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Endorsement

Beneficiary Update

This Endorsement will form part of your Policy Contract if it is indicated in the Policy Details Page as one of
the attachments.

Endorsement Issue Date Effective Date of Change


February 10, 2024 February 10, 2024

Policy Number Product Name


RP-0103153360 Cash for Income Loss (Accidents)

Policy Owner Insured


JUAN PAOLO NOT SUPPLIED SORIANO JUAN PAOLO NOT SUPPLIED SORIANO

This confirms that the requested changes regarding JUAN PAOLO NOT SUPPLIED SORIANO’s Beneficiary/ies
for your Cash for Income Loss (Accidents) policy has been applied and is effective on February 10, 2024.

The changes are as follows:

From
Old Beneficiary Details
Beneficiary (1/3)

First Name Middle Name Last Name


ROWENA ROMERO SORIANO
Date of Birth Relationship to Insured
July 1, 1965 Parent
Mobile Number Email Address
Not Provided Not Provided
Beneficiary Type Beneficiary Designation % Share
Primary Revocable Share equally to existing or
named beneficiaries, if any
Beneficiary (2/3)

First Name Middle Name Last Name


JUVENA SORIANO GASPAY
Date of Birth Relationship to Insured
July 2, 1983 Sibling
Mobile Number Email Address
Not Provided Not Provided
Beneficiary Type Beneficiary Designation % Share
Primary Revocable Share equally to existing or
named beneficiaries, if any

Singlife Philippines Inc. Beneficiary Update


12F Four/NEO, 30th St. Corner 4th Ave.
Bonifacio Global City, Taguig 1634 Form No. GCAccEBnU.21v1
singlife.com.ph Page 01
Endorsement
Beneficiary Update Policy Number: RP-0103153360

Beneficiary (3/3)

First Name Middle Name Last Name


MEL RAQUEL NOT SUPPLIED SORIANO
Date of Birth Relationship to Insured
November 10, 1993 Life Partner
Mobile Number Email Address
+639238972214 keiko070910@gmail.com
Beneficiary Type Beneficiary Designation % Share
Primary Revocable Share equally to existing or
named beneficiaries, if any

Singlife Philippines Inc. Beneficiary Update


12F Four/NEO, 30th St. Corner 4th Ave.
Bonifacio Global City, Taguig 1634 Page 02 Form No. GCAccEBnU.21v1
singlife.com.ph
Endorsement
Beneficiary Update Policy Number: RP-0103153360

To

New Beneficiary Details

Beneficiary (1/3)

First Name Middle Name Last Name


ROWENA ROMERO SORIANO
Date of Birth Relationship to Insured
July 1, 1965 Parent
Mobile Number Email Address
Not Provided Not Provided
Beneficiary Type Beneficiary Designation % Share
Primary Revocable Share equally to existing or
named beneficiaries, if any

Beneficiary (2/3)

First Name Middle Name Last Name


JUVENA SORIANO GASPAY
Date of Birth Relationship to Insured
July 2, 1983 Sibling
Mobile Number Email Address
Not Provided Not Provided
Beneficiary Type Beneficiary Designation % Share
Primary Revocable Share equally to existing or
named beneficiaries, if any

Beneficiary (3/3)

First Name Middle Name Last Name


MEL RAQUEL SAPINOSA SORIANO
Date of Birth Relationship to Insured
November 10, 1993 Life Partner
Mobile Number Email Address
+639238972214 keiko070910@gmail.com
Beneficiary Type Beneficiary Designation % Share
Primary Revocable Share equally to existing or
named beneficiaries, if any

Singlife Philippines Inc. Beneficiary Update


12F Four/NEO, 30th St. Corner 4th Ave.
Bonifacio Global City, Taguig 1634 Page 03 Form No. GCAccEBnU.21v1
singlife.com.ph
Endorsement
Beneficiary Update Policy Number: RP-0103153360

In the event of any inconsistencies between the provisions of this Endorsement and the Policy Contract, the
provisions of this Endorsement will prevail.

Rien Hermans
President & CEO

Singlife Philippines Inc. Beneficiary Update


12F Four/NEO, 30th St. Corner 4th Ave.
Bonifacio Global City, Taguig 1634 Page 04 Form No. GCAccEBnU.21v1
singlife.com.ph

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