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Republic of the Philippines

PHILIPPINE HEALTH INSURANCE CORPORATION


www.philhealth.gov.ph

PRELIMINARY EMPLOYEES PREMIUM REMITTANCE LIST (PEPRL)

Date/Time Generated :
Report Type :

11/29/2012 10:48:08
Regular

PhilHealth Number : 012000003365


Employer Name : SILLIMAN UNIVERSITY COOPERATIVE
Employer Address :
Employer TIN :
001220743
Employer Type :
Private
No.

PhilHealth No.

Applicable Period

Bracket

120503943803

ABILAY

Surname
EVELYN

Given Name
CUBA

Middle Name

01-2012

PS
0.00

ES
0.00

S 01/30/2010

Status | Remarks

120505672823

ALCANO

EULOGIO

GELBOLINGO

01-2012

0.00

0.00

S 01/30/2007

120503943811

ELTANAL

ANNABELL

CUBA

01-2012

0.00

0.00

S 01/10/2010

120503943846

GANTE

JOHN

ABULE

01-2012

50.00

50.00

120250981010

GENEROSO

TERESITA

CATIGTIG

01-2012

50.00

50.00

120503943838

LADO

JOSEFA

NAQUIN

01-2012

50.00

50.00

120509989767

MASCARDO

BEST MARK

INDOY

01-2012

50.00

50.00

120508865975

OPOC

JOEL

ESOY

01-2012

50.00

50.00

120503201602

OZOA

CONCEPCION

CAULIN

01-2012

50.00

50.00

10

120508865967

QUITAY

FREDDIE

GALAPATE

01-2012

50.00

50.00

11

120503943889

RUBIO

ALFREDO

EMPIC

01-2012

50.00

50.00

12

120503943897

RUBIO

ROMULO

EMPIC

01-2012

0.00

0.00

13

120502662428

TUBIL

SONIA

BANUA

01-2012

50.00

50.00

Subtotal
GRAND TOTAL

Prepared by :

Certified True and Correct by :

Signature over Printed Name and Designation

Signature over Printed Name and Designation

450.00

450.00
900.00

S 10/30/2011
A

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