StatutoryLiabilities PDF

PASEGURUHAN NG MGA NAGLILINGKOD SA PAMAHALAAN
(GOVERNMENT SERVICE INSURANCE SYSTEM)

Financial Center, Pasay City , Metro Manila 1308
CERTIFICATION
This is to certify that the PHILIPPINE HEALTH INSURANCE CORPORATION
(PHILHEALTH) has remitted the mandatory GSIS premium contribution of its officials
and employees for the CY 2017.
This certification is being issued this 20th day of March 2018 upon the request of
PHILHEALTH as required by the Government Commission for GOCCs relative to their
request for Performance Based Bonus for CY 2017.
ATTY. LINT 0. ARANAS

and General Manager
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' Pag-IBIG Fund
(Home Development Mutual Funa)
CONTROL No. 1101.000002-G
CLEARANCE CERTIFICATE
Th1s IS to cert1fy that PHILIPPINE HEALTH INSURANCE CORPORATION with

princ1pal office address at Cltystate Center, No 709 Shaw Boulevard, Pasl g Ci ty Is
registered with HOME DEVELOPMENT MUTUAL FUND (P g-IBIG Fund) with Pag-I BIG
Employer 10 NO 202816600008 wnh reported employee base of 863 as of Jant~ary 12,
2018 and has remitted membership sav1ngs for the penOd ol J an u ry 2017 to December
2017.
This certification is being issued upon the request of the employer for whatever
legal purpose it may serve. wtthout preJUdice to Pag-IBIG Fund takmg appropnate actton
should it be found later, upon verificatron that certain accountab hUes not apparent for ihe
present are discovered
Given this 12th day of February, 2018 l Pag-IBIG Fund Kam• s MSB f h1s
document shall be valid for one (1) year and w1ll exptre on the date oommenctng from
date of issuance.
AGN h NERV
MSB Head
KAMIAS MEMBER SERVICES BRANCH

796 Anchor Center, EOSA, Quezon City
Telephone Numbers: 4269528 I 9209816 9258558
CONTROL No. 11 01.000003-G
This is to certify that PHILIPPINE HEALTH INSURANCE CORPORATION NCR

w1th princ1pal office address at 68 Kalayaan VCP Building. Blk. 56 Lot 11, Brgy.
Teachers Village, Kalayaan Avenue, Quezon City is registered with HOME
DEVELOPMENT MUTUAL FUND (Pag-IBIG Fund) with Pag-IBIG Employer ID NO.
204993720000, with reported employee base of 1,046 as of January 10, 2018 and has
remitted membership savings for the penod of January 2017 to December 2017.
legal purpose it may serve, without prejudice to Pag IBIG Fund taking appropriate action
should it be fou'ld later, upon verif1cat1on , that certain accountabilities not apparent for the
present are discovered.
Given this 26th day of February. 2018. at Pag-IBIG Fund, Kamlas MSB. This
document shall be valid for one (1) year and will exptre on the date commencing from
date of Issuance.
AG ESO. NERY
MSB Head
KAMIAS MEMBER SERVICES BRANCH

795 Anchor Center, EDSA. Quezon City
Telephone Number<; 4269528 / 9209816/ 9256568
{ VOl 03~011)
HQP-PFF-118
~ Pag-IBIG Fund
~
(Home Development Mutual Fund)
CONTROL No. 131000000176P
This is to certify that PHILIPPINE HEALTH INSURANCE CORPORATION with

office address at SN ORlENTAL BLDG., LEONARD WOOD ROAD, TEACHERS
CAMP, BAGUIO CITY is regtstered with HOME DEVELOPMENT MUTUAL FUND
(Pag-IBIG Fund) with employer number 204974500004 with reported employee base
of 11.IID..as of JANUARY 2018 and has remitted membership sav1ngs for the period of
JANUARY - DECEMBER 2017.
This certification 1s being issued upon the request of the employer for whatever
legal purpose it may serve, wrthout prejudice to Pag-IBIG Fund taking appropriate
action should it be found later, upon verification . that certain accountabilities not
apparent for the present are discovered.
Given this 31 sr of JANUARY 2018 at Pag-IBIG Fund , Baguio Branch. This

document shall be valid for one (1) year and wtll expire on the date commencing from
date of issuance.
BAGUIO SRios;CH
S 8Clg U~ Seswn Ro Cor Et~g<M«'t H lla;ulo Cqo
Te No. ~07•J IIi • 13301 (071.) 618 • 2710TIItac fl~ 'nl. 1.1.2- 5eel
W.tlll>l ,..._ pagot)lgfund GOY ph
t\1!)1 OJ/2011)
HQP-PFf-118
Pag-IBIG Fund
CONTROL No. 0030-4000055-P
This is to certify PHILIPPINE HEALTH INSURANCE CORPORATION with

principal office address at EMDC BLDG., SEC. FRANCISCO Q . DUQUE JR. ROAD,
TAPUAC DISTRICT, DAGUPAN CITY, PANGASINAN rs registered with HOME
DEVELOPMENT MUTUAL FUND (Pag-lBIG Fund) Wtth Employer 10 No: 2067-5861-
0000, with reported employee base of two hundred sixty·two (262) as of DECEMBER
2017 and has remitted membership savings for the penod of JULY 2008 to
DECEMBER 2017.
legal purpose it may serve, without prejudice to Pag-IBIG Fund taking appropriate
action should it be found later, upon vertfication, that certain accountabilities not
Given this 2n<1 day of February, 2018, at Pag-IBIG Fund, Dagupan Branch. This
.
document shall be valid for one (1) year and wlll expire on the date commencing from
date of issuance.
o.gu,.n Bro11nc:h
2n<IJF BHF Family Plaza, MayQ.ITlboOisl, Dagupan City
Tel. No. (075) 622-4-467 I (076) 523-3048
www.paglbigtund.gov.ph
(V0f0Yl01n
Pag-IBIG Fund
(Home Oev.lopment M\Jtull Fund)
CERTIFICATION
This Is to certify that the PHILIPPINE HEALTH INSURA CE CORPORATION

with RTN No. 8001-7095-2223 located at The Build r's Pl ce, d I Rosario Street,
Tuguegarao C1ty, Cagayan has remitted Members' Savings promptly covenng the
periods January- December 2017 with the Home Development Mutual Fund
This certlfication Is Issued for whatever legal purpose rt rnay serve thas sttt day of
February 2018.
ELVIS C. ONGA
Area Head - Cagnyan Valley
CAQAYAH VALLEY R!GION

EON TIIOda:l B~.!UtzU ngi!W&J • ~eo '=Uy ~
f1ll~01 ~·)844.1£4$ /JU-ln~ I J,U~ f•r.lb 1ilf.41 36J.:
fn-a'll.ccnu ~c;t:.-IIQO\ en
Pag-IBIG FUND
........illit#
C ERTIFICATION
This certifies that PHILIPPINE HEALTH INSURANCE CORPORATION with

principal office and address at Philhealth Bldg., Lazatln Blvd. City of San
Fernando Pampanga is registered with Pag--IBIG FUNQ (Home Development
Mutual Fund). As of February 01 , 2018 the company has remitted contributions
an loan covering the period January to December 2017.
This Certification is being issued on this 20th day of February 2018 upon the
request of the employer for whatever legal purposes it may serve.
~
AMY G. GOPEZ
Asst. Department Manager I
San Fem• ndo Meqtbera' S.rvfc.e Branch

Suburt>la Commen:lal Center, Malmpis, City ol San Fernando, P~nga ·Tel. No. (045) 455-1291
HQP-PFF-118
Pag-IBIG Fund
CONTROL No. 1320~00056·P
This Is to certify that PHILHEALTH REGIONAL OFFICE IV-A with

principal office address at LUCENA GRAND CENTRAL TERMINAL BRGY.
ILAYANG DUPAY, LUCENA CITY QUEZON is registered with HOME
DEVELOPMENT MUTUAL FUND (Pag-IBIG Fund) with Employer 10 No.
202498930001 , with reported employee base of 369 as of JAN 08, 2018 and has
remitted membership savings for the period of JAN- DEC 2017.
This certification is being issued upon the request of the employer for
whatever legal purpose it may serve, without prejudices to the Pag-IBIG Fund taking
appropriate action should it be found later. upon verification, that certain
accountabilities not apparent for the present are discovered.
Given this 30th day of January, 2018, at Pag-IBIG Fund- Lucena MSB.
This document shall be valid for (1) year and will expire on the date commencing from
date of issuance.
NORMA~YABYAB
J~,;;~er
Head - Lucena
.~
B~anch
Services
Lucena Grand Central Terminal Bldg

Brgy. llayang Dupay 4301 Lucena City, Quezon
Tel No: (042) 710-2869 Tefefax No: (042) 710·2387
Email: Jucena@pagfblgfund.gov.ph
(V01.03/2017)
HQP-PFF-118
Pag-IBIG FUND
CONTROL No. 1321-000092-P
This certifies that PHILIPPINE HEALTH INSURANCE CORPORATION -

REGION IV-8 with principal office address at CAEOO COMMERCIAL CENTER.
CALICANTO, BATANGAS CITY is regrster wrth HOME DEVELOPMENT MUTUAL
FUND (Pag-IBIG Fund) with 207988540007. with reported employee base of 286 as
of January 10. 2018 and has remrtted membership savings for the period of
DECEMBER 2017.
This certificate is being issued upon the request of the employer for whatever
legal purpose it may serve, wtthout prejudiced to the Pag-IBIG Fund taking
appropriate action should it be found later. upon venfication, that certain
accountabilities not apparent for the present are discovered.
Given this 20th day of FEBRUARY 2018. at Pag-IBIG Fund, Batangas

Member Services Branch· This document shall be valid for one (1) year and will
expire on the date commencing from date of issuance.
. ACOSTA
2nc:t Floor, ATORMAM Bldg., National Road,

Kum1ntang lbaba, Balangas City 4200
rvot, o3120t7)
Pag-IBIG Fund
CONTROL No. 052-000389-G
This is to certify that PHILIPPINE HEALTH INSURANCE CORPORATION -

RO V with principal office address at ANST Ill Bldg., Alternate, Road, Legazpl City is
registered with HOME DEVELOPMENT MUTUAL FUND (Pag-IBIG Fund) with
Employer ID No. 204997830003, with reported employee base of two hundred forty-
two (242) as of January 8, 2018 and has rem1tted membership savings for the period of
January-December 2017.
This certification Is being issued upon the request of the employer for whatever
legal purpose it may serve, without prejudice to Pag-IBIG Fund taking appropriate action
should it be found later, upon verification, that certatn accountabilities not apparent for the
present are discovered .
Given this 25th day of January 2018, at Pag-IBIG Fund, Legazpl Member
Services Branch. This document shall be valid for one (1) year and will expire on the
date commencing from date of issuance.
MA. L~RIVERO
OIC. Branch Head 1
LEGAZPI MEMBER SERVICES BRANCH

HTCDC Bldg., B. Imperial St., Bitano, Legazpi City
Tel. Nos. (052) 4808539, 4808867. Fax no. (052) 48081 71
(VOl 031207 1J
HQP-PFF-118
Pag-IBIG Fund
CONTROL No. 1517-000120-G
This is to certify that PHILIPPINE HEALTH INSURANCE CORPORATION with

prinicipal office address at Gaisano Capital, Luna St., La Paz, IloilO City 15
reg istered with HOME DEVELOPMENT MUTUAL FUND {Pag-IBIG Fund) with
_E_r_I_D_N_o._2_0_4_5_17_1_5_00_0_9__, with reported employee base of _ ___;_N~/A:....:.__ _ as
of 02/21/2018 and has remitted membership savings for the period of
JANUARY 2017- DECEMBER 2017
legal purpose it may serve, without prejudice to Pag-IBIG Fund takmg appropriate
action should it be found later, upon verification, thai certain accountabilities not
Given this __2_1s_'_ day of __F_E_B_R_U_A_R_Y_, 2018, at Pag-IBIG Fund,

_ _ _..;.;M..:...O;;;..;L;:;...O::......;;;;B;..;..R..:...A...:..:.N....:....C;:;...H~---· This document shall be valid for one (1) year and
will expire on the date commencing from date of issuance .
(l ) -J/.,IIs
'i3tNA\J. LANCETA
BRANCH HEAD
Pag~IBIG Fund Molo Member Services Branch

GT Plaza Mall MH Del Pilar St . Molo. llo1l0 C1ty
molo me@pagibigfvnd gov ph 1Tel nos (033) 330· 2699. 508·5231
/VOl, OVJ017J
HQP·PFF·118
Pag-IBIG Fund
(Hom e Development Mutual Fund)
CONTROL No. 0064..000345-P
This is to certify that PHILIPPINE HEALTH INSURANCE

CORPORATION REGIONAL OFFICE VII with principal office address
8F Golden Peak Hotel. Gorordo Avenue. corner Escario St . Camputhaw.
Cebu City MUTUAL FUND (Pag-IBIG Fund) with 208078750003, with
reported employee base of 340 as of January 30. 2018 and has
remitted membership savings for the penod of January 2017- December
2017.
This certification is being issued upon the request of the employer

for whatever legal purpose it may serve, without prejudice to Pag-IBIG
Fund taking appropriate action should it be found later, upon verification,
that certain accountabilities not apparent for the present are discovered.
Given this 29th day of January 2018 , at Pag-IBIG Fund, Cebu Ayala
Member Services Branch . This document shall be valid for one (1) year
and will expire on the date commencing from date of tssuance.
PORTI . BACALSO
Head
Ground Floor, Pag-IBIG Fund-wr Corporate Tower

Mindanao Avenue. Cebu Business Park, Cebu City
Telephone number 234-2778 ('M, 0312011)
m Pag-IBIG FUND
(Hom• Development Mutual Fund)
Tacloban Members Serviette Branch
~~--~--------~--~--------------------------------
CERTIF ICATION
PHILHEALTH TACLOBAN is a regularly remttttng employer for tne penod J nuary

2017 to December 2017.
This certification is being issued upon the request of the employer for whatever legal
purpose 1t may serve, without prejudice to Pag~IBIG Fund taking appropnate elton should 1t
be found later, upon verification that certain accountabilittes not apparent for the present are
discovered.
Given this 22nd day of January 2018 at Pag:fBIG Fund, T elo n ember
Services Branch. This document shall be vahd for one (1) year and wlll exptre on the date
commencing from date of issuance
AJAR lA
Maharlika Highway, Brgy ALJucay TaCIObi:lll Ctty

Telephone No (053)325-3625
www pagrb•gfund gov pro
·f!i·
~ Pag-IBIG Fund
CERTIFICATION
This certifies that PHILIPPINE HEALTH INSURANCE CORP. RO IX

with principal office and address at 2 BGIDC BLDG., GOV. LIM AVE.,
ZONE Ill, ZAMBOANGA CITY is registered with the PAG-IBIG FUND with
an employee base of 191 . As of FEBRUARY 2018 the company has
remitted contributions for the period of JANUARY 2017 - DECEMBER
2017.
Further, the Fund does not have any pending compfamtlcase filed
against PHILIPPINE HEALTH INSURANCE CORP. RO IX before the City
Prosecutor's Office and/or the courts pertaining to the enforcement of the
Implement Rules and Regulations of the Republic Act 9679.
This- certification is being issued upon the request of the employer for the
renewal of their license to operate.
Done this grH day of FEBRUARY, 2018.
ENGR. BED R· rM~OARTE, JR.

H{AO~MSBO
ZAMBOANGA CITY BRANCH, Pag-IBIG Fund Bldg., San Jose Road, Zamboanga Clly 7000
Tel. Nos. (6362)991.0092193, 992-0822.992.0805, n2..a154 & 991-2803 (Fn), E-malladdrut: ZlrnboangaG!!falblqfund.qov.ph
OIPOLOG EXTENSION OFFICE, G/F LAQSEV Bldg.,Bendl)o Extension, CapitOl Sldo, Olpolog C!Jy 7100
Tel. No. (6365) 212-4542 (Fox); E-mail lfddress : dlpolog@paqlbfqfund.goy.ph
HQP-PFF-1 18
Pag-IBIG Fund
(Fiome Development Mutual Fund)
CONTROL No. 076
This is to certify that _ _ _ _

PH_ I_L_IP_P_IN
_E_ H_E_A_L_
TH_ lN
_S_U
_R_A
_N_C
_ E_ _ __
with prinicipal office address at 6th T rinidad Bldg., Yacapln-Corrales Sts • Cagayan de Oro City
is registered with HOME DEVELOPMENT MUTUAL FUND (Pag-tBIG Fund) with

204997820001 , with reported employee base of 272 as
of January 10, 2018 and has remitted membership savings for the period of
January 2017 - December 2017
legal purpose it may serve. without prejudice to Pag-IBIG Fund taking appropriate
action should it be found later. upon verification, that certain accountabilities not
Given this _ _..;1_ _ _ day of _ _F'-e~b;;..;;r..u..; ; .a'"""

.; ;ry..___.,
11
2018. at Pag-IBIG Fund,
Cagayan De Oro Central Service Branch . This document shall be valid for one (1)
year and will expire on the date commencing from date of issuance.
Branch Head
Cagayan de Oro Central MSB
CAGAYAN DE ORO CENTRAL· MEMBER SERVICES BRANCH

Pag·IBIG Fund Building, JR Bolja St .. Cagayen de Oro City
Tel. No (088) 8561861 ; (0882.2)722800 FaK, 714615; cagayancentral_mab@paglt>lglund gov pl1
(\1'01 1)3.?011)
Pag-IBIG FUND
(Home Development Mutual Fund}
This is to certify that PHIL HEALTH PRO-XI with principal office address at
Valgosons Bldg. Bolton Extension, Davao City is registered with HOME
DEVELOPMENT MUTUAL FUND (Pag-IBIG Fund) with Pag-IBIG Employer 10 No.
205336360007, with reported employee base of Two Hundred Eighty-Four (284), as
of January 10, 2018 and has remitted membership savings for the period January
2017 to December 2017.
legal purpose it may serve, without prejudice to Pag-IBIG Fund taking appropriate
action should it be found later, upon verification, that certain accountabilities not
Given this 23rd day of February 2018, at Pag-IBIG Fund, Davao Central Member
Services Branch . This document shall be valid for one (1) year and will expire on the
date commencing from date of issuance.
GRACE C. CAM
Head - Davao C
Members Servi
lcle
Oavao Central Member Services Branch

209 2/F Bormaheco Bldg. (fronting Ounan Hotel), JP laurel Ave., Bajada, Davao City
Telephone No.: {082) 2228055
Email Address: dayao mod@paglblafuoct.gov,nl:l
(YOf, 0312017)
HOME DEVELOPMENT MUTUAL FUND
CERTIFICA TI ON
This is to certify that PHILIPPINE HEALTH INSURANCE CORPORATION

REGIONAL OFFICE XII is updated on its remittances for Pag-IBIG Members
Contribution and Short-term Loan repayments for the penod covered January-
December 2017.
This certification is issued for whatever legal purpose it may serve them.
Done this 1st day of February 2018, at Koronadal C1ty, Philippines.
KOROHAOAl SRAHCH
JYSlBullding, Cof NWIIIIIO & Balrnof. . sw-,KorC111011ui City
Tel No. (083}-~12!1 Z2!1-11U&228-117l
Fu NO (083)-22&-1173
m r;,o~
·
Pag-IBIG FUN D
C E R T I F I C A T I 0 N
This certifies that Philippine Health Insurance Corporation Wtth pnncipal offrce and
address at 766 Lynzee's B ldg., J. Rosales Ave.. Butuan City rs registered with the
HOME DEVELOPMENT MUTUAL FUND (Pag-IBIG Fund) with Employer 10 no.
205677440007, with an employee base of 174 As of January 8, 2018, the company
has remitted contributions covering the period January - December 2017.
Furthermore. the company does not have any pendmg complainUcase filed before the
City Prosecutor's Office and/or the courts pertarnmg to the enforcement of the
Implementing Rules and Regulations of Republic Act 9679.
This Certification is being issued upon the request of the employer for whatever legal
purpose it may serve.
Done this 61h day of February 2018. at Pag-IBIG Fund. Kho Butlding, J.C Aquino
Avenue, Butuan City
ELENE~AGDALERA
Branch Head ,... '(
BUTUAN MEMBER SERVICES BRANCH

Kho Bldg Brgy lmadejas. JC Aqutno Ave, Butuan City
Tel No (085) 3000372 & 8156034, Ematl. butuan@pagtbtgfund go" ph
Pag-IBIG FUND
(HOME DEVELOPMENT MUTUAL FUND)
CONTROL No. 180125-4
This is to certify that PHILHEALTH REGIONAL OFFICE ARMM with princ1pal office
address at NORAMIS BUILDING, CONGRESSMAN OIANALAN BOULEVARD, LILOD
SADUC, MARAWI CITY, LANAO DEL SUR is registered with HOME DEVELOPMENT
MUTUAL FUND (Pag-IBIG Fund) with 205021020008 with reported employee base of 187
and has remiHed membership savings for the period of JULY 2008 TO DECEMBER 2017.
This certification is being issued upon the request of the employer for whatever legal
purpose it may serve, without prejudiced to the Pag-IBIG Fund taktng appropriate action
should it be found alter, upon verification, that certacn accountabllilles not apparent for the
present are discovered.
Given this 251h day of January, 2018 , at Pag-IBIG Fund, MSB ILIGAN This
document shall be valid for one (1) year and will expire on the date commencing from date of
issuance.
CECI~Q~
OIC Head, MSB lhg/
\,
REPUBLIC OF THE PHILIPPlNr..S

DEPARTMENT OF FINANCE
BUREAU OF INTERNAL REVENUE
CERTIF ICATIO
This IS to certif) that the collectton hsted he.reunder \\ere verified and found Included in
the Revenue Dara Centt!r-Lu;,on 2 database as follows:
Name ofTaxpayer PHILIPPI NE HEAL

TIN 003-SOS-40 I ..()00
ITEM NO. BCSNO. DATE BANK CODE AMOUN_T TAXTVPE

26 A-54557 02-07-201 7 086000 9,40l,649.l9 we
7 A-57592 03-07-201 7 086000 31,633i535.35 we
20 A-50708 04-04-2017 086000 '8,278,862.47 we
19 A-54161 OS-OS-201 7 086000 _._8,040~0.87 we
12 A-57501 06-08-201 7 086000 7.905,074.21 we
31 A-50251 07-06-2017 086000 5,172,468.81 we
15 A-53938 08-08-201 7 086000 7~90~707.80 we
26 A-57008 09-M-1017 086000 6.201~14.63 ,\VC
10 A-50189 10/05/2017 086000 6,166,'156.26 we
38 A-53357 11-07-2017 086000 6.125.950.93 we
s A-56082 12-05-201 7 086000 6,959;734.54 we
1 A-58437 /
12-27-201 7 086000 ,6,nnncnnn~oo we
25 A-5204'9 01 - l S-2017 086000 15250,743.82 we
This is to further certify that the collection listed above repre-.:cnung payments of taxes \\tre rnadc thm
Electronic Filing and Payment System (eFPS) and were not included in the li of dishonored checks (BI R fonn No.
12.58).
Issued on J)lh of Februal'). ~0 18 upon the request of the OIC President D1. C~kstum Ma. Jude fJ Ot: La
Serna .. as one of the requirements of the Governance Commission for CrO l.' l GCG) on the grnnt of Perfomlance -
Based Bonus (PBB).
Control No. 2018-02-02
Ccttficauon t: Prti « PhplOOOO
Offktal kccttpt t.:o
I eb 13 2018
Note: This cerLification is not valid if It comains erasures or olteraJwnr

REPUBLIC OF THE PHILIPPINES
REVENUE REGION NO 7
ROO 39 (SOCTH QUEZON CITY)
CERTIFICATION
This is to certify that based on verification from Taxpayer Account System of the BIR
Integrated Tax System, PHILIPPINE HEALTH INSURANCE CORPORATION, TIN: 00
505-401-0241ocated at I 0/F Sunnymede Building, 1614 Quezon Ave., Quezon City has remittc
its Monthly Withholding Taxes, i.e. Compensation and Expanded for Taxable year 2017.
This Certification is issued per letter request of Mr. DENNIS S. MAS, PhD, URP, Vice
President PRO NCR dated February 26, 2018 for whatever legal purpose it may serve.
Issued this 26th February, 2018.

REPUBUC OF THE PHILIPPINES
DEPARTMENT OF ANANCE
Cordillera Administrative Region
Revenue Reg1on No. 2
Office of the Revenue District Officer
Revenue District No. 8
Bagulo City
February 6, 2018
ATTY. JERRY F. IBAY

Regional Vice President
Philhealth Regional Office-CAR
SNOBT Inc. Building, No. 19 Leonard Wood Road, Baguio City
Sir:
In connection to your letter dated January 22, 2018, hereto attached is a Certification
• of Remittance of Mandatory Tax Deduction of your agency for Calendar Year 2017.
Please acknowledge receipt hereof.
Very truly yours,
AlTY. WRENOlPH
OIC- Revenue
RD08
WOP
rmb
REPUBLIC OF THE PHiliPPINES
DEPARTMENT Of FINANCE
Cordillera Administrative Region
Revenue Region No. 2
Revenue D1strict No. 8
Baguio City
CERTIFICATION
TO W HOM IT MAY CONCERN :
This is to certify that PHILIPPINE HEALTH INSURANCE CORPORATION, Regional Office-CAR With
postal and business address at SNOBT Inc. Building, No. 19leonard Wood Road, Bagulo City, with issued
TIN: 003-505-401·009 complied with the Bureau's registration requirements as well as the filing and
payment of Internal Revenue Taxes and that the corporation is not subject of any pending tax assessment,
• administrative protest, claim or refund, or issuance of tax credit certificate, collection proceedings or any
judicial appeal.
Summary of payments based from the Integrated Tax System (ITS), disclose the following remittances
by the said agency, for Calendar Year 2017 , to wit:
we - P 17,401,924.53
WE • P 17,308,872.39
WG • P 1,820.226.00
TOTAL· P 36,531,022.01
This is however, without prejudice to any BIR field/ audit investigation on tax liabilities of the above-
named taxpayer to be conducted in the future as required under RMO 20-2013 dated July 22, 2013.
This certification is being issued for all intent and purpose it may legally serve in connection with the
requirement of the Governance Commission for GOCCs (GCG) from the said agency
February 6, 2018, Bagulo City.
ATTY. WRENOLP D. PANGANIBAN

OIC- Revenue Distnct Officer
REPUBLIC O:P' THE PJDLIPPil'fES
DEPARTMENT O:P' :P'DIARCE
Calaaiao, Pangasinan
CERTIFICATION
This is to certify that upon verification from the ITS~CBR of the BIR, PHILIPPINE
HEALTH INSURANCE CORPORATION, PlmBEALTH Regional Office - 1 with TIN No.
003~ 505- 401 ~ 010 and registered address at EMDC Bldg., Sec. Francisco Q. Duque Jr.
Road, Tapuac District Dagupan City, Pangasian, has remitted on time Withholding Tax on
Compensation, Expanded Withholding Tax and Withholding Tax on Government Money
Payments from January to December 2017.
Issued on 19th day of January 2018 upon the request of Atty. RODOLFO B.
DEL ROSARIO , JR., MBA, CSSE, OIC-Regional Vice President, PRO 1, as a requirement
to satisfy the good governance conditions for 20 17 of the Governance Commission on Good
Governance (GCG).
Repub lc of the Philippines
Deportment of Finance
Reve "lue District Office No. 13
Tuguegaroo City
CERT~ FICATION
·rc \N~I CIM IT MAY CONCERN:
TH S 1~. TO CERTIFY ~hat the taxoayer named below has filed ond remitted
all to.< p::~yments pertaining fa Withholding Tax on Compensation (WC),
\" "hholding Tax - Expanded {WE) and Value-Added Tax (WG} for the period
Y nuory-Oecember 2017 through LBP-Tuguegoroo Branch (086011 ).
Atta(:hed copy of the system generated ITS-BIR Case Monltonng System.
Nome :::>f Taxpayer : Philippine Health Insurance Coporation

711,1 : 003·505·401-004
Adcre!s . Del Rollarfo Street. Tuguegoroo City
Issued ·lhis 2nd day of March, 2018 at Tuguegaroo City upon fhe request of
Nit. OSCAR B. ABADU, JR .. Regional Vice President of PhliHealfh Insurance Corp.
ir ·elalio1 "O his letter-request dated February 6, 2018.
R :t 013 (\'Vr)
C; ISec '/'.MG
Republic of the Philippines
Department of Finance
OFFICE OF THE REVENUE DISTRICf OFFICER
Revenue District Office No. 21-B, South Pampanga
City of San Fernando, {P)
CERTIFICATION
This is to certify that based on Integrated Tax System (ITS) posted payment in
CoUection and Bank Reconciliation System (CUR) of the Bureau of Internal Revenue,
PHILIPPINE HEALTH INSURANCE CORPORATION with TIN# 003-505-401-002 and
address at 168 Victoria Square Sao Isidro, CSF(P) has filed the tax return/s and paid the
corresponding tax duels for taxable year 2017 to wit:
Taxable Period Remarks

2017 Paid Via Auto Debit
This certification is being issued upon tbe request of MR. WALTER R.

'
BACAREZA for record purposes .
Done in City of San Fernando, Pampanga , this Feb. 08,2018.
Very truly yours,
I
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,·. ,,1. llI r-:"'"'
~
~~ Chief, Collection Sectic 1
Noted by:
'" f\
Republic of the f'tnliPJIInca
Ocpartm.:nr of finnn ~
BURl:AtJ Ot' INl fRNAI. R[VENUE
OFFICI: OJ! TI IE REVENlH; DISTRICT OFFlCER
R~c:nuc Ob.tri~'t No 60
Luccn:t City
TO WHOM IT MAY CONCERl-. .
This is to certify that PJ IILirPINf: I lEAL n-1 INSliRAN fi Or l.lJ('J A 0 \\ flh OOJ-50S·
(
40 1-011 and with registen:d add~ II GRANO C'"f.NTRAl PAV. L CE A
CITYQUEZON has the following -rccurdill as of this d.lle.
41 . Outstandln
TQ.\Jlble f001l Amounl

Assessment Date
Period l>uc 1md
No. lssu~d
Year Detmlnd;able
NONE NONE NONE NONE NONE
42 stoo- F"l1 er c ~
- ,___
Fom1 TYPC Return Pc:rioo No. ofCa\C$ R.t:'~
NONE NONE . NONE NOflE
-Issued thiS 26"' day of JanuQI) , 20 I8 :u l ucena Cit). Que7on as a mJUiremc for lJlC' i mmcc
Certificate of Compliance 10 Suuutory Liabilities •.
Cen r~ ; PIOO.OO
Pa>•"t. Trans OR20 18·001 924..{)0 14.43
Issued on Janu:uy 26. 20 I8
Issued at : MRCOS
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-NOTE:~THIS TAX ClEAHAAU Will. HOI UlJAUH' rHt HV!.tltH tO tlfTU INTO A OIOOING COHTRACTW!Tli Am L
OR AGENCIES,NATIONAl OR lOCAl.. AHO GO\Il.RNME.HT..OWNED AND CONr LCOAPORATlQH UNlnS A AM Cl
NATIONAL OffiCE UND£ATHE PI\OVISION.S OF REVENUE R£GUI.A TIONS NO :J.lOOS OATf 0 FUftUU12 6, lODS, ~~:u
OAOER NO. 39r
ANNEX "A-1"
REPUBLIC OF THE PHILiPPINES

DEPARTME NT OF FINANCE
! ._ .... ,·,
;;· · c-1:• , ,
ptLipiNAS
.. . . CERTIFICATION
This is to c~rtify that the collection(s) listed hereunder was/were verified and found included in the RDC-
LUZON database as follows:
Name of Taxpayer PHILIPPINE HEALTH INSURANCE CORP. RO V

TIN 003-505-401-01 9
ITEM BCS · DATE · BANK AMOUNT TAX TYPE

NO. NO. CODE
' I
11 A-00031 02/06/2017 78022 3,010,215.39 Withholding- Compensation
15 A-Q005~ 3/6/20107 78022 5,019,097.28 Withholding- Compensation
48 A-00082 P4/07f2017 78022 1,357,885.06 Withholding- Compensation

.I
so A-00105 . 05/05/2017 18022 1,358,486.67 Withholding· Com ensatlon
45 A-00133 06/06/ 2017 78022 1,338,445.05 Withholding- Compensation
26 A-00158 07/ 06/2017 78022 839,087.82 Withholding- Com ensation
40 A-00186 08/ 04/ 2017 78022 1,186,298.99 Withholding- Compensation
35 A-00212 09/ 06/2017 78022 1,016,815.32 Withholding- Compensation
2 A-59424" 10/06/2017 78081 1,009,460.32 Withholdln -Compensation
3 A-50593 11/ 07/ 2017 78081 1,015,332.82 Withholding- Compensation
1 A-51643 12/07/2017 78081 1,089,95'7 .93 Wit hholding- Compensation
5 A-50358 01/ 09/2018 78081 3,862,572.12 Withholding- Compensation
12 A-00031 02/06/2017 78022 64,847.74 Withholding- Expanded

.I
48 A-00052. · 02/ 06/ 2017 86012 2,175,833.12 Withholding- Expanded

..
16 A-00051 ' 03/06/2017 78022 70,574.56 Withholding- Expanded
22 A-20104 03/08/2017 86012 2,196,964.96 Withholding- Expanded
49 A-00082 04/ 07/ 2017 78022 63,450.89 Withholding- Expanded
47 A-00105 05/05/ 2017 78022 37,886.23 Withholding- Exoanded

ITEM BCS DATE BANK AMOUNT I TAX TYPE
NO. NO. CODE
22 A-20216 05/08/.2017 86012 1,490,128.28 Withholdmg- Expanded

~
44 A-00133' 06/06/2017 78022 132,371.28 Wlthholdl'!S- Expanded
18 A-20282 · 06/06/2017 86012 2,624,069.02 Withholding· Expanded

.
27 A-00158 07/06/2017 78022 76,835.68 Withholding· Expanded
27 A-20331 07/06/ 2017 86012 3,054,406.92 Withholding- Expanded
12 A-00186 8/4/20107 78022 63,458.75 Wlthholdln~ Expanded
15 A-2040.& 08/09/2017 86012 2,630,526.51 Withholding· Expanded

~
26 A-20576 . 11/03/2017 86012 2,368,018.24 Withholding- Expanded
2 A-51643 12/ 07/ 2017 78081 78,026.27 Withholding· Expanded
12 A-20647 12/06/ 2017 86012 3,445,376.19 Withholding- Expanded
14 A-20011 01/08/2018 86012 1, 758,597.96 Withholding- Expanded
13 A-00031 04/06/2017 78022 206,671.26 Withholding on Govt.
5 A-20149 04/04/2017 86012 81.96 Withholding on Govt.
1
so A-00082
. 04/ 07/2017 78022 98,251.18 Withholding on Govt..
48 A-00105 05/05/2017 78022 94,351 .70 Withholding on Govt.
43 A-00133 06/06/2017 78022 265,504.27 Withholdmg on Govt.
1 A-20282 ' 06/06/2017 86012 27.00 Withholding on Govt.
10 A-00186. 08/04/2017 l 78022 100,677.70 Withholding on Govt..

37 A-00212 09/06/2017 78022 95,177 .69 Withholding on Govt.
2 A-5059.§· 11/07/2017 78081 255,123.12 Withholding on Govt.
3 A-51643 . 12/07/2017 78081 181,244.59 Withholding on Govt.
This is to. further certify that the coUection listed above representing payment(s) of tax(es) was/were made
thru Electronic Filing and Payment System (eFPS)/Over-The-Counter (OTCY.RCO and r<:mitted per Consolidated
Report on Daily Collection (CRDC)/Statement of Report of Collections and Deposits (SRCD); and wa.c; not included
in the list of dishonored checks (BlR Form No. 12.58)
Issued on 71h of February, 2018 upon the request of Mr. Orlando D. liiigo Jr. as one of the requirements of
the Governance Commission (GCG).
Control No. 20 18-q002
Ccrtificauon Fe~ 2018.000700-001024

2018~0700~0102S
Official Receipt Nu.
21072018
Date of Offictal Rece1pt
- •

Department of finance
Revenue Disrricr Ofjic:e No. 74
2/F Plazuela Dos Bujlding. Sen. Benigno Aquino Avenue
Mandurriau, Iloilo City
fel. Nos. (033) 336-0813/337-60601335-0358
CERT IFICATION
This is to certify that the collection(s) listed hereunder was/were verified and found
included in the Revenue Data Center - Yisayas datah:lSc ll!i follows:
Name of Taxpayer: PHILIPPINE HEALTH NSURANCE CORPORATION

TIN : =03=3~-5=0=5--:.4=0.:....
1-=02=0'---------------
This is to further certify that the collection per attached payment summary made representing
payment(s) of tax(es) was/were made thn1 Over-The-Counter (OlC) and remitted per Consolidated
Report on Daily Collection (CRDC)/Statement of Report of Collections and Deposits (SRCD); and
was not included in the list of dishonored checks (BIR Fonn No. 12.58).
Issued on 31st day of January. 2018 upon the request of Ms. Lourdes F. Diocson for whatever
legal purpose it may serve her best.
EVEL .VJLLA~UEVA
Chief. o/lection S'ection
TIN: 134-702-183
oted:
L f•b fVJC-~ --- NGUEZGATDULA

Reven 'le District Officer
I
yrN: I 3 1-897-796
I. Cont~o.
Certification Fee PlOO.OO
Pnid Under BC.S N A-20077
D-.tlc:d January lS, 2018
Land Sank, Iloilo
(
RD0-074
R LMG/HMB/
R epv/caz
Note · This cerf(fication is nor valid if it contains erasurev or a/teratiom.
r
tE\
Ct
JR[
REPUBLIC OF THE PHILlPPlNES
-
Revenue Region No. 13 Cebu City
Revenue District No. 81, Cebu City North
CERTIFICATION
This is to certify that the collection listed hereunder were verified and found included in the lTS-CBR
database as follows:
Name of Taxpayer PHILIPPINE HEALTH INSURANCE CORPORATION
TIN 003-505-401-001
ITEM BANK
BCS NO. DATE AMOUNT TAX TYPE
NO. CODE
35 A20042 02/08/2017 8086272 414,001.83 WithholdingTax-Compensation (WC)
36 A20042 02/08/2017 8086272 1,125, 798.52 Withholding Tax-Compensation (WC)
33 A20046 02/09/2017 8086272 4,195.60 Withholding Tax-Compensation (WC)
23 A20094 03/09/2017 8086272 5,873, 759 24 Withholding Tax-Compensation (WC)
46 A20148 04/07/2017 8086272 3S0,9n.98 Withholding Tax-Compensation (WC)
47 A20148 04/07/2017 8086272 1,024,891.42 WithholdingTax-Compensation (WC)
40 A20253 06/09/2017 6086272 1,097, n1.11 Withholding Tax-Compensation (WC)
34 A20349 08/07/2017 8086272 1,093,306.78 Withholding Tax-Compensation (WC)
5 A20497 11/08/2017 8086272 874,870.02 Withholding Tax-Compensation {WC)
35 A20013 01/10/2018 8086272 1,547,173.49 Withholding Tax-Compensation (WC)
36 A20013 01/10/2018 8086272 2,854,145.27 Withholding Tax-Compensation {WC)
33 A20042 02/08/2017 8086272 138,212.29 Withholding Tax-Expanded (WE)
37 A20042 02/08/2017 8086272 3, 797,062.00 Withholding Tax-Expanded {WE)
22 A20094 03/09/2017 8086272 5,657,470.65 WithholdingTax-Expanded (WE}
Page 1
..
ITEM BANK
BCS NO. DATE AMOUI'lT TAX TYPE
NO. CODE
48 A20148 04/07/2017 8086272 5,026,202.87 Withholding Tax-Expanded (WE)
so A20198 05/09/2017 8086272 3,715,071.10 Withholding Tax-Expanded (WE}
36 A20253 06/09/2017 8086272 170,445.41 Withholding Tax-Expanded {WE)
26 A20301 07/10/2017 8086272 99,545.83 Withholding Tax-Expanded (WEJ
46 A20353 08/09/2017 8086272 128,947 51 Withholding Tax-Expanded (WE)
24 A20454 10/09/2017 8086272 12,355.24 Withholding Tax-Expanded {WE)
28 A20454 10/09/2017 8086272 81,588.26 Withholding Tax-Expanded {WE}
32 A20454 10/09/2017 8086272 4,604,430.25 Withholding Tax-Expanded (WE}
46 A20496 11/08/2017 8086272 10,158.50. Withhold! ng Tax-Expanded (WE)
6 A20497 11/08/2017 8086272 5,244, 779 29 Withholding Tax-Expanded (WE)
23 A20507 11/10/2017 8086272 141099.69 Withholding Tax-ExpandedlWE)
37 A20013 01/10/2018 8086272 5,966 737.72 Withholding Tax-Expanded (WE)
34 A20042 02/08/2017 8086272 241,230.53 W/holdlng Tax- VT & Other PM (WG)
1 A20092 03/09/2017 8086272 36.00 W/holdin_gTax- VT & Other PM (WG)
4 A20146 04/07/2017 8086272 107.14 W/holding Tax- VT & Other PM (WG)
5 A20148 04/07/2017 8086272 327,674.80 W/holding Tax- VT & Other PM (WG)
37 A202.53 06/09/2017 6086272 263,407.12 W/holdlng Tax- VT & Other PM (WG)
21 A20299 07/10/2017 8086272 153.60 W/holdtng Tax- VT & Other PM {WG)
1 A20350 08/07/2017 8086272 77.32 W/holding Tax- VT & Other PM {WG)
47 A20353 08/09/2017 8086272 210,345.97 W/holding Tax- VT & Other PW (WG)
9 A20402 09/08/2017 B086272 107.14 W/hotding Tax- VT & Other PM (WG)
7 A20404 09/08/2017 8086272 280,413.33 W/holdlngTax- VT & Other PM (WG)
35 A20407 09/11/2017 8086272 5,731.62 W/holding Tax· VT & Other PM (WG)
Page l
ITEM BANK
BCS NO. DATE AMOUNT TAXlYPE
NO. CODE
1 A20453 10/09/2017 6086272 16.80 W/holdlng Tax- VT & Other PM (WG)
32 A20496 11/08/2017 6086272 3,047.56 W/holding Tax- VT & Other PM IWG)
4 A20497 11/08/2017 6086272 318,074.39 W/holding Tax- VT & Other PM (WGJ
7 A20549 12/08/2017 6086272 2,713.51 W/holdingTax- VT & Other PM (WG)
This is to further certify that the collection listed above representing payments of taXes were made thru
Over-The-Counter (OTC) and remjtted per Consolidated Report on Daily Collection (CRDC); and were not included
in the list of dishonored checks (BlR Form No. 12.58).
lssued on January 31. 2018 upon the request of Mr. William 0. Chavez. Regional Vice President. for
compliance to statutory liabilities as required bv the Governance Comm;ssion (or GOCCs (QCGJ.
Control No.: CS20 18-002
Certification r-~ 100.00

OR20 18-002956-
Official Receipt No. 00l'iti
l D111c ofOffictal Receipt
Note: This certification is not valid if it contains erasures or alterations.
Page 3
Repvt>hc cf the Phlllpplnes
Deportment of Fmonce
BUREAU Of INT£JtNAl R£VENUE
Oftlee of the Revenue Dldrkt Offlc r
Revenue DWrlct Ofrlce No.88
Government CeniCf, Polo.leyte
~~R! !f!kAI!QH
TO WHOM THIS MAY CONCfRN,
THIS IS TO aRT1FY that based on our Office record\, PHIUPPINE HEAlTH INSURANCE
CORPORATION with TIN 003·50~1.003 and offke address. at 167 P Burgos St., T cloban
City has paid Its WlthhofdlngTaxes on Compensation for the ta•Aible ye~r:2.0l7. w•th details
to wit:
Month D•te of BCSNo. I Venue of Amount Remitted

Remltbnce Item No. RemiHance
January 02/10/2017 A00007 /2 PhliVet p 1.208,SA16.94
I
February 03/08/2017 A00009 /l PhUVct 4;848,096.61
March 04/06/1017 AOOOll /3 PhaiVet 1,191,535.~-
April 05/05/2017 A00013 /2 PhiiVet 1,136,19617
May 06/06/2017 AOOOlS/20 PhliVct 1,132,~•U,75
June 07/06/2014 A00016/17 Phi !Vet 522,644.47

July 08/07/2017 A00017/19 PhiiVet 1,045,755.'6 7
August 09/08/2017 __ A00019/ 2 PhiiVet 83r.SS1.41
September
October
November
December
10/05/2017
11/09/2017
12/07/2017
No data vet
A00021/1
A00024 /23
A00025/24
PhliVet
PhfiVet
PhiTVet
--
' .s3[SA7.u l
988,679.21 ~~
816,82409 '
~
1-
Total p 14~52
~
-
This certification Is Issued upon reque~t of Phllhealth Regional Of ICO VIII 5 requ ed
by the Governance Commission for GOCCS (GCG) relative to thelr requ st for Performance
Based Bonus f or CV 2015.
Given this 29th day of January 2018, at Revenu Ols.trict Oat o. &S, Govemrn n1
Center, Palo, leyte.
~
TAMCO
Officer
R0088
JBC/RAE/rdo/yon
Repvbr~e ol the Phi;ppmos.
Depart~tofFhcnce
BUREAU Of INTERNAL REVDIUE
Offtce of the Revenue Dllbfcf 0
Revenue Dhtrlct Office No.BS
Government Cenrer. Palo, leylo
~fBilfi.C.~I JQH
TO WHOM THIS MAY CONCERN:
THIS IS TO C£RT1FY that based on our Offl records, PHILIPPINE HEALTH INSU
CORPORATION with TIN 003-SOS-401 -003 and office addr u It 167 P Oureosst.. Tatfoban
City has paid Its Wlthholdlns Ta~tes on Government Maney Payments (GMP) f01 the tuable
year 2017, with details to wit:
D~te of BCSNo./ Venue of

Month Amount
Reml~nce Item No. Ramtttanu
January 02/10/2017 A00007/3 ?hTIV t p 1\2,498.:86
February 03/09/2017 AOOOl0 /2 PhriVet 69,926.66
M~rch 04/06/2017 AOOOll/11 PhUVet 33097722
April OS/05/2017 AOOOH/3 Ph riVet 151,179.40
May 06/06/2017 AOOOlS/18 PhliV I 78.645.66
June 07/06/2017 A00016 /18 PhliVet 252,261.88
July 08/07/2017 A00017/18 PMVct .52,395.351
August 09/07/2017 AOOOll/18 PhiiVet 380,S2S.1S
September 10/04/2017 A00020/ 2 PhiiVet 146 975 54
October ll/09/2017 A00024/21 PhiiVc.t l918S2 03
November 12/07/2017 M:/002S/2S PMVet 101 661 s
December 01/11/2018 A00003/l PhiiVet 119,742.01
Total p 1 61:L37
This certification Is issued upon request of Phitlppine H\:alth rnsur~ncc Corporation

as required by the Governance Commr$Sion for GOCCs (GCG) rel<urv to th lr request for
Performance Based Bonus for Cf 2017.
Given this 29th day of January 2018, al Revenue Olstrtct Office No 88, Gov mmtnt
Center, Palo, Leyte.
R0088
JBC/R.AE/rdo/yon
Republ1c of the Philipp nes
Oepon~toiAnonce
BUREAU Of INTfiNAl REVENUE
Oftke of the Revenue Dbb1ct Ofttc r
Revenue Dfslrh:t Offlce No 88
Governmont Center Polo, I eyle
~!!Ilft~AI I:Qtf
TO WHOM THIS MAY CONCERN :
THIS IS TO CERTIFY •hat based on our 0~ records, wlth m: 003·505-401.()03 and

office address at 167 P. Burgos St. Tacloban Chy has pa•d IU. Credit ble Expandtd
Wi1hholdlng Taxes for the Taxable Year 2017 with details to Wit
-
Mon1h Date of BCSNo. I Plot~ of Payment ~· AMOUNT P.\ID

Remittance Item No.
Jan~ry 02/10/2017 I ArxYJ07 /1 PhllV t Php 74,167.51
January 02/10/2017 A20043/l LBP Mtln l 2,0S2;371 64
February 03/09/2017 I A00010 /1 PhiiVet 3l.36~.6a
March 04/06/2017 1 AIXXJll /2 Phl!Vet '144,760 10
April OS/05/2017 A00013 /1 -
Phi!Vet SO,lSUS
May 06/06/2017 AOOOlS/19 Ph•IV~~'I ~ R22.t.:_j
June 07/06/2017 A00016 / 19 PhiiVet
- i~
811,.949.35
July 08/07/2017 A00017 I t 7 PttUV!!t 30.979 95 ~
~
July 07/0612014 A2026S/28 LBPMaln 1.611.724 '36 '

August 09108/2017 A000191 1 Ph!Net l '154,799 S6
September 10/04/2017 A00020/1 Ptt!JVet --r 62,542 69
l~S,st16
~
September
October
09/06/2017
11/f19/2r1l7
A20370 /27
A000241 I 22
LP8Maln
PhiiVet
I 95,60093
7&
·=
November U/07/2017 A0002S I26 Phi!Vet 60,286 .,,

December
Total
01/11/2017 A00003 /2 I
.1
Phi1Vet
r--
Php
88.3S6 33
~,GM.93
This certification is Issued upon the request of Ph llhealth R~nal Ofila! VIII as
requtred by Governance Commi)Ston for GOCCs relattve to thett request for Performan
Based Bonus for CY 2017
Given this 29th day of January, 2018, ill Revenue Dlstrtct Offioc No 88. G011crnm nt
Center, Palo, Leyte
R0088/
JBO/RAE/rdo/yan
Department of Fmance
Revenue District Office No. 93A
Zamboanga City
II
February 12, 2018
CERTIFICATION
TO WHOM IT MAY CONCERN;
This is to certify that PHILIPPINE HEALTH INSURANCE CORPORATION with Tax

Identification No. 003-505-40 1-017 ofBGIDC Corporate Center Gov. Lim Ave. Zamboanga City, do not
have any pending investigation, on-going audit, pending tax assessment, administrative protest, claim for
refund or issuance of tax credit certificate, collection proceedings/delinquent aCCQunt or a judicial appeal
with BIR Reven ue District Office No.93A Zamboanga City.
This is also to certify that the above-mentioned taxpayer is compliant in their rem1ttances of
mandatory taxes such as Withholding Taxes on Compensation( 160 IC) & 164CF', Expanded Withholding
Taxes ( 160 IE) & 1604E and 1600.
This certificate is issued as per request by ROMEO D. ALBERTO. Regional Vice-President of

the above-mentioned office as a requirement of the Governance Commission for GOCC (GCG).
Issued on this l21h day of FEBRUARY 2018 in the city ofZamboanga, Philippines.
VALID ONLY FOR 11-IIRTY rJO) DAYS UPON ISSUANCE OF n~IS CERTIFICATE
lldo93aZC/CS
851)/qmld
C'eruticahon fee was patd \\tlh OR No OR201 8..Q0489S.001328 and 1 documenlllry Stamp ofP30 00 tsafli)(cd to the ongu\tl copy
Cagayan de Oro City
CERTJFICATIO
THJS IS TO CERTIFY tl1aL in the year 2017, PHILIPPINE HEALTH INSURANCE

CORP (PHILHEALTH) REGION X has been:
Prompt pa)'lng all its stJlt'lltory obligauons; Compliant wath the submiSSIOn
tn BlR or
Reportonal Requtrements (Alpbalist on Wtthholding Tnx ComJleltsauon and Alphahst on
Watbholdmg Expanded) and other obligation~ as prescnbed under AIR Rules and
Regulations
Wtth Exceptrons. tfany. Not Applicable

D
This cert16cauon is assued upon the request of Pluhppine Health Insurance Corp
(Philhealth) Regton X as one of the requarements of the Govt!mance Comm.iss1on for GOCCs
Issued thtS 12• day ofFebruary, 2018 at Cagayan de Oro City
Asst tJmt ue Distnct Officer

l Offioer-ln-Charge)
NOTE Thr~doe nut pl\!cluJcthe Buteau llum &.~ing and &»11 t~ uhmC\'l:rdcfiCJaJC\ of utttrnDI rt."\CtlUC fit\~
!hat mnybc tbund ~uh~ucnt tu the is.swmccof lhis oerufic:nc:
Ccrtf c:e· P I 00.00

!!OR No 2018-003067-001~77
Date Issued· 021121l0 18
REPUBLIC OF THE PHILIPPlNES
BUREAU OF fNTERNAL REVENUE
Revenue District Office No. 113 West
DavaoCity
-- ~< 1
~
February 1, 2018
DENNIS B. ADRE
Regional Vice· President XI
Phil Health Regional Office XI
Davao Ci ty
Sir:
This pertains to your letter dated january 19, 2018 requesting for the certification
of payments for PHIUPPINE HEALTH INSURANCE CORPORATION XJ, with TIN 003·
505·401-007 and registered at R.C. REYES BLDG., QUIMPO BLVD., ECOLAND SUBD.,
DAVAO CITY, for the Year 2017.
In lieu of the above, this is to certify that upon verification on our Integrated Tax
System · Collections and Bank Reconciliation System, (ITS·CBR). the following taxes have
been paid to wit:
Coli. Agent
Form Type Code Coli. Date Retura Period Amount
WG B-170000 02/08/2017 01/31/2017 P2ll ,739.84
WG 8- 170000 03/08/2017 02/28/2017 p 107,510 16
WG 8·170000 04/07/2017 03/31/2017 p 114,582.96
WG 8 -170000 05/ 09/2011 04/30/2017 p 271.409.53
WG 8·170000 06/08/2017 05/31/2017 p 229.638 26
WG B-170000 07/10/2017 06/30/2017 p 1.158.93
WG B-170000 08/10/20l7 07/31/2017 p 14S,943.24
WG B-170000 09/07/2017 08/31/2017 p 163,346.51
WG 8 -170000 10/06/2017 09/30/2017 p 204,123.24
WG 8-170000 11/08/2017 10/31/2017 p 226,942.80
WG B-170000 12/08/2017 11/30/2017 p 154,721.84
WG B-170000 01/10/2018 12/31/2017 p 173,540.72
we 8-1 70000 02/08/2017 01/31/2017 p 7,457,009.90
WE 8·170000 03/08/2017 02/28/2017 p 9,449,516.91

WE B-170000 04/07/2017 03/31/2017 p 7,044,335.94
WE B-170000 05/09/2017 04/30/2017 p -4,855.988.20
WE B-170000 06/08/2017 05/3 1/2017 p 6,245,517 78
WE 8·170000 07/10/2017 06/30/2017 p 1,033,496.24
WE 8-170000 07/10/2017 06/30/2017 p 135,490.19
WE 8 -170000 07/ 10/2017 06/ 30/2017 p 5,696,869.12
WE B-170000 08/08/2017 07/3 1/2017 r s.a79,254.SB
WE 8-170000 09/ 07/2017 08/31/2017 p 4,765,621.60
WE 8·170000 10/08/2017 09/30/2017 p 4,897,132.70
WE B-170000 11/08/2017 10/31/2017 p 5,947,649.33
WE B-170000 12/08/2017 11/30/2017 p 6,689,893.70
WE B-170000 01/ 10/2018 12/31/2017 p 5,672,083.38
we B-170000 02/ 08/2017 01/31/2017 p 1,305,638.95
we B-170000 03/ 08/2017 02/28/2017 p 5,309,404.45
we B-170000 04/07/2017 03/31/2017 p 1,479,168.10
we B-170000 05/09/2017 04/30/2017 p 1,326,121.13

-
we B-170000 06/08/2017 05/31/2017 p 1,293,178.65
we 8-170000 08/10/2017 07/31/2017 p 872,354.30
we 8-170000 09/07/2017 08/31/2017 p 857,499.00
we B-170000 10/ 09/2017 09/30/2017 p 891,754.33
we B-170000 11 /08/ 2017 10/31/2017 p 898,579.54
we B-1 70000 12/07/2017 11/30/2017 p 500,085.85
we B-170000 1/15/2018 12/3 1/2017 p 4,327,439.53
This certification is issued to DENNIS B. ADRE. on this 1" day of February 2018.
~
MARY ANN B. CERVANTES
Revenue District Officer
MABCiNPD/pdr
}}J-8678
Revenue Region District No. 111
Koronadal City
CERTIFICATIO N
TillS IS TO CERTIFY that per verification made in the lnt.egrated Tax System OTS)
in ow· office it was found out that the following taxes of PhilHealth Regional Office XII,
Koronadal City were fully paid for the taxable year 2017, to wit:
a. Withholding Tax on Employees Compensation (160 1C)

b. Withholding Tax on Government Money Payments (1600 & 1601E)
This certification is issued upon request of MS. MIRIAM GRACE G. PAMONAG, -rvm,
Regional Vice· President.
Issued this 7 Lh day of Februa ry 2018, Koronadal City.
SAT 'r.
Revenue District Officer
Certification Fee : 100.00

Official Receipt No. : 2018-173848-000923
Date of Official ReceiPt · February 7. 2018
Bureau oflnternal Revenue
REVENUE DISTRICT NO. 102
Marawi City
OFFICE OF THE CHIEF OF STAFF

CITY COLLECTOR
CERTIFIC -----
-------- ATION
To Wbom It May Concern:
•
THIS rs TO CERTIFY that per records available in this office, the undersigned
bas collected and remitted the amount of monthly taxes remitted by the Philippine Health
lnsurance Corporation-ARMM covering Taxable Year 2017, the detaiJs of which is hereto
attached.
Issued this 29th Day of January, 2017
QL~
JAMAEL WAUl M. INDOL, LL.B., S.L. MBA
Chief-of-Staff
Revenue CoUectmn OfJicer
BUREAU OF DfTER!fAL REV!:lfUE
CERTIFICATION
SAGONG
p!UptNAS
This is to certify that based on our verificatiOn y. ilh the CoiJcctions nnd Bank
Reconcilliation (CBR) System and Taxpayers Accounting System (TAS) of this Bureau'~ lntegtah.'d Ta System
(ITS) the collections listed hereunder were found and mcluded in our database as follows·
Name ofTaxpayer PHILlPPlNI! HEAL'n-t INSURANCE CORPORA liON

TIN 003-505-401-018
ITEM BCS BANK

NO. NO. DATE CODE AMOUNT fAX TYPf
II A00026 02-08-2017 078003 1,178,597.94 we
8 A00045 03-07-2017 078003 4,508,843.27 we
30 A00061 04-07-2017 078003 1, 173.90-J.33 we
2 A00080 05-08·20 17 078003 1,112.460.87 we
8 A00097 06-07-20 J 7 078003 1.186. 747.69 we
8 AOOIII 07-<>6-201 7 078003 749.245. 15 we
9 A00129 08-0~2017 078003 1, 183,607.05 we
6 A0014 1 09-08-2017 078003 870,296 26 we
10 A00156 10-06-20)7 078003 820,637.76 \\'C
24 A00 176 11-0a~2017 078003 853.007.80 we
13 A00195 12-08/20 17 078003 879.091 .26 we
3 A00006 OJ-09-2018 078003 1.805.662. 14 we
XXX xxxxx.xx XXXXX.'.'' XXXX.'OCXX l\:.JCIOCX.XXXX XX lXXXXXX.XXX:X. X.\.>..X:'(.XXX
This is to further certtfy that the collections listed above reprcsen•s the: Withholding Ta.x oo Coulpcnsation
under BIR Form 160 1C for the year 2017. were made thru Over-The..Countcr (OTC) and were nor included in tbe
listofdisbonored checks (BfR Form No. 12.58).
Issued tltis lst day of Febrnazy. 2018 upon Lhe request of Rc&ional Vice Pre:.1dmt Eduardo S Gonzales for
whatever legal pwpose it may serve him best.
Control No. 00 l-S20 18
CcrtJiiCIIllou Fcc Pbp 10000
OffiCJal Receipt No
O:ltc of Offic1al Rccc1pt 02-01-2018

ANnEX "A-P'
REPUBLIC OF Tl IE PHJUPPINES
BUREAU OF IlfTER!fAL REVE!IUE
CERTIFICATIO
lltis is to certify that based on our ~a:iticati on w1th the Collections and Bank
Rec-oncilliation (CBR) System and Taxpayers Accounung System (fAS) of thas Bw-cau'c; Integrated ra.~ System
(ITS) the collections listed hereunder were found and incJudl'd in our da&abase as lbltow~
Name of' Taxpayer PHlLIPPI~F IIEAI ~T!:j I ~SUR rrc !.:QRP

TIN 003-505-401-0 I8
ITEM BCS BANK

DATE COOl: AMQ\INT T n ' PF.
NO. ~
10 A00026 02-08-2017 078003 1,079,106.25 WE
7 A00045 03-07-2017 078003 1,092.634.90 WE
29 A0006 1 04-07-2017 078003 1. t86.491.06 WE
4 A00080 05-08-2017 078003 1,001.969.27 WE
9 A00097 06-07-2017 078003 I.7 I5.17'>.32 WE
10 AOOlll 07-06-20 17 078003 1.939.K4S.64 WE
7 A00J29 08-08-2017 078003 2.082,0 11.03 WE
8 AOO I41 09-08-2017 078003 1,428.686.25 \VE
II A00156 10-06-2017 078003 1.364.698 18 WE
25 A00176 11·08-1017 078003 1,167,332.62 WE
14 A00 195 12-08-2017 078003 1.307,342.24 WE
I A00006 01-09-20 18 078003 1.127,841.83 WE
"<XX XXA'ICX'<X'< XXX X '<XX "-XXXXXXX xxxxxxxxxx 'ICXXXXX X:XX X.XX:\.XXXX.\:\!'1.
This IS to further certifY that the collectlOns listed ahove rcprescnh the E :p:un!ed ~ athholcJmg Tn."
payments under BIR Fonn 1601E for the year 2017. were made t11n.1 Over-The-Counter (OTC) and were not
included in the ust of dishonored checks (BIR fonn No. I 2 58).
Issued thJS lst day of february. 2018 upon the reque:sc ofRcgtonal Vice Pre adem EdW!!do S Gon1.ale:; for
whatever legal purpose it may serve her best.
Control No. 003-SlO 18
Ccntfkuuoo fcc f'hp 10000
Official Rcoc1pt No 001000
Date ~r Officusl Rcccrpl 01-0l-101 K
Nott!: nus cemficatwn ts not valid if 11 comams erasutvl or oltt!rattoll\

.AJniEX 44A·l"

DEPARTMENT OF FlNANCE
BUREAU OF INTERKAL REVltJJt)ll;
CERTIFICATION
Titis is to certify that based on our veri1lcation with thl! Collecrions and Barik
Reconcilliatioo (CBR) System and Taxpayers Accounting Sysrem (TAS} of tlus Bllleau 's Integrated Tax System
(ITS) the collections listed hereunder were found and included in our database as follows :
Name ofTaxpayer PH!LIPPJ~t; t!EALTH JNSURANQf: CQRPORATION

TIN 003-505-40 l-0 18
ITEM BCS l!MfK

DATE CODE AMOUNT
~ NO, TAX TYPE
9 A00026 02-08-2017 078003 102,010.67 WG
6 A00045 03-07-2017 078003 14.5,455.22 WG
31 A00061 04-07-2017 078003 74,465,00 WG
3 A00080 05-08-2017 078003 74.352.82 WG
10 A00097 06-07-2017 078003 102.490..53 WG
9 AOO III 07-06-2017 078003 155,026.58 WG
8 A00129 08-08-2017 078003 74,677 29 WG
7 A00141 09-08-2017 078003 66.248. 11 WG
12 AOOI56 10-06-2017 078003 75,942.99 WG
26 A00176 lt-08-2017 078003 70,260.10 WG
15 AOO J95 12-08/2017 078003 65.167.75 WG
2 A00006 01-09-2018 078003 66.628.70 WG
XXX xxxxxxx xxxxxxx :axxxxxx :'<X.XX:<XX.XX:X xx.x.x:xx:<xxxxx:xxxxxxxxx:x
This is to further certify that the collections listed abo\ e represents the monthly Withholding Tax on
Government money payments for the year 2017 under SIR Fonn 1600, were made thru Over-Titc-Counter (OTC)
and were not included in the hst of djshonored checks (SIR Form No 12.58)
Issued this 1st day of February. 20l8 upon the reque t ofRegtonaJ Vice PresJ,!ent Eduardo S. Gon7Aics
for whatever legal purpose it may serve lnm best
Control No. 002~20 I 8
Ccrtifica!Jon fee Php 10000
OffiCU~I Recttpl No. 000999
Date ofOffic1ol Recctpl 02-01-101li
Note: nus ceriJjicalionts 1101 mlul ~f11 N»lltJJtL\ erastJrf!\' or alll!raltCJtu

Rtpubllc of th• Phlllpplrr. .1
PHILIPPINE HEALTH INSURANCE CORPORATION
Cuysuue Cemrc 709 Shaw Boolevard. Pas1g C1ty
Call Center (02) 441-7442 Trunkllnc (02) 441 7444
www.philheplth~
CERTIFI CATIO
This is to certify that PHILIPPINE HEALTH INSURANCE
CORPORATION with Philhealth Emplo er Number 11·047400000·2 and with
business address Citystate Center Bldg., 709 Shaw Blvd. Oranbo Pasig City has
remined NHIP premium contributions on behalf of its empJoyee/s for the following
period:
I
r
MONTH
COVERAGE
AMOUNT
REMITTED
I NO. OF EMPLOYEES
REPORTED
I January 2017 566,n5.00 g81
February 2017 567,725.00 8S2
Ma.rch 2017 566,350.00 880
April201 7 566,500.00 881
May 2017 565.~00.00 879
lune 2017 496,950.00 S90
Jul_y 2017 492,075.00 ,880
1 August 2017 493,575.00 S79
I September 2017 487,475.00 869
October 2017 485,800.00 865
November 2017 482,900.00 861
December 2017 513,025.00 859
This certification is being issued upon the request of PHIUPPINE HEALTH

INSURANCE CORPORATION for whatever legal purpose it may serve. Further~
this cftificate is 'Valid for three (3} months only from tbe date of tiS rssu~tnce.
I Issued this 6th day of February 2018 at Pasig City
BERNADEITE. C. LICO, MD
OIC. Office ofthe Rr.m~h J.tnugr:r
PRO NCR.Sau:h
By:
Head, Coli ion Section

PRO NCR South
• teampbjlheailh IJ www lacebool.: comiPhiiHeallh t.fB W\1.'\\ ''Outubc ronv'te:unph:lhcallh

II
Rtpublie ofth~ Phl11pplnes
PHILHEALTH REGIONAL OFFICE- CORDILLERA AOMINISTRATIVE REGION
SNOBT Inc Bwldiog, No. 19 Leonard Wood Road, 2600 Baguio Cit)'
Tel. No. (074) 444-9862/444-8361 /446-0371 /444-.S34S (T/f)l Call Center (02) 4-41-7442
"'' W.J'hilhcnlth.E!t' L'h
CERTIFICATE OF PREMIUM CONTRIBUTION
To Whom It May Concem:
This is certify that the member/ employer named below is regutered wuh the Nattonal Health l.nsuraoce
Prognm (Republic Act 7875), has ~d the required Philh~th prernrum contributions and /or hu submitted the
corresponding remittance reports as verified with Philbealth•s Database systems with the following
infonnation:
NAME OF MEMBER/BUSINESS: PIDLIPPINE HEALTH INSURANCE CQRPORATION-CAR

BUSINESS ADDRESS: SNOBT Inc .. No· 19 [&onard Wood Road.. Baguio city
PHILHEALTI-I NUMBER; 004000003809
STATUS OF MEMBERSHIP: &liR
PREl\ofiUM CONTRIBUTIONS:
Offic:W Rcttipt Rcmimt1f! Number of

Applicable Period Amount Plaid
Number
Validatioo Dale II.CA/Office F.mployees
January 2017 Php 100,775.00 313350257 02/13/2017 LBP 119
February 2017 Pbp 101,175.00 313350262 03/08/2017 LBP 178
March2017 Php 100,275.00 313350267 04/05/2017 LBP 178
April2017 Php 100,275.00 313350286 05/03/2017 LBP 177
'
May2017 Pbp 101,625.00 313362001 05/24/2017 LBP 179
Php 85,700.00 313362006 LBP

June 2017 07/06/2017 179
Php 650.00 71418894 PIDC
July 2017 Pbp 86,350.00 313362021 08/01/2017 LBP 180
August 2017
Php 8~600 .00 313362036 08/18/2017 LBP 180
Php 84,650.00 313362049 10/10/2017

Septembex 2017 LBP 179
Pbp 750.00 72619360 11/07/2017
Php 85,025.00 313350315 11/07/2017 LBP
OctobeJ: 2017 Php 375.00 72673995 01/09/2018 PHIC 178
Php375,00 72663292 12/20/2017 PHIC
313362052 12/21/2017
November 2017 Php 84,900.00 LBP 180
December 2017 Php 89,275.00 313362058 01/09/2018 LBP 180
This Certification is issued as a GCG xequirement.

Issued this 23•d day ofJanuary, 2018 in Baguio City.
leampbilbealdi www facc:book.com/PhiiHealth YOll www yootube..CIOIIli teaurplulhealth

---
RtpubUc ofrlt• l'hlltpplnu
C01 porato 14$ Building. 14S Mother 111711CU Street, Baranaay South 'lnanglo, Quc:wn City
Call Celltee (02) 441·7442 Trunkllne (02) 441-7444
www Dbllhaiiii.W gb
Control No UUOQCESLR-RNB 03012018-01
C E R TIFICATION
Tiu.s is to certify that PHILIPPINE HEALTH INSURANCE CORPORATION -
NCR ofVCP Bldg., 68 Kalayaan Avenue, Teacher's Vill2ge West Quezon City, Wlth PbilHealth
Employer Number 00-100002381-6 has remitted Pb.llH~th Prenuum (NJ-llP) under receipt
no(s).
OFFICIAL VALIDA.TION
APPLICABLE MONTH AMOUNT RECEIPT NO. DATE
JANUARY 2017 P472,675.00 70251069 02/09/2017
JANUARY 2017 P1,400.00 702557U 03/10/2017
JANUARY TO FEBRUARY 2017 P6,525.00 70283372 04/10/2017
JANUARY T O MARCH 2017 P3,725.00 70290136 05/10/2017
F E BRU ARY 2017 PS31,500.00 70255712 03/10/2017
MARCH 2017 P531,850.00 70283371 04/10/2017
MARCH TO AUGUST 2017 P8,075.00 72037882 07/10/2017
MARCH TO OCTOBER 2017 P6,925.00 72146268 09/19/2017
APR.IL 2017 P527,550.00 70290135 05/10/2017
APRIL 2017 P2,500.00 71629783 06/09/2017
APRIL TO JULY 2017 P4,725.00 72044794 08/09/2017
MAY2017 P526,275.00 71629782 06/09/2017
MAY TO DECEMBER 2017 P7,62S.OO 73671660 11/10/2017
JUNE 2017 P43J,975.00 316104513 07 / !9/2017
JUNE TO AUGU ST 2017 P5,025.00 73663874 10/13/2017
JULY2017 P431,575.00 316104597 08/09/2017
This certification is being issued upon the request of PHILIPPINE HEALTH

INSURANCE CORPORATION- NCR for whatever legal pu.rpo$e n may serve.
Issued this 1" day of Match 2018 at Quezon Clty.
ROMME~
LHlt
OIC,
S. TAJno(
Quezon City
Stmr PMAIS/TrNn#J D....,
teamplulhcalth E www.fB()(Ibook.com/PhllHcalth You(!l www.,yourubooom/teamphllhealth aoUoncenter@philhealtll.aov.ph

Republic oftht Phl/ippines
..
PHILIPPIN~ft~~}l-M ~e~Y~~<6~FYc~~~ORATION
EMDC Building, Sec. Francisco Q. Duque Jr. Road, Tapuac District, Oagupan City, Pangasman
Trunkllne: (07S) S lS-3333 local 131-132
Email: contri.prol@philhcalth.gov.ph, www.phllhe.tlth.IIO\ ph
CERTIFICA TION
This is ro certify that PHILIPPINE HEALTH INSURANCE CORPORATION 1 with

Phi!Health Employer Nwnber 005000003753 and with business address at EMDC Building,
Sec. Francisco Q. Duque Jr. Road, Tapuac Otsrrict, Dagupan Gty, Pangasman has remitted
NHIP premium contributions in behalf of tts employec/s for the following period:
NO. OF EMPLOYEES
MONTH COVERAGE AMOUNT REMITTED
REPORTED
January, 2017 134,075.00 260
February, 2017 134,150.00 258
March, 2017 132,800.00 257
April, 2017 132,800.00 255
May, 2017 132,325.00 255
June,2017 109,225.00 254
July, 2017 107,975.00 254
August, 2017 108,925.00 259
September, 2017 108,925.00 258
October, 2017 110,525.00 260
November, 2017 109,990.00 257
December, 2017 113,550.00 257
This certification is betng issued upon the request of PHILIPPINE HEALTH

INSURANCE CORPORATION for whatever legal purpose it may serve.
'
DO FOB. DEL ROSARIO, JR., MilA, Co~

onaJ Vice Pres1clent, PRO 1
..'11111 CERTIFICA170N u NOT I'AUD ~out the ORJG/NALSIG.VATURE. /¥tht Ctt~ifymr Qt/ktrttlttltltt DRY SF.AL 0/ tl" C"'JJIfGII(HI"""
1 teamphilhealth I] www.facebook.com/PhiiHcallh lCIIODCCDier@phtlhcalth.sov.ph

R~puflllr Ill rh,. Phllippl11n
Plulllalth Rt'\!lll!UII 0111..~ II
The Ouoldm f'lac:~. dd k~m Strta. 1tij •
coll.."CtiOII.pt(\JJ,, plulllca kh ~'' .pb ""'"~..:::.:Jwu..:.~.:.:.~.~~<.:.I.>"-'
CERT IFICATlON
·nu~ ~~ rn ccmt\· rlur PtllLJPPINE HEAL1'H INSURANCE CORPORAT£0 ' II·
CASU AL ~ith PhilHcalch Empluyt>r ~umber 00600000' 9 nd U"llh bu,s ~odress 1 11tt BuildcN
!>(ace. t.l..-1 Rosar1o Sltl."tt, Cenuo ~. ' l\~uC'H:\1':10 C:u> hu rcmu ed r-..:1 liP prcm urn conatbuunm in bch:slf
or' 1cs l'mployt'l~ (or 1lw folluw~ng pcn<'d
,_,_
MONTH COvE RAGE AMOUNT REMITTED
NO. OF
EMPLOYEE I
REPORTED
\~ . :;25 00 i)~
1:\~LAR'\ :!111 7
i~.mv.s
l·r:.HRl'ARY 2Uii
"'
~ 1 ,\ RCII 201""
31'.-ICHUHI 3
~- 5-5.00 2
.\PR.JL 2lll7
,. "'25.00 02
)L\ Y 20 r::
'
I
30.,3'"5.00 91
Jl''\fo.1tll7
l
I Jl'I.Y 201 • I
Jv.oso.oo 91
;)11.1100 (liJ !11

.\L'GUS'l ~.117
29.Jt Ot 89
!l i' PTI~\ I RI~R :?01"'
.28,9-s.W
.,
OCTUHr.R 2ttl7
I 2J,JS<HX H(o
:-.IC )\'h~ IB £R 2Ctl i
I
2Y,33U.UIJ Sf)
-
DECL\fHP.R .:!UI I I
Tlu~ cl·ctilicauun ~ l>cing tS,Ul'd upon rb~: n:quc.::st of PH JJ.lPPINE HF..ALTH INSURANCE
CORl)ORATl0:-.1 Tl-Ct\St:AL for wll:~•~'cr k,t.;lll purp"l'C' ll nu\ ""-'~"~ f 11bH:. lUI n 11 ,..,/M.for
tl•rrt 0) 11/Milil Ull/1 /MIII/I' ''""' ., Jl flll/,11/[f,
f,qucd rhi' t)ro tb~· .,f fdmt..t'1 :?UIR 1u P~-a.hh &wou:~l Oilier II )i\n
1 1 l~.wnpl\tlh.,.tllb
Republic of tltt Phlllpplnu
ReglonaJ Office m
PhilHealth Bldg.. Lazatin Blvd., San Agustin City ofSan Fernando. Pampcmga
Heallhllne: {045) 9631155 Trunkline; (045) 9614175 local4325
www.philheallh.gov.ph
CoiScc PC 2018-001
CERTIFICATION
Titis is to certify that according to the records of this office, PHILIPPINE HEALTH
INSURANCE CORP-REGION III of Philhealth Buildtng, Lazatin Blvd., San Agustin,, Ctty
of San Fernando, Pampanga with PEN/SSS number 00-700000291-3 has paid the PhilHealth
premium contributions, details of wluch are as follows:
1---
APPUCABLE MONT~
--
I
--
VAUDATI~N
DATE
-- -
RECO~
NUMBER
--
J AMOUNT
----------------
January 2017
February 2017
_j 02/15/2017
08/31/2017
04/11/2017
313375975
72252837
- -70746909
-
235,650.00
550.00
6,875.00
03/14/2017 313390294 237,325.00
March 2017
04/11/2017 313)9~ 236,300.00
05/10/2017 71321737 _ 1,950.00
April2017 05/09/2012_____j 31339038~ 236,975.00

08/31/ 2017 72252838 _ 2,200.00
May 2017 06/07/2017 I
313390406 236,575.00 I I
June 2017 07/14/ 2017 l___1!_3~9o46LJ 196,025.00 .J
June - JUly 2017 09/07/2017 I
72253260 I- 1,500.00
July 2017 I 08/11/2017 I_ 31339047.i__l_ l92,925.00
- August 2017 _ _j_ Q9/07/2017_ j 31339048~ 192,050.00 ..J
September 2017 I 10/13/2017 ____j 313390498 I 191.025.00

October 2017
- J 11 / 10/2017 I 316048763 l 190,175.00
November 2017 I 12/15/2017 I 316048785 L.J2.2. J5o.oo
December 2017 I 01/ 12/ 2018 I 316048806 ~ 197,075.00
Issued this 2nd day of February 2018 at PhilHealth, City of San Fernando, Pampanga
GRA~GO
Chief Socrallosuunce Officer
CJ tcamph ilheillth I] www.facebook .com/PhiiHealth Yo.G www.youtube.com/tearnphilheallh • actsonccnter@philhealth.gov.ph

tJ A
lf.,...,l.; .,_/'ail,.,.....
PHILIPP1NE HEALTt-IINSURANC£: CORPORATlON
J.an uo~ Z2, 2018

REt..U n'ANC~ Rl:lPOrt f~ H>R THE n:....A 2017
NO. 'MoNTH NO. 01' t:Ml'tOYJ!R Rl1 rOH I n l't: OR Nl'.MOCR AtdOUHt' DATti OJ' :PAVMI>NT
l(,~
ttl <;I ~utt ~ l'l'l'ltl111 ~-!'Iii':'
I
, '" \DDITIO'\ II
111\4:'\1
•11~3 ..
lliiJt""\ill
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-
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C) ll'l 3t.6 RF.C.lh.'IR \II l.lll'i! 1\\..l'(ltit ,\!it.UJ;l M'f
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~u· I .\ODrrtOS.-\1. ~II ~'"\Ul .):II ..
"14 ()("'I n Ill GIJI . \R \ lfol ()f"31 1~151\_1_ Ni\mtl.t .. ~~-
t~Sjl'fllii llrrtml1ft ~- ;!lot•
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\JtfiiTSI ISSJllint J·-~Jt:J·~
II_OTAL c,ru ., I''
l'JtRPAll1!.0 BY:
~CAN
Rttpubllc ofth~t PhiJJpplnes
rhJIIIealtn Reg•onal Office IV-D
Cacdo Commercial Cc:nu:r, Calicun1o, B:~w.np5 Cil)
Henllhlinc (043) 723-8822/722-16021 JOO-U12J J00-3267
~gJon4b'P nhilheultb.go~o.pb W\\\~ obilhCl!lth ~
---
---
----,......~
CERTIFICATION
This is to certify that PHILIPPINE HEALTH INSURANCE CORPORATION-

Regional Office TV- B with PhilHealth Employee Numbc:r 009000002468 ~o~nd busi.uc:.ss address at
Caedo Commetcial Center, Calicaoto, Batangas City has remitted N l liP premium
contributions in behalf o f Its cmployce/s for the folloWing pcnod:
NO. OF EMPLOYEES
APPLICABLE MONTH AMOUNT REMITTED
REPORTEI)
January 2017 p 143,075.00 290
February 2017 144,400.00 290
~larch 2017 142,550.00 290
Apn12017 143,200.00 289
Ma}' 2017 147,800.00 297
June 2017 122,050.00 297
fulv 2017 121,175.00 294
Augusr 2017 I 19,950.00 293
September 2017 119,250.00 293
October 20 17 119,725.00 '291
No,·ember 20 17 118,000.00 291
December 20 17 118,000.00 286
'This certification is ·being 1ssued upon the request of PHILIPPINE HEALTH

INSURANCE CORPORATION for whatever legal purpose ir rna} crvc. F11rtlur, JlliJ mtijirult
is tJf.llidfor 12 lliMibs 011/y from tht dolt ofits iJIIIOIIft.
lssucd this 15th day o f February 2018 at Batllngas City.
teamphilheullh IJ www.frtccbook.com/PhilHealth Yll(8 W\\'\\.)(lulube.comlh:amplultl~uhh

Ht'f'I•IJI•r of tht ~lrtl1ppfnr~
PHILIPPINE HEALTH INSURANCE CORPORAnON
PhiiHealth R~lonal Office V
M:,7 JJitiJ Ill, .~ltt'mlZ/f' Rn.ul 11/.ntP• OIV
I'HCJ llt'nlthllflr 411 1-5.~9(, w 97, <IIJQ 4.'1()7 " ""''J 1 fio li!!J , /!11
This Is to certify that PHILIPPINE HEALTH INSUR CE CORPORAllON-

Regional Office V with PhiiHealth Employer Number 01~000000127~9 with oH1ce
address at ANST Bldg. Ill, Alternate Rood, Lcgozpl City has remitted its NHIP
Premium Contribution on behalf of Its employees.
-
Applicable OR Number Date IPald Amount
Month
January 2017 309845387 01 /2011 7 65, ,6 75,00
January 2017 68525929 02/06/1 7 66,600.00
February 2017 309845504 03103/17 132.600 00
'-----
March 2017 307654377 03/24/17 130 975.00
AQril2017 301729544 04128117 132 250 00
May 2017 309845545 05/26/1 7 132,550.00
June 2017 309845625 0 7/07/17 1, 1__._025.00
July 2017 301729548 07/26/17 110,725.00
- ~
AUQUSt 2017 309845786 09/26117 110300.00
September 2017 309845886 10/04117 108 350 00
1-·
October 2017 309846008 11/06/17 107,625 00
November 2017 309846057 12/0611 7 106.475.00
December 2017 309846105 01 /10/18 100 ns.oo
Given this 31'h day of January 2018 at Ph1IHealth Regional OHtce No 5, ANST
Bldg Ill , Alternate Road, Legazpi City
CATHERINE M. CORDIS
SSIO I Acting Head, Collection Section
R t:publiL' oftlttt Plilllpplllts
PhilHeafth Regional Office VI
Gnh:tno <:il) (.apilal- llo1lo.Luna Sl, Lll t'v, llu1lu (.'u~
Tei.No (033) SOt-9160 lo 62
'' ~w..ohilbcphh.ao" nh
CERTIFICATE OF GooD P AYMENT STANDING
llus IS to certify that the hcrem-n:tmcJ employer l!i.JJ bu11 mntllll{g o11d rrpurtu'l. tbt pm!ltllfll
rollln bllliofl oj /h( /\o/IOno/ 1/Mith llmmumt Pro;,mm (NJ 11 P) )or mul on /Jrhallofull 11s r111plvm.
Employer PHILIPPINE HEALTH INSURANCE CORPORATION
PEN 01-100000469-1
Address 2F Gajsano Capital Luna St. Lapaz, Uoi lo Ciry
Coverage January 2017 - December 2017
fsmdd tbu 23"1 dq;• oj January 2017 ttl Iloilo City .
~
/ - -DINAH P. GELVEZON
t:CiuefSocmllnsumncc Olfrc;c1
Collccuon Secuon - Fit'ld Opcrntions D" i ·1on
PhiiHealth Regional Office VI
f·••"-tl) :I, 1fJ I '

}'{!•~()/JIJ
teamphilhealth 1ft W\\\\.racebook. com/Jiblllleallh Yt•I!!J www.youcu~ cnm/tcll.nlphilhi!llllh ncuonccruer7i philhcuhh l!ll\'.J)h
Rltpllbllc ofth• Pldllppin~
PHILIPPINE HEALTH INSURANCE CORPORAT1tON
Rc&ional OMte VII
4 1~ Floor. T11e Golden Peak Hold & S1111es, OoronJo Avenu CofTicr E=rio $trtc1, flOG() Cd•u Ctty
Land lim: (032) 233·) 284 conlri pro7®flhilholllll.yov ph
Www,o!JIIhgll&h !:{IV dJ
Control No 00057-18
CERTI FICATION
This certifies that PHILIPPINE HEALTH INSURANCE CORPORATION-VII

with PhllHealt.h Employer Number (PEN) 01-200001569-6 and buSUlcss address at 8/F Golden
Peak Tower cor Gorordo Ave & Escano Sf Camputhnw (Pob.) Ccbu Caty Ccbu 6000 has
remitted premium contributions in behalf of its employec.s for the foll0\1i ng pcnods
·-
Month Coverage Year No. ofEmpiO)'CCS Amount
January 2017 346 Php 175,575 00

February 2017 344 Php 175,150.00
2017
- 344 Php 175,050.00
March l
201 7 l
April 341 Php 173,.375.00
May 2017 339 Php 172.500.00
june 2017 339 Php 143,625.00
July 2017 345 Php 145.675.00
August 2017 342 Php 144_250.00
September 2017 347 Php 146,025.00
October 201 7 34<i Pllp 145,800.00
November 2017 344 .Php 145,05000
2017 Php 147,300.00
December
--339
Issued upon the request o f Ms. Josette Bacalso for ~he complumcc 111 GCG's :rcqum:ment for
Good Governance condition
Done this 17th day ofJ antwy 2018 ar Cebu Cuy.
Field Opcrnoons Dlvlsson
(not valid w/o seal)
tcamphiU•callh W\VVI. facebook.co nlll'hi!Hc:allh www youlohc oo•nlti'Slnphilhcallh

Rq~uh/1~ oftlu r lllliwinc
PUILtiEAI.T H R£CJONAI . OFFICi: 0 VIII
167 P Ourgo~ ' ' . hclotu.'l City
Tel 'l;o (053) 523-328}
~ pJuii!S.D.!.l!! ~~gil
--
---- .
CERTIFI CATIO
This is to certify that PHJLlPPINE HEALTH IN U CORPORATION

Regional Office VJU with PhiiHeahh Employer Number 01 000003030 and with bu!'linc.s~
address at 167 P. Burgos St. Tacloban City has rcmincd NIUP premium contributions in
behalf of its employees for lhe following period·
.....-- - ----- I
MONTH COVERAGE AMOUNT REMI TI'f.U
NO. OF EMP{)OYEES I
January 2017 115,575.00
- t-
REPORTED
223
February 201 7 116,600.00 223
March 20 17 116.775.00 224
April2017 116,375.00 225
May 2017 116,475.00 224
~-
--
June 201 7
July 2017
97,975.00
97,925.00
·- '-·
-229
-
229
-
August 20 17 96,225.00 229
September 2017 96,325.00
--- 226
-
October 20 I 7 96,325 00 226
November 2017 96.325.00 226
December 20 I 7 99,375.00
• 226
---- -
This certification ts being issued upon the request of I'JIILII EAI..T H I NSURANCE
CORPORATlON for whatever legal purpose It may sel:' t . Fm·rher, this ctrltlicoJe I.\' valid
for six months only from the date of Its i~;.wance
Issued this 29th day of January 2017 ut l'udoban City
tU:NATO L. LIMSIACO, Jlt.

Regional VIce-President j_
Pht/Htnlth ~glonol OJ/i« 8 f)
t 1 lcnmphilheahh IJ www.faccbook.com/Phillkahh YwiD "''W\' youlubc comlltilmphtlhcahh • 11Cll011Cent~r11i'ph lhalthco~ ph

R.tpR~Iit '.{t.bt Philippinf1
PHIIJPPINE HEALTH INSURANCE CORPORATION
field Operationa Dirision -Collection ScctiOD
4tt FfM,, BGIDC C~ Cmt~r, C... Lllf AI"'"'- Z.:,W,~ Ci!J
HttdtblitJt (062} 990.14)6 (061} 926•]662 ._ 1 r
Document Control No.. FOD-01182018..002
CERTIFICA TION
Name of Employer PHILIPPINE HEALTH INSURANCE CORPORATION -IX
PhliHealth Employer No. (PEN) 014000000932
Membership Category GOVERNMENT
PhiiHealth Premium Contributions for 2017
Amount Paid Date Pajd O.R.No. Period Covered Remarks
p 106,850.00 01/3112017 311333735
·- January 2017 Posted
p 106,775.00 0Ul312017 313385364 February 2017 Posted
p 1,900.00 0412712017 71156564 February 2017 Posted
p 106,775.00 0312712017 313385495 March2017 Posted
p 107,725.00 0412712017 313390589 Apl\12017 Posted
p 107,250.00 0513112017 313390n4 May2017 Posted
p 90,525.00 07/0712017 316042513 June 2017 Posted
p 90,150.00 08/0212017 316042417 July2017 P06ted
P450.00 10/0612017 73253738 JUfY2017 PosteCl
p 88,225.00 09/0512017 31605159-4 August2017 Posted
p 1 ,000.00 11/0712017 73250733 August2017 Posted

p 67,625.00 10/0612017 316051n3 September 2017 Posted
P 87,2QO.OO 11/06/2017 316051839 Octlber 2017 Posted

p 1 ,425.00 1210612017 73251223 OcfDber 2017 Posted
p 87,550.00 1210412017 316060305 November 2017 Posted
p 86,250.00 01/08/2018 316060411 December 2017 ReceiVed
This certification is Issued upon the request of MS. ROSEMIN E. DAMSIO, Fiscal Controller IV for
whatever legal purpose It may serve.
Given this 18111 day of January 2018 at Zamboanga City.
EDGi!.FAUSnNo .£
DMsion Chief- F1eld Operations D"<flon
R~tfmblic 11/ tl1tt Pllillppln t.s
REGIONAL OFFICE X
61 I rumlad Bldg. Y.;u:upin-<..omllc, A"cnuc, Cegayan lie Oro C'll)
<:oil (enter ((12) -1·11 ·74-12 LanJiin~. (088)1~~6113~.5
''''"' .obrlhcalth 21.1' .ph
'• Como! No. Col$ctCll302111800!
CERTIFICATE OF GOOD PAYMENT STANDING
11us ts ro ceroh that Lhc herem named emplore.r has been reuumng th~ premium conu1buoon
of the N.wonal.llcalth Jn-.nrancc Progmm ().JHJP).
PEN : 015000003581
Employer : PHILIPPINE HEALTH INSURANCE CORPORATION - X
Address : Cagayan de Oro City
Covera.g e :January 1, 2017 m December 31, 2017
Tllis certificate ts bet.ng rssued for whate,·cr Jegnl purpose tt mny 'cr.·c.
Issued dm 30th day of J a nuary, 2018 at Plull lcalrh Regronal Office I 0, Cagapm de Oru ('u,
--<1· ~ ,
Datu Ma uling M . Alonto,Jr. ~
R~!/0111111 'tel' Pt~ctdent
1re,, I 'i, ,• Pt'P.J'i.lntl- \lmdon,J(J
L tcamplulht-allh
R1'p11hi/C' ofthl! Pltllippiun
PhiiHealth Regional Office XI
Valg~ln\ Bulld•na. Bolton r:,l . Pob , Ouvao CU.)
l lcalthhne 44 1-74-44. Lu'al (082) 29S-21)3 ~~lh al!!!...lw.ulh
DVO PE 1801-0635
C r. R T T V I C A T E 0 F R •: M I T T 1\ 1'\ C t:
This ts to certify that PHILIPPINE HEALTH INSURANCE CORPORATION XJ=CASUAL EMPI..:OYEES vnlh PEN
no. 016000022202 and Wllh business address VALGQSQN'S BLDG 801.TQN EXT BGY 1·A. DAVAO CITY has rem1Hed
National Heallh Insurance Program (NHIP) premium contributions for and In behalf or Its employeels for the period
JANUARY 2011- DECEMBER 2017.
PERIOD COVEAAGE (HIC»>EST) NUMBER Of EMPLOYffS RfPORlED

January 2017 190
February 2017 190
March 2017 189
April2017 118
May2017 1U
June 2017 1U
July 2017 179
August2017 I 171
September 2017 175
October 2017 n•
November 2017 187
December 2017 188
Th1s certification is being issued upon the request of PHIUPPINE HEALJH INSURANCE CORPORATION XI·
CASUAL EMPLOYEES for any legal purposes it may serve best.
Issued this 30"' day of January 2011 at PhRO XI V1lgoaon• Blda.. Bolton E1t., Davao City,
DENNIS B. ADRE
Roglonal Vice-PreSident
Prepared By:
•
Gilbey B. Surdllla
m
Noted By:
nilS Cllrti~ 1r Issued W~ll!out ptfl~ 10 w trgtu ofPhliheliltJ 10 ~ ~ ~ tr .naliMt tllgl.l'.riiosr i6J tr. CflfflOI*" '~~~~~'hi
,,., thelfCOI'Ib of"" ~ TM IJ not Vlld lor tHP ..,,ed
tcamrhllhcllllh
Rrpubll c tJj tl111 Plrll•rriflu
PhiiHealth Regional Office XI
Val¥osons Bu•ldina. Ooltnn C...t. Pob , Oa\'10 Cit)'
lh:allhhrc 4-H · 7444, Local (082)29~·11:.1) ~lillhsll!.!.!!..&t>' ll.b
DVO PE 1101.0134
CE RTIFI CATE Ofo' REMil 1' ,\N Cf:
ThiS is to certify that PHILIPPINE HEALTH INSURANCE CORPORATION XI wfttt PEN no. 016000009527 and
with business address VALGOSON'S BLDG BOLTON EXT BGY 1·A. DAVAO C!TV has remitted Nauonal Hea~n
Insurance Program (NHIP) premium contributions for and In behalf of its employee's for the perlod JANUARY 2011 -
DECEMBER 2017.
PEJllOO COVERAGE (HIGNEsn NUMBER Of OIPI.DYEES REPORTED

JanuaiY 2017 112
February 20 17 112
March 2017 111
ADril2017 110
May 2017 110
June 2011 110
July 2017 110
AuQust 2017 110
September 2017 tot
October 2017 109
November 2017 ____1!9
December 2017 109
Th1s cerllficatlon rs be•ng Issued upon the request of PHIUPPINE HEALTH INSURANCE CORPORATION XI fOt
whatever purpose this may serve.
Issued thiS 30111 day of Janu•rv 2018 at PhRO XI Y•lgosDnt Bldg .• Bolcon Ext., Dav•o Cltx.
DENNIS B. ADRE
RegiOnal ViaH'~'It
Pt!pared By; Gilbey

OenUl
Noted By. Pot ck Angelo L.

C~f Sociallnsu
PMfC -Cheef
Ttu <*flktoon IS tssutd IMlho&ll p!.p;laiO lht ~ ol PftlwltliO Q)IIIW ~ ~ lot •1JMMf ~ lf/M lhl ~ liDII ~ lrrd
e/10/lhe recotd.s ol lilt t:OirfNI/IY 1hil II f'IOt 'Rid lot '*I!P ,.......,..
lcllmplulhcullh www lnccboOk cum!Vhlllleallh ~ww youtubc comlte<~mllllllh<nllh nct•on~~nttwphllhcnhll gnv.ph

Republic of the Phlllppiiii!J
PliTLlTEALTH REGIONAL OFFTC~ Xll
CSA I Bldg., Comer Zulucus-Gcnsnn Drive, Koronadal City
Tel. No. (083) 228-973 1-35, Tei/Fnx: 228-4733
Em11il: intO.pro 1210'lobj Ihcalth.gov.nh; ndmin.pro 121@philhejlllh.gov.ph
CERTIF ICATION
Th is is to certify t hat the Philippine Health Insurance Corporation- Reg ional Office
2m with Phi!Health Employer Number (PEN) 017000004344 and with postal address at
CSA I Bldg. Corner Zulueta- Gensan Drive, Brgy. ,Koronadal City has remitted the
Nationa l Health Insurance Program (NHIP) premium contributions In behalf of lts
employees for the period listed below:
Applicable Period # of Employees Amount
111 PhP 74,900.00

January 201 7
128 55,250.00
~
111 74,900.00
February 2017
128 55,250.00
110 74,175.00
March 2017
125 53,975.00
110
. 74,025.00
April 2017
124 53,575.00
109 73,500.00
May 2017
~
123 53,100.00
May-July 2017 9 . '
8,100.00
109 ' r 63,700.00
June 201 7
123 42,775.00
108 62,825.00
July 201 7
118 41,200.00
107 62,350.00
August 2017 116 40,550.00
10 3,350.00
--
107 62,350.00
September 20i7 124 43,200.00
1 275.00
106 61,475.00
October 2017
125 . 43,475.00
106 61,475.00
November 201 7
121 42,400.00
'
105 65,100.00
December 2017
122 42,775.00
tJ ~:eamphilhealth I] www.fuccbook.com/Philllealth Yeullm www.youtube.comJtcampbilhealth ectlonccnter@philhealth.gov.ph

Rtf'ublic D/ tlu l'lrl/ipp1nn
766 L¥nzee'• Bd!J, J RoNics A~-enuc:, Bu Cit)
Call Center (02) 4-41-7442 fdcpbonc Nos 22$-7026. I S.5S44
---
"''~" ph1lhc:slth n''1'h
CERTIFICATIO N
fhis is to certify that PHILIPPINE HEALTH INSURANCE CORPORATION Caraga Re ronal Otfh;e
with Philhealth Employer Number 011-00000127-1 and wrth busln ss ddress at tynzee's Bulldrng •
766 J. Rosales Avenue, Butuan Gty, has remitted NHIP prcm1um eontnbut ons In b half of rts
employee/s for the following period:
.
MONTH COV£RAGE AMOUNT REMITTED NO, OF EMPLOYEES REPORTED
~
-
January, 2017 97,500.00 180
February, 2017 97,975.00
- Uil
March, 2017 98,10000 182
-
April, 2017 98,10000 181
~-
~-
May, 2017 98,40000 182

June,2017 84.425 00 185
July, 2017 82,375.00 179
August, 2017 80,575.00 171
September, 2017 81,225.00 179
October, 2017 79,825.00 176
November, 2017 78,950.00 175
December, 2017 78,6.25 00
~ ~
17.:
-
Th1s certification is being tssued upon the requ.est of PUIUPPINE HEALTH INSURANCE
CORPORATION for whatever legal purpose it may serve Further. tl11s cert,fkotf! s vorrd for thre~ (3)
months only from the dote of Its issuance .
Issued th is 29u. day of January 20J8 at Butuon C11v.
Q teamphllhcaltb (J www.&.oebook.wm/PbJlHealth ~111-gov.pb

CER TIFICATION
This is to certify that PHI LJPPINE HEALTH INSURANCE CORPORATION - Branch Office/Regronal
Office with Philhealth Employer Number 020010000002 and with busmess address at Tri-j Building,
Macapagal Drive, Tubod Hi-way, lligan City.
Ph iiHea lth-ARMM has remitted NHIP premium contributions In behalf of its employee/s for the
following period:
MONTH COVERAGE AMOUNT REMimo NO. OF EMPLOYEES REPORTED
January, 2017 95,925.00 194

February, 2017 97,550.00 199
March, 2017 97,075.00 198
April, 2017 97,950.00 199
May, 2017 96,875.00 199
June, 2017 80,450.00 197
July, 2017 80,450.00 197
August, 2017 78,625.00 195
September, 2017 77,550.00 195
October, 2017 78,300.00 195
November, 2017 76,150.00 195
December, 2017 77,225 .00 195
This certification is being Issued upon the request of PHILIPPINE HEALTH INSURANCE
CORPORATION for whatever legal purpose it may serve. Further, this certificate Is volld for six (6)
months only from the dote of Its issuance.
111
Issued this 29 day ofJanuarv 201.8 at 1/fqon City.

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PASEGURUHAN NG MGA NAGLILINGKOD SA PAMAHALAAN

(GOVERNMENT SERVICE INSURANCE SYSTEM)

This is to certify that the PHILIPPINE HEALTH INSURANCE CORPORATION

and employees for the CY 2017.

PHILHEALTH as required by the Government Commission for GOCCs relative to their

request for Performance Based Bonus for CY 2017.

ATTY. LINT 0. ARANAS

ML HfAL'IIt IHWRANCf: ~ NCII

Hell HCRAJ\!Al Ql:

lQ0004liU PHil H£AI.TH IIISURANC£ COIU' Hell C.526.M5.70

9&.9,.; _J,765..onl5 UlSUl.D lOU~

115 147.69 96.16'K

1c;l6f. 754.n 98.J4

' ' 071'

CONTROL No. 1101.000002-G

Th1s IS to cert1fy that PHILIPPINE HEALTH INSURANCE CORPORATION with

KAMIAS MEMBER SERVICES BRANCH

This is to certify that PHILIPPINE HEALTH INSURANCE CORPORATION NCR

KAMIAS MEMBER SERVICES BRANCH

CONTROL No. 131000000176P

This is to certify that PHILIPPINE HEALTH INSURANCE CORPORATION with

Given this 31 sr of JANUARY 2018 at Pag-IBIG Fund , Baguio Branch. This

CONTROL No. 0030-4000055-P

This is to certify PHILIPPINE HEALTH INSURANCE CORPORATION with

This Is to certify that the PHILIPPINE HEALTH INSURA CE CORPORATION

CAQAYAH VALLEY R!GION

This certifies that PHILIPPINE HEALTH INSURANCE CORPORATION with

San Fem• ndo Meqtbera' S.rvfc.e Branch

CONTROL No. 1320~00056·P

This Is to certify that PHILHEALTH REGIONAL OFFICE IV-A with

Lucena Grand Central Terminal Bldg

CONTROL No. 1321-000092-P

This certifies that PHILIPPINE HEALTH INSURANCE CORPORATION -

Given this 20th day of FEBRUARY 2018. at Pag-IBIG Fund, Batangas

2nc:t Floor, ATORMAM Bldg., National Road,

CONTROL No. 052-000389-G

This is to certify that PHILIPPINE HEALTH INSURANCE CORPORATION -

LEGAZPI MEMBER SERVICES BRANCH

CONTROL No. 1517-000120-G

This is to certify that PHILIPPINE HEALTH INSURANCE CORPORATION with

Given this __2_1s_'_ day of __F_E_B_R_U_A_R_Y_, 2018, at Pag-IBIG Fund,

Pag~IBIG Fund Molo Member Services Branch

CONTROL No. 0064..000345-P

This is to certify that PHILIPPINE HEALTH INSURANCE

This certification is being issued upon the request of the employer

Ground Floor, Pag-IBIG Fund-wr Corporate Tower

PHILHEALTH TACLOBAN is a regularly remttttng employer for tne penod J nuary

Maharlika Highway, Brgy ALJucay TaCIObi:lll Ctty

This certifies that PHILIPPINE HEALTH INSURANCE CORP. RO IX

Done this grH day of FEBRUARY, 2018.

ENGR. BED R· rM~OARTE, JR.

CONTROL No. 076

This is to certify that _ _ _ _

is registered with HOME DEVELOPMENT MUTUAL FUND (Pag-tBIG Fund) with

Given this _ _..;1_ _ _ day of _ _F'-e~b;;..;;r..u..; ; .a'"""

CAGAYAN DE ORO CENTRAL· MEMBER SERVICES BRANCH

Oavao Central Member Services Branch

This is to certify that PHILIPPINE HEALTH INSURANCE CORPORATION

Done this 1st day of February 2018, at Koronadal C1ty, Philippines.

BUTUAN MEMBER SERVICES BRANCH

CONTROL No. 180125-4

REPUBLIC OF THE PHILIPPlNr..S

Name ofTaxpayer PHILIPPI NE HEAL