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KWARTA O KAHON

ENROLLMENT SUMMARY REPORT


(Premium Collection)

Name of SatO TAYTAY For the Period of JANUARY 8-12, 2024

Plan type Enrollment Mode of Payment


No. Name of Insured Status Date of Amount of
(Regular or
Senior) (New or (loan, cash, withdrawal)
Payment Premium
Renewal)

1 JONA DOLOGUIN REGULAR RENEWAL LOAN 1/4/2024 550


2 NESTOR DOLOGUIN JR REGULAR RENEWAL LOAN 1/4/2024 550
3
4
5
6
7
23
24
25
TOTAL

PREPARED BY: CHECKED BY: Approved By:

RONA LEE SOLANEO DONNA GRACE TUGADE


SOM Accounting Officer

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