AAO form 09 14 2009-revised 0625-2015 | Technology | Computing

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  PASEGURUHAN NG MGA NAGLILINGKOD SA PAMAHALAAN (GOVERNMENT SERVICE INSURANCE SYSTEM) Financial Center, Pasay City, Metro Manila 1308  AAO ELECTRONIC ONLINE SYSTEM FORM  Agency Authorized Officer Data Sheet New Renewal Termination Reactivation  Agency Name  Agency BP No  Agency Address GSIS Old ID No./BP No. Last Name First Name Middle Name Salary Grade Employment status  Agency Authorized Officer Contact Details Mobile Number: Office Number with Area Code Email Address  Agency Authorized Officer Mother’s Maiden Name Information Mother’s Maiden Last Name Mother’s First Name Mother’s Maiden Middle Name Signatures of Requesting Agency Officers  Agency Authorized Officer:  _________________________ ________________ ________________ Signature over Printed Name Designation/Position Date Accomplished Type: ( ) Principal ( ) Alternate Indorsing Officer:  ________________________ _____________________ Signature over Printed Name Designation/Position Mobile No. ________________ Email ______________  ________________ Date Accomplished We understand that by affixing our signatures on the above, authorization when granted, is specific to the office specified in this application form. Moreover, it will be disabled after GSIS receives a request for termination. Please Do Not Fill-Up. For GSIS Use Only Reviewed by GSIS Accounts Management Staff  Approved by GSIS Department Manager Date Accomplished    Action Taken  Authorization Enabled Authorization Disabled Initial & Date Notes: 1. All boxes MUST be filled up (Type or Print) except signature/designation portion of AAOs for TERMINATION. 2. Authorizations are valid until request for termination is received by the GSIS.  svasvsvsv
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