Date: ____________________

To: Philam Life

Letter of Authorization

I am authorizing the Gonzales Associates Agency Secretary, Ms. Janelle Andrea

Ignacio, to submit on my behalf the following indicated documents:
1. Policy Detail Amendment Form
2. Data Privacy and FATCA Forms
3. Valid ID with 3 Specimen Signatures
4. Authorization Letter

Thank you and have a good day!

Sincerely,

_______________________________
Signature over Printed Name of Client