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    MDR

    Uploaded by

    Ro Chel
    This document is a Member Data Record (MDR) from the Philippine Health Insurance Corporation (PhilHealth) for Crisanto Manuel Gila. It provides his PhilHealth Identification Number, member category as an informal economy self-earning individual, personal details such as name, address, date of birth, and contact information. It also notes he has no declared dependents and no employer is listed. The reminder at the bottom advises reading the MDR carefully and bringing any discrepancies to the nearest PhilHealth office.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    MDR

    Uploaded by

    Ro Chel
    197 views1 page
    This document is a Member Data Record (MDR) from the Philippine Health Insurance Corporation (PhilHealth) for Crisanto Manuel Gila. It provides his PhilHealth Identification Number, member category as an informal economy self-earning individual, personal details such as name, address, date of birth, and contact information. It also notes he has no declared dependents and no employer is listed. The reminder at the bottom advises reading the MDR carefully and bringing any discrepancies to the nearest PhilHealth office.

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    PHILHEALTH

    Original Title

    mdr (1)

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    This document is a Member Data Record (MDR) from the Philippine Health Insurance Corporation (PhilHealth) for Crisanto Manuel Gila. It provides his PhilHealth Identification Number, member category as an informal economy self-earning individual, personal details such as name, address, date of birth, and contact information. It also notes he has no declared dependents and no employer is listed. The reminder at the bottom advises reading the MDR carefully and bringing any discrepancies to the nearest PhilHealth office.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    197 views1 page

    MDR

    Uploaded by

    Ro Chel
    This document is a Member Data Record (MDR) from the Philippine Health Insurance Corporation (PhilHealth) for Crisanto Manuel Gila. It provides his PhilHealth Identification Number, member category as an informal economy self-earning individual, personal details such as name, address, date of birth, and contact information. It also notes he has no declared dependents and no employer is listed. The reminder at the bottom advises reading the MDR carefully and bringing any discrepancies to the nearest PhilHealth office.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 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) : 022521630071
    Member Category : INFORMAL ECONOMY NHTS Coverage :
    Sub-Category : SELF-EARNING INDIVIDUAL Effectivity Period :

    GILA , CRISANTO MANUEL


    BLOCK4 LOT7 1991 PHASE 3 B BGY 174,
    CALOOCAN CITY, THIRD DIST. 1400

    Foreign Address : N/A Sex : Male


    Date of Birth : 07/17/1989
    Place of Birth : CALOOCAN CITY, THIRD DIST.

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


    (Local) : Tax Identification Number :

    EMPLOYER/ORGANIZED GROUP INFORMATION


    PhilHealth Number (PEN/POGN) : N/A
    Name of Employer/Organized Group : N/A
    Business Address : N/A

    Telephone Number : N/A


    Tax Identification Number : N/A

    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.


    8/16/2019 10:50:35 AM

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