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Member Registration Form

Philhealth Member Registration Form  (PMRF)

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  PMRF.pdf  below

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If you're New, check For Enrollment.
If you're changing your status, or adding dependents, check For Updating.

If you're new, bring your ID. 

If you're updating, bring your marriage certificate or your children's birth certificates (original and xerox).

If you plan to pay, bring 600 pesos (for 1 quarter; 200 pesos per month).

You can download the document, print it and use it as your membership application form.



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Nora Tamba,
May 6, 2016, 4:50 PM
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