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    Member Data Record: Bautista, Francis Hector Magbanua

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    Julia Florencio

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    © All Rights Reserved
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    Member Data Record: Bautista, Francis Hector Magbanua

    Uploaded by

    Julia Florencio
    3 views1 page

    Original Title

    MDR_010253196594

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    Copyright:

    © All Rights Reserved
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    3 views1 page

    Member Data Record: Bautista, Francis Hector Magbanua

    Uploaded by

    Julia Florencio

    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
    www.philhealth.gov.ph

    MEMBER DATA RECORD


    MEMBER BASIC INFORMATION
    PhilHealth Identification Number (PIN) : 01-025319659-4 PhilSys Number :
    Member Category : FORMAL ECONOMY - PRIVATE -
    Sub-Category PERMANENT/REGULAR NHTS Coverage : N/A
    Validity Period : N/A - N/A

    BAUTISTA, FRANCIS HECTOR MAGBANUA


    114 ALLEY 5 LOANS EXT SANGANDAAN, QUEZON CITY SECOND DISTRICT

    Foreign Address : N/A Sex : MALE


    Date of Birth : 06/18/1988
    Place of Birth : POTOTAN, ILOILO
    Contact No. (Foreign) : N/A Civil Status : SINGLE
    (Local) : N/A Tax Identification Number : 408043171

    ENTITY INFORMATION
    PhilHealth Number (PEN/POGN) : 001030000111
    Name of Employer/Organized Group : AFNI PHILIPPINES INC
    hidden text
    Business Address : 6TH TO 9TH FLRS SM FAIRVIEW BPO TOWER 4 QUIRINO HIGHWAY COR REGALADO
    hidden text AVE , GREATER LAGRO, QUEZON CITY SECOND DISTRICT

    Telephone Number : 46223000 Employment Status : EMPLOYED


    Tax Identification Number : 4622300 Date : 09/03/2019

    DEPENDENT INFORMATION
    PIN Surname Given Name Middle Name Sex Relation Date of Birth
    032528533115 BAUTISTA SAMANTHA LOUISE BURZON FEMALE DAUGHTER 08/16/2016

    *** NOTHING FOLLOWS ***

    ATTY. RECTO M. PANTI


    BRANCH MANAGER
    NCR Central Quezon City

    Paalala: Basahin ang nilalaman ng MDR. Kung may kulang o mali, ibalik agad upang maiwasto. Ingatan ang orihinal na kopya at huwag ibigay kahit kanino. Kung
    sakaling gagamit at makikinabang ng benepisyo, magbigay ng kopya sa ospital. (Reminder: Read the contents of the MDR. Should there be any data discrepancies,
    return it back to amend or rectify the error. Take good care of MDR and do not hand it over to anybody. Provide photocopy to hospital in case of confinement and
    availment of benefits.)
    This is a Member Portal System generated report. Signature is not required.
    Aug 01, 2022 08:22 AM

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