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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) : 01-025655069-0 PhilSys Number :
Member Category : INFORMAL ECONOMY -
Sub-Category INFORMAL SECTOR NHTS Coverage : N/A
Validity Period : N/A - N/A

GALDONES, CHRISTIAN PAUL FLORES


BLK 12 LOT 10 SAN ISIDRO, RODRIGUEZ (MONTALBAN) RIZAL

Foreign Address : N/A Sex : MALE


Date of Birth : 01/04/1995
Place of Birth : QUEZON CITY, SECOND
DISTRICT
Contact No. (Foreign) : N/A Civil Status : SINGLE
(Local) : 09392039568 Tax Identification Number :

ENTITY INFORMATION
PhilHealth Number (PEN/POGN) : N/A
Name of Employer/Organized Group : N/A
hidden text
Business Address : N/A
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Telephone Number : N/A Employment Status :
Tax Identification Number : N/A Date : N/A

DEPENDENT INFORMATION
PIN Surname Given Name Middle Name Sex Relation Date of Birth
*** 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.
Jun 13, 2023 04:36 PM

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