Sample Manulife Proposal

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Proposal designed for:

HORIZONS Insured: MR. Jose Rustom Roque


Owner: MR. Jose Rustom Roque

Why you made the right choice with MANULIFE HORIZONS


Enjoy peace of mind with double protection coverage for your family.
Build your funds faster by making extra investments anytime through top-ups.
Withdraw money easily from your fund anytime a need arises.
Enhance your protection coverage through additional benefits depending on your specific needs.

How much you’ll invest (in PHP) How much you may get (in PHP)
Yearly investment1 Total investment2 Living benefit3 Death benefit
Basic plan 23,370 233,700 After 10 years: 225,277 600,000
Total investment 23,370 233,700 At age 65: 286,827 600,000
At age 75: 561,473 600,000

Invest for a minimum of 10 years.2 Assuming your funds will grow by 8% a year.

Your policy details


Insured: Mr. Jose Rustom Roque • This is your proposal also known as the sales illustration. Please read it carefully
Age: 51 Gender: Male and review all details before signing it.
Owner: Mr. Jose Rustom Roque • You have 15 days to look at your policy contract from the time you receive it. If
you decide it is not suitable for your needs, you can return it and we will give you
Age: 51 Gender: Male the refund value.
Currency: Philippine Peso Face Amount: 300,000
• Your death benefit is the higher of 200% of your face amount, plus 125% of all
Your Your top-ups, less 125% of all partial withdrawals or your account value. It will not be
benefit premium less than 500% of the basic premium, plus 125% of top-ups less 125% of
Basic Plan withdrawals.
Manulife Horizons4 600,000 23,370.00 • AS THE OWNER, YOU SHALL BEAR ALL THE INVESTMENT RISKS
(10-Pay1, Type 2 Level Face) UNDER THIS POLICY.
Additional benefits (riders)
Accidental Death Benefit 600,000 896.28
Enhanced Critical Illness Rider 300,000 15,537.00 1We will invest your basic premiums and extra investments in your funds.
Total Disability Waiver Included 2,511.59 Policy charges may apply. Rider premiums are not invested in your funds.
2The minimum paying period of 10 years is not guaranteed. You may still
Total annual premium 42,314.87
be asked to pay premiums to continue your policy.
3Your living benefit is the value of your investments in your funds. We call
Other installment options are also available: this your account value. How your funds will perform is not guaranteed,
Semi-annual 21,681.53 therefore the values are not guaranteed.
4The benefit amount shown is your initial death benefit. It may be higher
Quarterly 11,102.83
or lower as explained above in the notes about your death benefit.
Monthly 3,747.53

Account value is the value of your investment in your funds. Riders are extra benefits you can buy on top of your basic plan.
Basic premiums are the amounts you will pay for your basic plan’s benefit. • Accidental Death Benefit covers you in case of death due to an accident.
Fund refers to any of the funds we are offering. Please read About our funds for
more information. • Critical Illness Rider gives you a lump sum benefit if diagnosed with any of 60
covered illnesses.
Refund value is the sum of the Account Value, the policy charges and your rider
premiums. • Hospital Income Benefit gives you daily allowances for a stay in the hospital.
Extra Investments are additional amounts you can put in your fund on top of your • MacciMax Plan gives you benefits in case of accident-related incidents.
basic premium. • Term Rider gives you extra death benefit on top of basic plan.
• Recurring top-ups are your regular extra investments you can pay together • Total Disability Waiver exempts you from paying premiums when you become
with the basic premium. disabled.
• Lump sum top-ups are extra investments you can pay anytime. Rider premiums are the amounts you will pay for additional benefits.

Page 1 of 7
AJ7SF2201T38UK4 Your proposal was prepared on 29 January, 2020 and is valid until 28 February, 2020. Ver. Ph2020.3.66.004.0117
AG346744ACUO621P-01 This is valid only if all pages are included. UH210B - PACK
Proposal designed for:
HORIZONS Insured: MR. Jose Rustom Roque
Owner: MR. Jose Rustom Roque

Your benefits illustrated

Basic LIVING BENEFIT FULL WITHDRAWAL VALUE DEATH BENEFIT


Year Age Premiums
4% 8% 10% 4% 8% 10% 4% 8% 10%
1 52 23,370 2,722 2,908 3,002 272 291 300 600,000 600,000 600,000
2 53 23,370 5,380 5,874 6,127 1,076 1,175 1,225 600,000 600,000 600,000
3 54 23,370 25,075 26,664 27,481 6,269 6,666 6,870 600,000 600,000 600,000
4 55 23,370 45,469 49,039 50,897 45,469 49,039 50,897 600,000 600,000 600,000
5 56 23,370 66,590 73,133 76,593 66,590 73,133 76,593 600,000 600,000 600,000
6 57 23,370 88,466 99,092 104,814 88,466 99,092 104,814 600,000 600,000 600,000
7 58 23,370 111,130 127,085 135,837 111,130 127,085 135,837 600,000 600,000 600,000
8 59 23,370 134,621 157,299 169,981 134,621 157,299 169,981 600,000 600,000 600,000
9 60 23,370 158,986 189,948 207,609 158,986 189,948 207,609 600,000 600,000 600,000
10 61 23,370 184,278 225,277 249,138 184,278 225,277 249,138 600,000 600,000 600,000
11 62 - 187,014 239,091 270,113 187,014 239,091 270,113 600,000 600,000 600,000
12 63 - 189,563 253,887 293,176 189,563 253,887 293,176 600,000 600,000 600,000
13 64 - 191,898 269,762 318,587 191,898 269,762 318,587 600,000 600,000 600,000
14 65 - 193,992 286,827 346,642 193,992 286,827 346,642 600,000 600,000 600,000
15 66 - 195,816 305,213 377,687 195,816 305,213 377,687 600,000 600,000 600,000
16 67 - 197,340 325,065 412,116 197,340 325,065 412,116 600,000 600,000 600,000
17 68 - 198,524 346,550 450,385 198,524 346,550 450,385 600,000 600,000 600,000
18 69 - 199,308 369,846 493,017 199,308 369,846 493,017 600,000 600,000 600,000
19 70 - 199,600 395,148 540,619 199,600 395,148 540,619 600,000 600,000 600,000
20 71 - 199,275 422,681 593,913 199,275 422,681 593,913 600,000 600,000 600,000
21 72 - 198,172 452,710 653,289 198,172 452,710 653,289 600,000 600,000 653,289
22 73 - 196,092 485,560 718,618 196,092 485,560 718,618 600,000 600,000 718,618
23 74 - 192,785 521,641 790,480 192,785 521,641 790,480 600,000 600,000 790,480
24 75 - 187,948 561,473 869,528 187,948 561,473 869,528 600,000 600,000 869,528
25 76 - 181,033 605,713 956,480 181,033 605,713 956,480 600,000 605,713 956,480
26 77 - 171,533 654,170 1,052,129 171,533 654,170 1,052,129 600,000 654,170 1,052,129
27 78 - 158,823 706,504 1,157,341 158,823 706,504 1,157,341 600,000 706,504 1,157,341
28 79 - 142,174 763,024 1,273,076 142,174 763,024 1,273,076 600,000 763,024 1,273,076
29 80 - 120,729 824,066 1,400,383 120,729 824,066 1,400,383 600,000 824,066 1,400,383
30 81 - 93,454 889,992 1,540,421 93,454 889,992 1,540,421 600,000 889,992 1,540,421
31 82 - 59,084 961,191 1,694,463 59,084 961,191 1,694,463 600,000 961,191 1,694,463
32 83 - 16,050 1,038,086 1,863,910 16,050 1,038,086 1,863,910 600,000 1,038,086 1,863,910
33 84 - - 1,121,133 2,050,301 - 1,121,133 2,050,301 - 1,121,133 2,050,301
34 85 - - 1,210,824 2,255,331 - 1,210,824 2,255,331 - 1,210,824 2,255,331
35 86 - - 1,307,690 2,480,864 - 1,307,690 2,480,864 - 1,307,690 2,480,864
36 87 - - 1,412,305 2,728,950 - 1,412,305 2,728,950 - 1,412,305 2,728,950
37 88 - - 1,525,289 3,001,845 - 1,525,289 3,001,845 - 1,525,289 3,001,845
38 89 - - 1,647,313 3,302,030 - 1,647,313 3,302,030 - 1,647,313 3,302,030
39 90 - - 1,779,098 3,632,233 - 1,779,098 3,632,233 - 1,779,098 3,632,233
40 91 - - 1,921,425 3,995,456 - 1,921,425 3,995,456 - 1,921,425 3,995,456
41 92 - - 2,075,139 4,395,002 - 2,075,139 4,395,002 - 2,075,139 4,395,002
42 93 - - 2,241,150 4,834,502 - 2,241,150 4,834,502 - 2,241,150 4,834,502
43 94 - - 2,420,443 5,317,952 - 2,420,443 5,317,952 - 2,420,443 5,317,952
44 95 - - 2,614,078 5,849,748 - 2,614,078 5,849,748 - 2,614,078 5,849,748
45 96 - - 2,823,204 6,434,722 - 2,823,204 6,434,722 - 2,823,204 6,434,722
46 97 - - 3,049,060 7,078,194 - 3,049,060 7,078,194 - 3,049,060 7,078,194
47 98 - - 3,292,985 7,786,014 - 3,292,985 7,786,014 - 3,292,985 7,786,014
48 99 - - 3,556,424 8,564,615 - 3,556,424 8,564,615 - 3,556,424 8,564,615

• Your benefits illustrated above are estimates based on different assumptions as to how your funds will perform. The scenarios above assume that
your funds will earn 4%, 8% and 10% a year. These rates are for illustration only, they do not represent actual performance and they are not the
limits on your fund returns. Actual returns may be lower or higher and the value could be less than how much you paid. How the funds will
perform is not guaranteed, so the values are also not guaranteed. Please read Important Reminders section for more
information.
• The full withdrawal values are already after withdrawal charges have been deducted.

Page 2 of 7
AJ7SF2201T38UK4 Your proposal was prepared on 29 January, 2020 and is valid until 28 February, 2020. Ver. Ph2020.3.66.004.0117
AG346744ACUO621P-01 This is valid only if all pages are included. UH210B - PACK
Proposal designed for:
HORIZONS Insured: MR. Jose Rustom Roque
Owner: MR. Jose Rustom Roque

Your additional benefits (riders)


These are your additional benefits called riders that you bought together with this policy. When your policy ends, these benefits will also end.
Benefit Premium
Accidental Death Benefit
We will give this additional benefit when the insured dies due to accident. 600,000 896.28
Total Disability Waiver
You will no longer need to pay your premiums if the insured becomes totally disabled. You Included 2,511.59
may use this benefit only if disability happens before age 60 and it lasts for at least six
months. If it happens between ages 60 and 65, we will waive your premiums but up to age 65
only.
Enhanced Critical Illness*
We will pay a lump sum amount if the insured is diagnosed with any of the given 60 critical 300,000 15,537.00
illnesses subject to the definitions in the policy contract.

List of covered critical illnesses:

Diseases of the Circulatory System Diseases of the Excretory System Forms of Disability
1. Myocardial Infarction 26. Kidney Failure 45. Paralysis
2. Coronary Artery Bypass Surgery 27. Medullary Cystic Disease 46. Blindness
3. Heart Valve Replacement 47. Loss of Limbs
4. Surgery to Aorta 48. Loss of Hearing
Diseases of the Muscular System
5. Cardiomyopathy 49. Loss of Speech
28. Muscular Dystrophy
6. Other Serious Coronary Artery Disease 50. Total and Permanent Disability
29. Progressive Bulbar Palsy
7. Primary Pulmonary Arterial Hypertension 51. Amputation due to Complication from
30. Progressive Muscular Atrophy Diabetes
8. Severe Infective Endocarditis
31. Hemolytic Streptococcal Gangrene
9. Eisenmenger’s Syndrome
Disease of the Respiratory System
Hematology-Related Disease 52. End-Stage Lung Disease
Diseases of the Nervous System
32. Aplastic Anemia
10. Stroke
11. Benign Brain Tumor Diseases of the Digestive System
12. Multiple Sclerosis Specific Diseases 53. Chronic Liver Disease
13. Amyotrophic Lateral Sclerosis 33. Cancer 54. Chronic Relapsing Pancreatitis
14. Parkinson's Disease 34. Major Organ Transplantation 55. Crohn's Disease
15. Poliomyelitis 35. Coma 56. Fulminant Hepatitis
16. Encephalitis 36. Terminal Illness 57. Severe Ulcerative Colitis
17. Alzheimer's Disease 37. Major Burns
18. Apallic Syndrome 38. Occupationally Acquired HIV
19. Brain Surgery 39. Necrotizing Fasciitis Collagen Diseases
20. Creutzfeldt-Jacob Disease (CJD) 40. Pheochromocytoma 58. Severe Rheumatoid Arthritis
21. Major Head Trauma 41. Elephantiasis 59. Systemic Lupus Erythematosus
22. Myasthenia Gravis 42. Loss of Independent Existence 60. Progressive Scleroderma
23. Progressive Supranuclear Palsy 43. Addison’s Disease
24. Bacterial Meningitis 44. HIV due to Blood Transfusion
25. Surgery for Idiopathic Scoliosis

*Exclusions and limitations based on pre-existing conditions may apply. You have 15 days to look at this rider from the time you receive it. If you decide
it is not suitable for your needs, you can return it and we will do a refund. You may refer to your rider contract for more details.
Page 3 of 7
AJ7SF2201T38UK4 Your proposal was prepared on 29 January, 2020 and is valid until 28 February, 2020. Ver. Ph2020.3.66.004.0117
AG346744ACUO621P-01 This is valid only if all pages are included. UH210B - PACK
Proposal designed for:
HORIZONS Insured: MR. Jose Rustom Roque
Owner: MR. Jose Rustom Roque

Your guaranteed rider cash values


If you decide to end your policy, you can receive these amounts from your riders. The values shown below are for the riders you bought with
cash value feature.
Year Age Accidental Death Benefit Enhanced Critical Illness Rider Total
1 52 - - -
2 53 - 1,500.00 1,500.00
3 54 600.00 7,200.00 7,800.00
4 55 600.00 14,700.00 15,300.00
5 56 1,200.00 22,200.00 23,400.00
6 57 1,200.00 29,700.00 30,900.00
7 58 1,800.00 36,000.00 37,800.00
8 59 1,800.00 42,600.00 44,400.00
9 60 2,400.00 49,200.00 51,600.00
10 61 2,400.00 56,400.00 58,800.00
11 62 2,400.00 55,500.00 57,900.00
12 63 2,400.00 54,300.00 56,700.00
13 64 1,800.00 52,800.00 54,600.00
14 65 1,800.00 50,700.00 52,500.00
15 66 1,800.00 48,600.00 50,400.00
16 67 1,200.00 45,900.00 47,100.00
17 68 1,200.00 42,900.00 44,100.00
18 69 600.00 39,600.00 40,200.00
19 70 - 35,700.00 35,700.00
20 71 - 30,600.00 30,600.00

• Your riders will end once the insured reaches the following ages:
Accidental Death Benefit Rider age 70
Enhanced Critical Illness Rider age 75

Page 4 of 7
AJ7SF2201T38UK4 Your proposal was prepared on 29 January, 2020 and is valid until 28 February, 2020. Ver. Ph2020.3.66.004.0117
AG346744ACUO621P-01 This is valid only if all pages are included. UH210B - PACK
Proposal designed for:
HORIZONS Insured: MR. Jose Rustom Roque
Owner: MR. Jose Rustom Roque

About our funds

Fund Your
Objectives of the fund management fund
charge allocation
Peso Secure Fund
The Peso Secure Fund is designed to achieve stable and long-term growth by investing in government securities, high-quality corporate debt 1.75% 0%
securities and/or in pooled fund/s that invest in these securities and other liquid fixed income instruments.
Peso Diversified Value Fund
The Peso Diversified Value Fund is designed to achieve a stable and long-term capital growth by investing in government securities, high-quality 2.00% 0%
corporate debt securities, stocks listed on the Philippine Stock Exchange and/or pooled fund/s that invest in these securities and other liquid fixed
income instruments.
Peso Dynamic Allocation Fund
The Peso Dynamic Allocation Fund is designed to achieve long-term capital growth by investing in diversified portfolios of local currency 2.25% 0%
denominated fixed income securities and securities listed on the Philippine Stock Exchange and/or pooled funds that invest in these securities and
other liquid fixed income instruments.
Peso Wealth Optimizer Funds
The Peso Wealth Optimizer Funds seek to maximize long-term capital growth while managing the risk of capital erosion as the specific target dates
approaches through a dynamic rebalancing of exposure to diversified portfolios of peso-denominated fixed income securities and securities listed on
the Philippine Stock Exchange and/or pooled funds that invest in these securities and other liquid fixed income instruments.
Peso Wealth Optimizer 2026 Fund 2.25% 0%
Peso Wealth Optimizer 2031 Fund 2.25% 0%
Peso Wealth Optimizer 2036 Fund 2.25% 0%
Peso Growth Fund
The Peso Growth Fund is designed to achieve long-term capital appreciation by investing in stocks listed on the Philippine Stock Exchange, 2.25% 100%
government securities and/or in pooled fund/s that invest in these securities and other liquid instruments.
Peso Powerhouse Fund
The Peso Powerhouse Fund is designed to achieve long-term capital appreciation by investing in a concentrated portfolio of companies with 2.00% 0%
significant economic exposure to or derive a significant portion of earnings from the Philippines. The Fund may also invest in pooled funds that invest
in similar securities and other liquid fixed income instruments.
Peso Emperor Fund
The Peso Emperor Fund aims to achieve long-term capital appreciation by investing in equity or equity-linked securities of a diversified portfolio of 2.00% 0%
Philippine-listed companies with bias towards companies with Filipino-Chinese heritage and emerging potential to become market leaders. The Fund
may also invest in pooled funds that invest in similar securities and other liquid fixed income instruments.
Peso Cash Fund (for fund switching only) 0.50% N/A
The Peso Cash Fund aims to deliver returns with low volatility through investments in cash-like instruments.

How our funds performed


Peso
Peso Peso Target Peso Wealth Peso Wealth Peso Wealth Peso
Peso Secure Dynamic Peso Growth Powerhouse PesoFund
Emperor
Diversified Distribution Optimizer Optimizer Optimizer
Fund Allocation Fund
Value Fund Fund** Fund 2026 Fund 2031 Fund 2036 Fund
Fund
Inception Date April 14, 2009 April 14, 2009 July 1, 2013 April 14, 2009 April 7, 2014 June 6, 2016 June 6, 2016 June 6, 2016 January 16, 2017 August 13, 2018
2009 *0.90% *8.70% N.A. *33.80% N.A. N.A. N.A. N.A. N.A. N.A.
2010 12.69% 18.03% N.A. 39.39% N.A. N.A. N.A. N.A. N.A. N.A.
2011 13.19% 9.51% N.A. 2.47% N.A. N.A. N.A. N.A. N.A. N.A.
2012 7.38% 12.17% N.A. 36.26% N.A. N.A. N.A. N.A. N.A. N.A.
2013 12.16% 8.57% *-4.80% 1.73% N.A. N.A. N.A. N.A. N.A. N.A.
2014 2.74% 5.93% 11.53% 21.40% *0.70% N.A. N.A. N.A. N.A. N.A.
2015 -2.16% -2.99% -4.89% -6.12% -4.50% N.A. N.A. N.A. N.A. N.A.
2016 0.39% -0.29% -2.17% -2.28% -3.64% *-8.10% *-8.70% *-8.80% N.A. N.A.
2017 -0.58% 4.76% 12.42% 24.45% 5.00% 18.28% 22.12% 22.59% *17.10% N.A.
2018 -3.64% -6.07% -10.06% -13.72% -5.83% -11.41% -13.00% -13.15% -12.38% *-2.40%
Return Since 47.95% 71.70% 0.10% 223.19% -4.07% -3.70% -3.00% -2.90% 2.60% -2.40%
Inception

* Fund performance is from inception date until December 31 of the launch year.
** Net of monthly payouts
• The Investment Funds ("Funds") mentioned in this document are specific to variable life insurance contracts and are not considered mutual funds.
• Yields depend on interest and foreign exchange rate levels, both of which may fluctuate. Other factors that affect yield include changes in the credit standing of the issuers and changes in the value of the stocks and dividends
received. Further, investments of the Funds may provide that their values be determined based on prices or yields of other securities, instruments or foreign currencies, and such provisions may result in negative fluctuations in the
value of these instruments and, in turn, the Funds' yields. Thus, the performance of the separate account(s) is not guaranteed and the value of the policy could be less than the capital invested subject to any specified minimum
guarantees.
• AS THE OWNER, YOU SHALL BEAR ALL THE INVESTMENT RISKS UNDER THIS POLICY.
• Past performance of the Funds is not necessarily indicative of future performance. Yields are not guaranteed. Yields indicated are exclusive of charges associated with the variable life policy.
• The Unit Price of a particular Fund is computed by dividing the Net Asset Value of the Fund by the number of outstanding units of the Fund on the Valuation Date. The frequency of valuation is daily.
• Unit Prices of the Funds are published weekly in major newspapers.
Certified true and correct:

Katerina Suarez
Senior Vice President and Chief Financial Officer Page 5 of 7
AJ7SF2201T38UK4 Your proposal was prepared on 29 January, 2020 and is valid until 28 February, 2020. Ver. Ph2020.3.66.004.0117
AG346744ACUO621P-01 This is valid only if all pages are included. UH210B - PACK
Proposal designed for:
HORIZONS Insured: MR. Jose Rustom Roque
Owner: MR. Jose Rustom Roque

Important reminders

1. Your payments and benefits are in Philippine pesos.


2. Only basic premiums and top-up premiums are invested into your funds. Rider premiums are not invested.
3. Your living benefit is your account value.
4. Your death benefit (Type 2 Level Face) is higher of 200% of your face amount, plus 125% of all top-ups, less 125% of all partial
withdrawals or your account value. It will not be less than 500% of the basic premium, plus 125% of all top-up premiums paid, less 125%
of all withdrawals.
5. The value on Your benefits illustrated and Customize your benefits sections assume that:
a) All premiums, top-ups and withdrawals are made at the beginning of the year;
b) All premiums and top-ups are fully paid on time, and there were no premium holidays except for the amount shown under
Customize your benefits section;
c) You did not withdraw any other amount except for the amount shown under Customize your benefits section;
d) Your full withdrawal value is your living benefit less applicable withdrawal charges;
e) Your partial withdrawal values are taken out of the living benefits under Customize your benefits section. However,
withdrawal charges may apply and these are not yet reflected in the values shown.
6. Contract debt period: If your account value is not enough to pay for the monthly deductions during the first five years, we will delay
collecting them until your account value is enough. Your policy will not end and we will still pay the death benefit if the insured dies. This
will not apply if you miss paying your basic or rider premium, or if your total withdrawals are more than your total extra investments.
7. Premium holiday: You can choose to delay paying your premiums as long as your living benefit is enough to cover the monthly
deductions and rider premiums. However, your living and death benefits may be lower as a result and your policy may end earlier than
when you pay your premiums on time.
8. It is important that you understand the contents of this proposal, as it will become part of your policy once we have approved your
application.
9. We have tried our best to make sure this proposal is accurate; however there may still be mistakes and missing information.
10. Please read carefully your policy contract for the complete terms and conditions. We will apply the terms of your policy contract if there
are differences against your proposal.

The charges on your policy

• We will deduct premium charges out of your basic premiums • We will deduct fund management charges from your funds
and top-ups before we invest them. These are 70% of each basic as shown in About our funds. The fund returns we assumed in
premium for the first two years, and 4% of each top-ups. this illustration are already after these charges have been
• There are monthly deductions from your account value, which deducted.
are: • We will deduct withdrawal charges from the amount you will
receive should you withdraw from your funds during the first three
- the policy fee of PHP 83.33 per month for the first 10 years. These are 90% in the first year, 80% in the second year and
years. 75% in the third year. There are no withdrawal charges if you
- the cost of insurance which starts at PHP 5.84 for each withdraw from funds paid by your top-ups.
thousand of amount at risk (or PHP 288.45 per month) for the • We may change or add new charges as long as the Insurance
first month and increases with age but will not be higher than Commission approves them.
PHP 1,000 for each thousand of amount at risk.

Page 6 of 7
AJ7SF2201T38UK4 Your proposal was prepared on 29 January, 2020 and is valid until 28 February, 2020. Ver. Ph2020.3.66.004.0117
AG346744ACUO621P-01 This is valid only if all pages are included. UH210B - PACK
Proposal designed for:
HORIZONS Insured: MR. Jose Rustom Roque
Owner: MR. Jose Rustom Roque

Acknowledgement of variability
I acknowledge that:
I have applied with The Manufacturers Life Insurance Co. (Phils.), Inc. for a variable life insurance policy, and have looked at the tables
of this proposal that show how the policy performs using the company's assumptions and based on the Insurance Commission's
guidelines on interest rates.
I understand that since the fund performance may vary, the values of my units are not guaranteed. It will depend on the actual
performance and the value of my policy could be less than how much I paid. The unit values of my policy are regularly published.
I understand that the recommended minimum payment period of 10 years may not be enough to continue my policy and I may need to
pay more premiums if the account value is not enough to pay the policy charges.
I understand that I shall bear all the investment risks under this policy.

Acknowledgement of understanding
I have read and understood the information in this proposal. My financial adviser has explained:
• the features of the policy;
• the non-guaranteed parts of the policy;
• the way the benefits will depend on how my funds will perform;
• the available funds and the risks related to them;
• the guarantees on the minimum death benefit and maximum charges; and
• that my policy will end once my funds are no longer enough to pay for my monthly deduction, except during contract debt
period.
I also understand that this proposal is valid only until 28 February, 2020 and that any changes will make this proposal invalid.

#OWNER_SIGNATURE #OWNER_SIGNDATE
Jose Rustom Roque Date
Policy Owner

Agent’s confirmation
I have presented this proposal without making any changes. I have explained that the values are not guaranteed and may change. I did
not make any statement that is not consistent with the proposal.

#AGENT_SIGNATURE #AGENT_SIGNDATE
BANAL,VERGEL,ROQUE (346744) Date
Financial Adviser

Premium Components Extra Ratings


Permanent Temporary Temporary Permanent
Flat Flat Flat %
Annual Semi-Annual Quarterly Monthly Duration
Basic + Rider 42,314.87 21,681.53 11,102.83 3,747.53 HORIZONS std
ADB std
Recurring TU 0.00 0.00 0.00 0.00 CI60 std
Total 42,314.87 21,681.53 11,102.83 3,747.53 TDW std

Rider premiums may included adjustments for extra risk we are covering.

Page 7 of 7
AJ7SF2201T38UK4 Your proposal was prepared on 29 January, 2020 and is valid until 28 February, 2020. Ver. Ph2020.3.66.004.0117
AG346744ACUO621P-01 This is valid only if all pages are included. UH210B - PACK

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