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Get and Sign Philhealth Employers Remittance Report Form 2014
RF-1
DEDUCTION TO PREVIOUS RF-1
COMPLETE MAILING ADDRESS
TELEPHONE NO.
6
EMAIL ADDRESS
8
EMPLOYEE/S INFORMATION
PHILHEALTH IDENTIFICATION NUMBER
(PIN)
LAST NAME
NAME
SUFFIX
FIRST NAME
Fill-out this portion only if
declared employee/s has not
yet been issued his/her PIN
9
DATE OF BIRTH
SEX
(mm-dd-yyyy)
MIDDLE NAME
(M/F)
MONTHLY
SALARY
BRACKET
(MSB)
10
NHIP PREMIUM
CONTRIBUTION
PS
ES
11 EMPLOYEE STATUS
S-Separated, NE-No Earnings,
NH-Newly Hired /
Effectivity...
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