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Date: 08-Sep-23

Activity: HBAP - Erceflora


Time: 11:00AM
Venue/ Institution: Ospital Ning Angeles
Speaker Name Michelle Rodriguez
Name of TM: Michelle Rodriguez PIMS
District: North Luzon / Pampanga Professional Insights Marketing Services

SF105-HB23-ER2099
PLEASE READ: Professional Insights Marketing Services (PIMS) working in partnership with Opella Healthcare Philippines Inc. and its affiliates ("Opella"), value your privacy the way in which your personal information is treated. We will use your personal information for the purpose of tracking and recording your attendance in our activity. All the information
provided herein will be kept for a maximum of three (3 years). We will also share the information gathered to our business partner ("Opella"). Furthermore, we will keep your information secured and protect your information from unauthorized access, use, disclosure, alteration, or destruction by strictly applying the data protection and privacy laws. If you
wish to object to processing your personal information and later choose to withdraw all of your personal information, we will do it as requested.Should you have questions and would like to reach out to us regarding this matter, you may contact us at 8788-0924 / 8788-0936.
By signing this Attendance Sheet, you consent to the collection, use, and disclosure of your personal data forProfessional Insights Marketing Services (PIMS) working in partnership with Opella Healthcare Philippines Inc. and its affiliates ("Opella") purposes. Any personal data you provide is essential to record your attendance at the conference/event for
tracking and audit purposes. All the information submitted herein shall be used for the purpose stated above and other legitimate interests of Opella as mandated by law. Rest assured that security controls are implemented to protect all the information in this document. Your personal details will be stored for a maximum period of three (3) years. You can
withdraw consent at any time by contacting Opella at (632) 8859-5555 or privacy.ph@sanofi.com.

Name Specialty Institution Contact Number Email address Signature


Dr. Mark Roger Stephen Roger Santos
1 FM ONA
Dr. Karen Bernardo Ponciano
2 FM ONA
Dr. Daniel Jacob Bautista
3 FM ONA
Dr. Rex Ismael Salles
4 FM ONA

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This material is strictly for Healthcare Professionals only.


MAT-PH-2101828 / Ver 1.0 / DA 10-2021 / DM 10-2021
Opella Healthcare Philippines, Inc.
21st, 22nd and 23rd Floors, One World Place,
32nd Street, Bonifacio Global City, Taguig City
Date: 08-Sep-23
Activity: HBAP - Erceflora
Time: 11:00AM
Venue/ Institution: Ospital Ning Angeles
Speaker Name Michelle Rodriguez
Name of TM: Michelle Rodriguez PIMS
District: North Luzon / Pampanga Professional Insights Marketing Services

SF105-HB23-ER2099
PLEASE READ: Professional Insights Marketing Services (PIMS) working in partnership with Opella Healthcare Philippines Inc. and its affiliates ("Opella"), value your privacy the way in which your personal information is treated. We will use your personal information for the purpose of tracking and recording your attendance in our activity. All the information
provided herein will be kept for a maximum of three (3 years). We will also share the information gathered to our business partner ("Opella"). Furthermore, we will keep your information secured and protect your information from unauthorized access, use, disclosure, alteration, or destruction by strictly applying the data protection and privacy laws. If you
wish to object to processing your personal information and later choose to withdraw all of your personal information, we will do it as requested.Should you have questions and would like to reach out to us regarding this matter, you may contact us at 8788-0924 / 8788-0936.
By signing this Attendance Sheet, you consent to the collection, use, and disclosure of your personal data forProfessional Insights Marketing Services (PIMS) working in partnership with Opella Healthcare Philippines Inc. and its affiliates ("Opella") purposes. Any personal data you provide is essential to record your attendance at the conference/event for
tracking and audit purposes. All the information submitted herein shall be used for the purpose stated above and other legitimate interests of Opella as mandated by law. Rest assured that security controls are implemented to protect all the information in this document. Your personal details will be stored for a maximum period of three (3) years. You can
withdraw consent at any time by contacting Opella at (632) 8859-5555 or privacy.ph@sanofi.com.

Name Specialty Institution Contact Number Email address Signature


Dr. Tyrel Tolentino
1 FM ONA
Dr. Jim Cunanan
2 FM ONA
Dr. Germaine Apalisok
3 FM ONA
Dr. Dyan Angeline Mata
4 FM ONA
Dr. Tristan Lacson
5 FM ONA
Dr. Nathaniel Mercado
6 FM ONA
Dr. Lim Lazo
7 FM ONA
Dr. Joazelle Lorene Cha
8 FM ONA
Dr. Crisostomo Ayson
9 FM ONA
Dr. Dan Magtoto
10 FM ONA
Dr. Cecilia Dungao
11 FM ONA
Dr. Christine Mercado
12 FM ONA
Dr. Noah Padilla
13 FM ONA
Dr. Shanon Skylar Guevarra
14 FM ONA
Dr. Ivy Diane Cruz
15 FM ONA
Dr. Bryan Gozum
16 FM ONA

This material is strictly for Healthcare Professionals only.


MAT-PH-2101828 / Ver 1.0 / DA 10-2021 / DM 10-2021
Opella Healthcare Philippines, Inc.
21st, 22nd and 23rd Floors, One World Place,
32nd Street, Bonifacio Global City, Taguig City

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