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    Date: 2020-12-21 12:56:43.596699

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    Date: 2020-12-23 15:26:59.044149

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MDR form

Requested from PH by P. Naungayan at 12:56 PM on Dec 21, 2020.
Purpose: Employment Requirements
Date of Coverage: 05/01/2019 - 11/30/2020
Tracking no: #PH-342429984247

Naungayan 12:56 PM, Dec 21, 2020

Hi!

Good day!

I am required to send MDR form to ny new Employer as part of my Pre-employment requirements.

Hope you could grant my request for this is one of the remaining requirements I need to comply.

Thank you and keep safe!

December 23, 2020

Dear Poinsettia Rea,

Greetings!

Thank you for your request dated Dec 21, 2020 under Executive Order No. 2 (s. 2016) on Freedom of Information in the Executive Branch.

Your request

You asked for MDR form.

Response to your request

While our aim is to provide information whenever possible, in this instance we would need you to send your request to actioncenter@philhealth.gov.ph due to Data Privacy Act. Kindly indicate the following information on your email 1. PhilHealth Identification Number (PIN) 2. Complete Name (Surname, First Name, Middle Name) 3. Birth date 4. Address 5. SSS No. / TIN No. 6. Current / Previous Company. 7. Name of Dependent (if any). Attached a fully accomplished PhilHealth Member Registration Form (PMRF) https://www.philhealth.gov.ph/downloads/membership/pmrf_012020.pdf and two (2) Valid ID's.
For further assistance you may review the FAQ section of the eFOI site: https://foi.gov.ph/help.

Your right to request a review

If you are unhappy with this response to your FOI request, you may ask us to carry out an internal review of the response by writing to actioncenter@philhealth.gov.ph. Your review request should explain why you are dissatisfied with this response, and should be made within 15 calendar days from the date when you received this letter. We will complete the review and tell you the result within 30 calendar days from the date when we receive your review request.

If you are not satisfied with the result of the review, you then have the right to appeal to the Office of the President under Administrative Order No. 22 (s. 2011).
Thank you.

Respectfully,
Zenaida Marron
FOI Officer

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