| NATIONAL HEALTH INSURANCE CORPORATION REPUBLIC OF KOREA
168-9, Yeumri-dong, Mapo-gu, Seoul, KOREA.(121-749)/Tel( )- /Fax( )-
Manager : Assistant Manager : Deputy :
CERTIFICATE OF THE INSURED
NO. OF ISSUE :
□ HOUSEHOLDER
□ INSURED
PERSON
NO. OF
Health INSURANCE CARD
ORGANIZA-
TION CODE
NAME IN
FULL
RESIDENT REG. NO.
DATE OF
QUALIFI-
CATION
DAT.. |
