Online Hospitalization Assistance Application
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Poblacion (Bocaue)
Bunlo
Taal
Pulong Buhangin
Guiguinto
San Miguel
Cabanatuan
Baliuag
Orani
Meycauayan
Sta. Maria (Poblacion)
Guimba
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Scanned copy or pictures of Hospital bill, Official Receipts and/or Medical Certificate
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Sa pamamagitan ng pagsagot sa form na ito, ay nagbibigay ka ng pahintulot para sa St. Martin Coop na itala at i-proseso ang iyong personal na impormasyon para lamang sa application na ito alinsunod sa Data Privacy Act of 2012 (RA10173) at implementing rules and regulation nito
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