H E A D Q U A R T E R’s

SAGITTARIUS SECURITY AGENCY

Pres. Quirino Sts. cor. Limketkai Drive
Cagayan de Oro City
SAGITTARIUS Tel Nos.856-1981
{Main Branch}

This is to certify that NOR ALI MOKAMAD MASUKAT with PHIC #17-201216305-9 is employed by Sagittarius
Security Agency.

Further, this is to certify that SAGITTARIUS SECURITY AGENCY had remitted Philhealth premium in favor to the
above-named personnel from May 2019 to the month of November 2019. To wit:

MONTH PS ES TOTAL ePAR No. / ePAR DATE

May 2019 137.50 137.50 275.00 ZBBE61900001260 / 06/14/2019

June 2019 137.50 137.50 275.00 ZBBC71900000773 / 07/12/2019
July 2019 137.50 137.50 275.00 ZBBE81900000825 / 08/14/2019
August 2019 137.50 137.50 275.00 ZBBC91900000779 / 09/12/2019
September 2019 137.50 137.50 275.00 ZBBC91900000779 / 09/12/2019
October 2019 137.50 137.50 275.00 ZBBDB1900001236 / 11/13/2019
November 2019 137.50 137.50 275.00 ZBBDC1900000364 / 12/13/2019
Total 962.50 962.50 1925.0
This certification is issued upon in favor for the request of NOR ALI MOKAMAD MASUKAT for PHILHEALTH
CLAIM in lieu of RF-1 Employer’s Quarterly Remittance Report for the said period.

Issued this 20th day of December 2019

SAGITTARIUS SECURITY AGENCY

KEVIN A. BILLEDO
Admin/PEER

Branch Office: Unit 2086, 2/f V.V. Soliven Shopping Complex, North Greenhills, San Juan Metro Manila
Tel No: (02) 7246176