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  • Certificate of Non-Affiliation To Other Savings Banks I (Original)

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    This document is a certificate of non-affiliation to other health management entities that requests confirmation if the people listed are currently affiliated with the entity that receives the document. The document includes a table with spaces to fill in the surnames, first names, relationships and confirm whether or not they are affiliated with said entity with signature and date. It also lists other health management entities as alternative options.

    Original Description:

    This document is a certificate of non-affiliation to other health management entities that requests confirmation if the people listed are currently affiliated with the entity that receives the document. The document includes a table with spaces to fill in the surnames, first names, relationships and confirm whether or not they are affiliated with said entity with signature and date. It also lists other health management entities as alternative options.

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    This document is a certificate of non-affiliation to other health management entities that requests confirmation if the people listed are currently affiliated with the entity that receives the document. The document includes a table with spaces to fill in the surnames, first names, relationships and confirm whether or not they are affiliated with said entity with signature and date. It also lists other health management entities as alternative options.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    1 views1 page

    Certificate of Non-Affiliation To Other Savings Banks I (Original)

    Uploaded by

    ScribdTranslations
    This document is a certificate of non-affiliation to other health management entities that requests confirmation if the people listed are currently affiliated with the entity that receives the document. The document includes a table with spaces to fill in the surnames, first names, relationships and confirm whether or not they are affiliated with said entity with signature and date. It also lists other health management entities as alternative options.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    Certificate of Non-Affiliation to Other Entities

    Health Managers
    CORDES CBBA box. – Dept. Affiliations
    We ask you to certify whether the detailed persons are currently
    present.
    affiliated with its Managing Entity : Corresponding to 2020 Management

    Last name Mother's last Names Relationshi


    name p

    Last name Mother's last Names Relationshi


    name p

    Last name Mother's last Names Relationshi


    name p

    Last name Mother's last Names Relationshi


    name p

    Health Insurance But Official Signature and Date / Observations


    Seal

    ROADS HEALTH FUND


    Av. Calancha and Casto
    Rojas Nº1417 (Home
    Demetrio Canela Sud Park
    Tel.:4666866

    PRIVATE BANKING HEALTH


    FUND
    Hamiraya #356/ Santivañ ez
    and
    Jordan
    http://www.csbp.com.bo
    Tel.: 4582224 – 4582234 –
    4582230
    Esteban Arce NATIONAL
    HEALTH FUND #456/ Jordá n y
    Calama
    Tel.: 4502151 – 4251148 –
    4251147

    OIL BOX
    HEALTH
    Calle General Acha Esq. Junín
    Telephone: 4224433

    MILITARY SOCIAL INSURANCE


    CORPORATION – COSMIL
    Av. Ramó n Rivero (Muyurina
    – Sergeants School Side)
    Telf.:4233999 - 4230431

    UNIVERSITY SOCIAL
    SECURITY
    Av. Aniceto Arce # 2801
    (In front of the UMSS
    Faculty of Medicine)
    Tel.: 4226772 - 4232414

    STATE HEALTH BANK


    Bolivia Circuit, Countryside
    Fair, Alalay lagoon area, Street
    Acacias, Esq. Amboro
    Univalle Hospital
    Tel.: 4218421

    Note:- This Document is Valid for 60 Days

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