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    This document is a Member Data Record (MDR) from the Philippine Health Insurance Corporation (PhilHealth) that contains personal information about Patrick John Castillo Marcelo. It lists his PhilHealth Identification Number, member category, name, address, contact details, employer information, and indicates he has no declared dependents. The MDR serves to verify a member's enrollment details and provides a reminder to check for accuracy and protect the private document.

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    This document is a Member Data Record (MDR) from the Philippine Health Insurance Corporation (PhilHealth) that contains personal information about Patrick John Castillo Marcelo. It lists his PhilHealth Identification Number, member category, name, address, contact details, employer information, and indicates he has no declared dependents. The MDR serves to verify a member's enrollment details and provides a reminder to check for accuracy and protect the private document.

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    © All Rights Reserved
    Unduh sebagai PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    399 tayangan1 halaman

    Sample

    Diunggah oleh

    Eya Pareja
    This document is a Member Data Record (MDR) from the Philippine Health Insurance Corporation (PhilHealth) that contains personal information about Patrick John Castillo Marcelo. It lists his PhilHealth Identification Number, member category, name, address, contact details, employer information, and indicates he has no declared dependents. The MDR serves to verify a member's enrollment details and provides a reminder to check for accuracy and protect the private document.

    Hak Cipta:

    © All Rights Reserved
    Unduh sebagai PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 1

    Republic of the Philippines

    PHILIPPINE HEALTH INSURANCE CORPORATION


    Corporate Action Center Hotline - (02)441-7442
    MDR
    www.philhealth.gov.ph

    MEMBER DATA RECORD


    MEMBER INFORMATION
    Philhealth Identification Number (PIN) : 010253851460
    Member Category : FORMAL ECONOMY NHTS Coverage :
    Sub-Category : PRIVATE Effectivity Period :

    MARCELO , PATRICK JOHN CASTILLO


    42 PILAR JIMENEZ ST BAUTISTA CMPD
    TALON UNO, LAS PINAS CITY, FOURTH
    DIST.

    Foreign Address : N/A Sex : Male


    Date of Birth : 09/27/1989
    Place of Birth : LAS PINAS CITY, FOURTH DIST.

    Contact No.(Foreign) : N/A Civil Status : SINGLE


    (Local) : Tax Identification Number : 000388771123

    EMPLOYER/ORGANIZED GROUP INFORMATION


    PhilHealth Number (PEN/POGN) : 001020005796
    Name of Employer/Organized Group : ALTERNATIVE
    NETWORK RESOURCES UNLIMITED MULTIPURPOSE COOPERATIVE/ RUSTANS SUPERCENTERS
    INC
    Business Address : 4TH FLR ECO HOUSE BLDG DON CHINO ROCES AVE MAGALLANES, MAKATI CITY, FOURTH DIST.

    Telephone Number : 7570548


    Tax Identification Number : 222781438

    DEPENDENT INFORMATION
    PIN Surname Given Name Middle Name Sex Relation Date of Birth
    *** NO DECLARED DEPENDENT/S ***

    Paalala: Basahin ang nilalaman ng MDR. Kung may kulang o mali, dalhin agad ang kopya sa pinakamalapit na PhilHealth Office upang maiwasto. Ingatan ang inyong
    kopya ng MDR at huwag ibigay kahit kanino.
    Reminder: Read the contents of the MDR. Should there be discrepancies, bring your copy to the nearest PhilHealth Office to amend or rectify error. Take good care
    of the MDR and do not hand it over to anybody.

    This is a Member Inquiry System generated report.


    10/21/2017 12:57:02 AM

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