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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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Eya Pareja
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1K views1 page

Sample

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.

Uploaded by

Eya Pareja
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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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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