Bayad Center Transaction Form

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.