Freedom of Information Request Form


You are required to supply name and address for correspondence, include two (2) scanned copy/photocopy of government-issued ID as a proof of identification.
Additional contact details will help us deal with your application and correspond with you in the manner you prefer.
Please fill up this online form with the relevant details and press the submit when done or you may download, print and send the FOI form via:

 

Mail Email

Office of Chief Administrator
Bicol Medical Center

BMC Road, Concepcion Pequeña, Naga City, 4400

bmc.nagacity@gmail.com

 

A. REQUESTING PARTY

If your request is successful, we will be sending the documents to you in this manner.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png.

 

B. REQUESTED INFORMATION

 

C. DECLARATION

Privacy Notice

Once deemed valid, your information from your application will be used by Bicol Medical Center to deal with your request as set out in the Freedom of Information Executive Order No. 2.

I declare that:
  -  The information provided in the form is complete and correct
  -  I read the Privacy Notice;
  -  I have presented at least one (1) government-issued ID to establish proof of my identity