BAVIERA ERIC VON D Policy No.

: 3105174993
15B ONE PACIFIC PLACE Date: March 20, 2018
HV DELA COSTA ST SALCEDO Insured: BAVIERA ERIC VON D
VLG MAKATI CITY PolicyOwner: BAVIERA ERIC VON D
METRO MANILA 1227

C E R T I F I C A T I O N

This is to certify that BAVIERA ERIC VON D is a policyholder of AXA Philippines under policy no.
3105174993. The details are as follows:

Policy Number: 3105174993

Effective Date: March 17, 2016
Plan: Sum Insured / Amount: Status:
FlexiProtect Business PHP 3858750.00 IN-FORCE
Mode of Payment and Premium: ANNUAL / PHP 51,716.43
Outstanding Loan: NONE

Issued this 20th of March, 2018 at Makati City.

Reference No. 23543-0320234101

This Certificate is electronically generated and has been issued by AXA Philippines on the date indicated in this document.
This document may contain confidential information intended solely for the use of the named policyholder. If you are not the
policyholder, you should not read, use, disclose or reproduce the content of this Certificate. If you have received this document by
mistake, please notify AXA Philippines immediately.

AXA Philippines
34th Floor GT Tower International, 6813 Ayala Ave. cor. H.V. Dela Costa St., Makati City, Philippines 1227 • Trunkline: +63 2 885 0101
• Customer Service Hotline: +63 2 5815 292(AXA)/ +63 2 3231 291(AXA) • www.axa.com.ph • facebook.com/axa.philippines
This application was created using the trial version of the XtraReports.