Amendment of Application oun Life Financial In this form, ou and your refer tothe person being insured and the applicant or the planholder who is named inthe aplication asthe buyer bfthe pre-need plan, whicheveris applicable, while we, us, our and the Company refer o Sun Life of Canada (Philippines) Inc. or Sun Life Finandal Plans Inc Both are members of the Sun Life Fnancal group of companies PRINT clearly. Use BLACK ink. Thisisin connection wth the application for (check appropiate box): New Busnes Applian /Reinstatamat, Policy Chane, Conversion Gro Anptietion CO PreNoed eee THe ae Po Cae are MEN) — = INFANTE , SAMVEL CALISON TaN Tea Fora Co) . 0817222780 *TeONARD B- ELLAMIL or The application for this policy/preneed plan is hereby amended or corrected as indicated below A copy ofthis Amendment of Application the onginal of which (signed ifan Amendment) iso be retained by the Company shall be attached to and shall apply any policy/plan issued thereon THE REASO | AM TAKING IN FOO CuPPLEMENTS IS BECAEE (TUS MY PaRT TIME BUSINESS. | HAVE TD TRY THE PRODWTE MYSELF. | AM 0M A DIET TO fQMATE WITH MY FOOD SUPPLEMENT DIET REQUIRE MENT: tion includes a waiver of premium benefit, made from the time the application for the life insurance coverage was completed to the date of signing of this Amendment of Application form cemain tue and correct. ‘You hereby agree that this declaration as to your insurability and the above amendments will form part of the application, Place of Signing et ee ‘Date of Signing (dey/mont year) 13 [og |21 SANT TS x rs oe SS INFANTE, CAMMEL CALIS #0) (ema a eeu me Lee DD ‘Acceptance of the policy/plan by the applicant/planholder, constitutes a ratification of these corrections which form part ofthe application, ] | | J onomos UTI MATH 00H E0000