@ UNDERTAKING Wunderstand to the best of my knowledge and belief that | must ablde by the Rules and Meguiations set by the Insurance institute for Asia and the Pactfec (IIAP) for ths online examination. Fae abo aware that any violation of the said Rules and Regulations will be subjected to penalties that may result in my disqualification from taking the said online exam. likewise agree that the decision of MAP is Final and eneeutcry. | affix my signature én conformity Of the abeve Undertaking thi: J day of toto __ZAcyO —Pilippines,A Insurance Institute for Asia and the Pacific, ine. | emia tg coe ph FORM 0930 APPLICATION FOR ADMISSION Thin section shoul be Rbat-coal by Acpecant SEMINAR TITLE LIFE INSURANCE AGENTS COURSE | Fee ee tener ee (Fest Meena Tiiache Marne paranoia BAvAONA | Tite ere Se aaa Seen Sa |e ee Tasman tgvinal do, | fg aD | [So TF eer reese] 25h ano, rode etree Mami (wise) moped Type et school | Name ard Location af Scho Neate | Og rin Semoot—_ | ssuM PrN ACADEMY - Ificdo ora | Coaege =: | Ueiveraiy VERSITY of edeu OD GRAD: fl 3 oe 8 Woke Expariena I a =. Se EE hf). This section is reserved for Life Insurance Co. Personnel Only Date of Seminar Certification This is to ‘that * Surname First Marne Weddle Nace ‘Has undergone t an actual taining with scene nems ore :