INABANGA Philhealth YAKAP CARAVAN PRE-REGISTRATION
Instruction: Kindly fill-up the form to pre-register. THIS DOES NOT GUARANTEE A PRIORITY LIST IN THE ACTIVITY. This only serves as the RHU's reference for expected participants and service to avail. 

Venue: Inabanga Cultural Center - Poblacion, Inabanga
Date: June 16, 2026
Time: 8:00am - 4:00pm
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Complete Name (Last, First, Middle) *
Age *
Sex *
Complete Address (Purok, Barangay, Municipality) *
Primary Service to Avail *
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