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PhilHealth Employee Report Form

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0% found this document useful (0 votes)
60 views4 pages

PhilHealth Employee Report Form

Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 4

PLEASE READ INSTRUCTION AT THE BACK BEFORE ACCOMPLISHING THIS FORM

(CHECK APPLICABLE BOX)


PHILHEALTH INITIAL LIST (Attach to PhilHealth Form Er1)
REPORT OF EMPLOYEE-MEMBERS SUBSEQUENT LIST

NAME OF EMPLOYER/FIRM: MHM


GLOBAL MANUFACTURING INC. EMPLOYER NO. 008020004052

ADDRESS: 6605 PUROK 6 PANGIL, AMADEO, CAVITE E-MAIL ADDRESS: [email protected]


PHILHEALTH DATE OF (DO NOT FILL)
EFF. DATE OF PREVIOUS EMPLOYER
SSS/GSIS NAME OF EMPLOYEE POSITION SALARY EMPLOY-
COVERAGE ( IF ANY)
NUMBER MENT
08-051592049-1 ALICANTE, JUDY ANN M. PRODUCTION 10,955.00 07.18.2023
PERSONNEL
08-026738288-7 CANDIDATO, MARIANNE D. PRODUCTION 10,955.00 11.12.2020
PERSONNEL
08-050296025-7 COSTELO, CAROL G. TEAM LEADER - 12,048.45 12.26.2018
PRODUCTION
17-202328517-2 DELA CRUZ, MONNAVIE G. QUALITY 11,679.65 07.15.2021
ASSURANCE
ASSITANT
08-026958700-1 DERECHO, REINALENE P. ADMIN ASSISTANT 11,679.65 01.24.2023
08-050536871-5 ESPARTINEZ, MARISSA A. PRODUCTION 10,955.00 06.26.2022
PERSONNEL
08-050285539-9 EYAYA, NORLITA P. PRODUCTION 10,955.00 12.12.2018
PERSONNEL
08-050124500-7 FLORALDE, EDEN F. FG CUSTODIAN 11,679.65 04.27.2021
82-200522157-5 GARBULO, LEONILSON D. SECURITY 13,416.68 02.27.2023
PERSONNEL
08-0501811672-1 HAWAK, EVA A. PRODUCTION 10,955.00 06.27.2022
PERSONNEL
01-052094248-9 HERES, ROSEMARIE R. PRODUCTION 10,955.00 06.10.2022
PERSONNEL
03-050265494-9 HITTA, EVA MAY O. PRODUCTION 10,955.00 06.26.2023
PERSONNEL
08-027150138-9 MANZANO, RONNIE C. PRODUCTION 10,955.00 09.18.2019
PERSONNEL

TOTAL NO. LISTED ABOVE: 13


PAGE ___ OF ___ SHEETS SIGNATURE OVER PRINTED NAME

TO BE ACCOMPLISHED IN DUPLICATE
PLEASE READ INSTRUCTION AT THE BACK BEFORE ACCOMPLISHING THIS FORM

(CHECK APPLICABLE BOX)


PHILHEALTH INITIAL LIST (Attach to PhilHealth Form Er1)
REPORT OF EMPLOYEE-MEMBERS SUBSEQUENT LIST

NAME OF EMPLOYER/FIRM: MHM


GLOBAL MANUFACTURING INC. EMPLOYER NO. 008020004052

ADDRESS: 6605 PUROK 6 PANGIL, AMADEO, CAVITE E-MAIL ADDRESS: [email protected]


PHILHEALTH DATE OF (DO NOT FILL)
EFF. DATE OF PREVIOUS EMPLOYER
SSS/GSIS NAME OF EMPLOYEE POSITION SALARY EMPLOY-
COVERAGE ( IF ANY)
NUMBER MENT
08-050797532-5 PRESTO, MAYETH B. PRODUCTION 10,955.00 06.10.2022
PERSONNEL
03-050588499-6 QUINES, LAURENCE MARVIN R&D & QA 40,510.91 01.02.2019
E. MANAGER
08-050402346-3 RAMOS, MARIANE C. PRODUCTION 10,955.00 06.12.2023
PERSONNEL
07-025182506-6 ROXAS, TEODORA P. MATERIAL 11,679.65 07.14.2021
CUSTODIAN
08-250041986-1 TABOR, MECAELA C. QUALITY 11,679.65 07.11.2023
ASSURANCE
ASSITANT
02-026928716-1 TAN, REGINE MAE S. QUALITY 12,357.04 01.03.2022
ASSURANCE
SPECIALISTS
08-050706590-6 VALLEGA, LIEZL C. PRODUCTION 10,955.00 05.03.2023
PERSONNEL
08-250044806-3 VIDALLON, AERRON JHAY A. PRODUCTION 10,955.00 07.26.2023
PERSONNEL

TOTAL NO. LISTED ABOVE: 8


PAGE ___ OF ___ SHEETS SIGNATURE OVER PRINTED NAME

TO BE ACCOMPLISHED IN DUPLICATE

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