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Republic of the Philippines

PHILIPPINE HEALTH INSURANCE CORPORATION


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

MEMBER DATA RECORD


MEMBER BASIC INFORMATION
PhilHealth Identification Number (PIN) : 17-025148523-5 PhilSys Number :
Member Category : INFORMAL ECONOMY -
Sub-Category MIGRANT WORKER - LAND NHTS Coverage : N/A
BASED Validity Period : N/A - N/A

APARENTE, KAREEN KAE DENONONG


PRK 5 APARENTE COMP NISA RD LAGAO (1ST & 3RD), GEN. SANTOS CITY SOUTH COTABATO

Foreign Address : Sex : FEMALE


Date of Birth : 06/30/1986
Place of Birth : GEN. SANTOS CITY, SOUTH
COTABATO
Contact No. (Foreign) : Civil Status : SINGLE
(Local) : 09468483915 Tax Identification Number :

ENTITY INFORMATION
PhilHealth Number (PEN/POGN) : N/A
Name of Employer/Organized Group : N/A
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Business Address : N/A
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Telephone Number : N/A Employment Status :
Tax Identification Number : N/A Date : N/A

DEPENDENT INFORMATION
PIN Surname Given Name Middle Name Sex Relation Date of Birth
APARENTE ELLA KAE FEMALE DAUGHTER 09/29/2004

APARENTE RANNIES KYLE APARENTE FEMALE DAUGHTER 06/30/2008

APARENTE KAERON JHUN APARENTE MALE SON 02/12/2013

*** NOTHING FOLLOWS ***

DR. HECTOR ZENON LEONARDO P. MALATE


REGIONAL VICE PRESIDENT
PRO - XII Koronadal City

Paalala: Basahin ang nilalaman ng MDR. Kung may kulang o mali, ibalik agad upang maiwasto. Ingatan ang orihinal na kopya at huwag ibigay kahit kanino. Kung
sakaling gagamit at makikinabang ng benepisyo, magbigay ng kopya sa ospital. (Reminder: Read the contents of the MDR. Should there be any data discrepancies,
return it back to amend or rectify the error. Take good care of MDR and do not hand it over to anybody. Provide photocopy to hospital in case of confinement and
availment of benefits.)
This is a Member Portal System generated report. Signature is not required.
Jan 27, 2023 10:55 AM

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