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ATTESTATION FORM OF HEALTH FACILITIES
SION
1, Emma Chua Ong, Managing Director a duly authorized representative of HI-PI
DIAGNOSTIC CENTER — PIONEER . do hereby declare and attest the follo
1, That all individuals listed are employed in this HI-PRECISION DIAGNOSTIC CENTER -
PIONEER, in National Capital Region; are among the list of eligible health care workers
and non-health care workers to receive Health Emergency Allowance (HEA) as prescribed in the
Republic Act No. 11712 (Public Health Emergency Benefits and Allowance for Health Care
Workers Act), its implementing rules and regulations, and supplemental guidelines:
2. ‘That this submission through the Health Emergency Allowance Processing System (HEAPS) had
been executed strictly in accordance with the provisions indicated in the aforementioned laws
and policies;
3. That all individuals listed in the COVID-19 Risk Exposure Classification (CREC) Report have
provided the information indicated therein with full knowledge that the processing thereof is
necessary for the processing of HEA, in accordance with the Republic Act No, 10173, otherwise
known as the Data Privacy Act of 2012;
4, That all individuals listed and encoded/uploaded to the HEAPS have provided the information
indicated therein with expectation that the relevant government agencies will uphold the rights of
measures, and will remain adherent to the
in
the data subjects, implement the appropriate securi
general data privacy principles of transparency, legitimate purpose, and proportionality
processing their personal information; and
5. That all matters set forth listed or uploaded/encoded to the HEAPS have been made in good
faith, duly verified by me and to the best of my knowledge and belief are true and correct.
Done this 15th day of February 2023, in Pasig City.
A
»
Emma C. Ong
v
Head of Facility
