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Republic of the Philippines

PHILIPPINE HEALTH INSURANCE CORPORATION


www.philhealth.gov.ph

Date/Time Generated : 03/28/2018 13:49:03


Report Type : Regular
Applicable Period : 01-2018
PRELIMINARY EMPLOYEES PREMIUM REMITTANCE LIST (PEPRL)
PhilHealth Number : 009000012580
Employer Name : ATTY RAMON GERARD S HERNANDEZ
Employer Address : BATANGAS CITY BATANGAS
Employer TIN : 245213936
Employer Type : Private
No. PhilHealth No. Surname Given Name Middle Name PS ES Status | Remarks
1 090500216661 TANDOG JUANITA GONZAGA 0.00 0.00 A

Subtotal 0.00 0.00


GRAND TOTAL 0.00

Prepared by : Certified True and Correct by :

Signature over Printed Name and Designation Signature over Printed Name and Designation

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