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PMRF Republic of the Philippines PHILIPPINE HEALTH INSURANCE CORPORATION PHILHEALTH MEMBER REGISTRATION FORM Citystate Centre Building 709 Shaw Boulevard Pasig City Healthline 441-7444 www. 3. Always use your PIN in all transactions with PhilHealth. PURPOSE Please carefully read instructions at the back before accomplishing this form. 1. Signature over Printed Name Date Received by Date Please affix right thumbmark if unable to write. Evaluated by Date INSTRUCTIONS For PURPOSE put a mark FOR...
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