AOAU.05.

07 0807631710P4488580
Alteration of Application
Please PRINT clearly.
Use BLACK ink.
1 General Information
2 Amendments
4 Corrections (for Head Office use only)
3 Signatures
Signature of Witness Printed Name
X
Signature of Life to be insured (if other than the applicant) Printed Name
X
Place of Signing Date of signing (day/month/year)
Signature of Applicant Printed Name
X
By signing below you agree that the above amendments form part of the application.
Acceptance of the policy by the applicant, constitutes a ratification of these corrections which form part of
the application.
The application for the above numbered policy is hereby amended or corrected as indicated below. A copy
of this Alteration of Application, the original of which (signed if an Amendment) is to be retained by the
Company, shall be attached to and shall apply to any policy issued thereon.
Life to be insured (LastName, FirstName, MiddleName)
Client No. Policy No.
In this form, you and your refer to the person being insured and the applicant, while we, us, our and the
Company refer to Sun Life of Canada (Philippines), Inc., a member of Sun Life Financial group of
companies.
PlPlease submit in 2 copies
0807631710
LAUS, BRIGETTE KAY YABUT
3003607892