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PHILHEALTH INITIAL LIST (Attach to PhilHealth Form Er1)
REPORT OF EMPLOYEE-MEMBERS X
SUBSEQUENT LIST

NAME OF EMPLOYER/FIRM: MANUEL S. ENVERGA UNIVERSITY FOUNDATION CANDELARIA INC. EMPLOYER NO. 200856300059
ADDRESS: MALABANBAN NORTE CANDELARIA QUEZON 4323 E-MAIL ADDRESS: michelleada30@yahoo.com
PHILHEALTH DATE OF (DO NOT FILL)
EFF. DATE OF PREVIOUS EMPLOYER
SSS/GSIS NAME OF EMPLOYEE POSITION SALARY EMPLOY-
COVERAGE ( IF ANY)
NUMBER MENT

080255544911 CAPILI, HONEYROSE TEACHER 17,088.00 11/13/2018

MENDOZA
082523599425 PARREÑO, JENNIFER TEACHER 17,088.00 11/13/2018
RUSTIA
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TOTAL NO. LISTED ABOVE: 2 GASPAR HECTOR C. TAPIRE

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