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Jimenez, Nenita (Main Applicant) IMM1295 Application For Work Permit Made Outside of Canada (2019-06) (Revision 3)
Jimenez, Nenita (Main Applicant) IMM1295 Application For Work Permit Made Outside of Canada (2019-06) (Revision 3)
Head Office: 10th Floor NEX Tower, 6786 Ayala Avenue, Makati City, 1229, Philippines
Customer Care: (02) 884-7000
Withdrawal/Surrender
Domestic Toll-Free: 1-800-1-888-6268
Website: www.manulife.com.ph
Email:phcustomercare@manulife.com
Form
General Information
Policy No. Name of Policyowner (Last, First, Middle)
Email Address Mobile Number (Country Code, Area Code, Telephone Number)
Details of Withdrawal
Withdrawal from Dividends: Amount in Words:
Full Withdrawal
Partial Withdrawal Amount in Figures:
Release Instructions
Pay for policy number: ________________________________________ Currency Account Name:
Premium Loan Both Peso (Php)
Dollar (USD) Account Number:
Deposit to my account: * Please make sure that your bank account details are updated and accurate
to avoid unnecessary delay in funds disbursement.
Bank: BPI China Bank Others
* Charges may apply for other banks.
BDO UnionBank ______________
_