Philhealth Contribution Certificate Format

DATE

To Whom It May Concern:

This is to certify that

NAME

is a Philhealth member with MID number ________________.

This further certifies that she has the following contributions contributions to wit: MONTH

       

January 2013 February 2013 March 2013  April 2013 May 2013 June 2013 July 2013  August 2013

OR NO.

DATE OF PAYMENT

 –OR#  –OR#  –OR#  –OR#  –OR#  – OR#  – OR#  – OR#

-

This certification is issued upon the request of Ms. Pachecoand valid for whatever legal purposes it may serve. Done this 3rdday of October 20__ at

Signed by:

NAME

 Authorized Signatory Signatory

NAME COMPANY ,

Makati City.