Republic of the Philippines

PHILIPPINE HEALTH INSURANCE CORPORATION

Corporate Action Center Hotline - (02)441-7442
MDR
www.philhealth.gov.ph

MEMBER DATA RECORD

MEMBER INFORMATION
Philhealth Identification Number (PIN) : 190004503094
Member Category : FORMAL ECONOMY NHTS Coverage :
Sub-Category : GOVERNMENT Effectivity Period :

MANABAT , MARLENE DAYRIT

58 PH 111 CAMACHILES, MABALACAT,
PAMPANGA 2010

Foreign Address : N/A Sex : Female

Date of Birth : 06/21/1974
Place of Birth : MAGALANG, PAMPANGA

Contact No.(Foreign) : N/A Civil Status : SINGLE

(Local) : 09193531810 Tax Identification Number : 908436951

EMPLOYER/ORGANIZED GROUP INFORMATION

PhilHealth Number (PEN/POGN) : 141654100009
Name of Employer/Organized Group : DEPT OF EDUCATION DIVISION OF PAMPANGA ELEMENTARY
Business Address : HIGH SCHOOL BLVD LOURDES, CITY OF SAN FERNANDO, PAMPANGA

Telephone Number : N/A

Tax Identification Number : 001694405

DEPENDENT INFORMATION
PIN Surname Given Name Middle Name Sex Relation Date of Birth
072506897239 MANABAT RENATO CARLOS Male Father 6/9/1947
MANABAT ELENA DAYRIT Female Mother 8/18/1950
*** NOTHING FOLLOWS ***

Paalala: Basahin ang nilalaman ng MDR. Kung may kulang o mali, dalhin agad ang kopya sa pinakamalapit na PhilHealth Office upang maiwasto. Ingatan ang inyong kopya ng MDR
at huwag ibigay kahit kanino.
Reminder: Read the contents of the MDR. Should there be discrepancies, bring your copy to the nearest PhilHealth Office to amend or rectify error. Take good care of the MDR
and do not hand it over to anybody.

This is a Member Inquiry System generated report.

6/17/2019 10:46:14 AM