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    Er 2

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    Manantan-Main Campus Urdaneta
    This document is an initial list submitted by Manantan Technical School, Inc. to PhilHealth reporting 3 new employee-members. It provides the names, positions, salaries, dates of employment, and SSS/GSIS numbers of each employee, including Cachin, Martinez, and Reselva. The form is signed by Daniel Manantan and requests coverage for these 3 employees beginning September 1, 2022.

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    Er 2

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    Manantan-Main Campus Urdaneta
    7 views2 pages
    This document is an initial list submitted by Manantan Technical School, Inc. to PhilHealth reporting 3 new employee-members. It provides the names, positions, salaries, dates of employment, and SSS/GSIS numbers of each employee, including Cachin, Martinez, and Reselva. The form is signed by Daniel Manantan and requests coverage for these 3 employees beginning September 1, 2022.

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    This document is an initial list submitted by Manantan Technical School, Inc. to PhilHealth reporting 3 new employee-members. It provides the names, positions, salaries, dates of employment, and SSS/GSIS numbers of each employee, including Cachin, Martinez, and Reselva. The form is signed by Daniel Manantan and requests coverage for these 3 employees beginning September 1, 2022.

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    © All Rights Reserved
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    7 views2 pages

    Er 2

    Uploaded by

    Manantan-Main Campus Urdaneta
    This document is an initial list submitted by Manantan Technical School, Inc. to PhilHealth reporting 3 new employee-members. It provides the names, positions, salaries, dates of employment, and SSS/GSIS numbers of each employee, including Cachin, Martinez, and Reselva. The form is signed by Daniel Manantan and requests coverage for these 3 employees beginning September 1, 2022.

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    of 2

    PLEASE READ INSTRUCTION AT THE BACK BEFORE ACCOMPLISHING THIS FORM

    (CHECK APPLICABLE BOX)


    PHILHEALTH X
    INITIAL LIST (Attach to PhilHealth Form Er1)
    REPORT OF EMPLOYEE-MEMBERS SUBSEQUENT LIST

    NAME OF EMPLOYER/FIRM: MANANTAN TECHNICAL SCHOOL, INC. EMPLOYER NO. 204655300044

    ADDRESS: San Vicente East, Urdaneta City, Pangasinan E-MAIL ADDRESS: manantantech@yahoo.com
    PHILHEALTH DATE OF (DO NOT FILL)
    EFF. DATE OF PREVIOUS EMPLOYER
    SSS/GSIS NAME OF EMPLOYEE POSITION SALARY EMPLOY-
    COVERAGE ( IF ANY)
    NUMBER MENT

    05-252902215-8 CACHIN, MATT LOUIE L. Instructor 7, 500.00 09/01/2022

    02-050449311-4 MARTINEZ, JOHN RUDLENE M. Instructor 12, 000.00 09/01/2022

    RESELVA, KENNARD C. Instructor 7, 000.00 09/01/2022

    TOTAL NO. LISTED ABOVE: 3 DANIEL G. MANANTAN


    PAGE ___ OF ___ SHEETS SIGNATURE OVER PRINTED NAME

    TO BE ACCOMPLISHED IN DUPLICATE

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