ) Cash & Check ( ) Credit Card
Cash Php _______ Check No._______
Check Php _______ Bank_______
Total Php _______ Branch _______
Credit Card No. _______ Expiry Date _______
DECLARATION: The information provided above and documents hereby submitted have been made in good faith, verified correct to the best of my knowledge, pursuant to any Laws and Regulations applicable. I fully understand that CIS BAYAD CENTER INC. is authorized to accept and process payments and documents submitted through its branches.
_______________________________
Signature over printed name
____________________________________________
Machine Validation
This will serve as your receipt when machine validated
____________________________________________
If you're paying your SSS Loan, fill up the following:
Account Name:
Present Address:
Contact No.:
Biller: SSS
Date: Aug 20, 2014
Amount Due: 1,080.00
ID Number: SSS No. 04-800804004
Payment Type: VM
Loan Acct. No. SSS No. 04-800804004
Loan Type: Salary
Applicable Month(s): August 2014
Total Amount: 1,080.00
( ) Cash
Cash Php: 1,080.00
Total Php: 1,080.00
Signature over printed name
Note: Many Bayad Centers do not accept payments for the previous month, even if you're still within your payment deadline based on the last digit of your SSS No.
Does the transaction form need BIR authority to print?
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