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RF-1 REVISED JAN 2002 Republic of the Philippines PHILIPPINE HEALTH INSURANCE CORPORATION F O R Date Screened: By: Signature over Printed Name Action Taken: P H I L H E A L T H U S E Action Taken: EMPLOYER'S QUARTERLY REMITTANCE REPORT - Date Screened: By: Signature over Printed Name 1 PHILHEALTH NO. EMPLOYER TIN 2 COMPLETE EMPLOYER NAME COMPLETE MAILING ADDRESS TELEPHONE NO. 3 EMPLOYER TYPE Regular Private Government 4 EMPLOYER'S SSS NO. TYPE OF REPORT Regular RF-1 Addition to previous MoreREVISED JAN 2002. RF-1 Republic of the Philippines. PHILIPPINE HEALTH INSURANCE CORPORATION. EMPLOYER'S QUARTERLY. REMITTANCE ... Less
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