The Manufacturers Life Insurance, Co.(Phils.) Inc.

Head Office:10th flr. NEX tower, 6786 Ayala Ave.

Customer Care: +632 8884-7000
Official Receipt No.
Domestic Toll-Free: 1-800-1-888-6268
Website: www.manulife.com.ph 0000874692
Email: phcustomercare@manulife.com
VAT REG. TIN: 201-492-591-00000

Received From Business Style Date (mm/dd/yyyy)

WINSOME JOY GIBO MANONGSONG 08/16/2021

Address
BLK 37 LOT 32 MOLAVE VILLAGE XEVERA NEO BRGY BULUSAN Calapan Oriental Mindoro 5200

Policy No. TIN Due Date (mm/dd/yyyy) Mode

8330278-6 762123670 08/15/2021 Quarterly

Payment Details
Currency Amount Paid (In Words)
PHP Six Thousand Fifty One Pesos and 11/100 6,051.11

Transaction Type Amount VAT Total Method of Payment

Premium Deposit - UL VAT-EXEMPT 4,801.11 0.00 4,801.11 Electronic/Online - Credit Card/Debit Card
Recurring Top Up VAT-EXEMPT 1,250.00 0.00 1,250.00
TOTAL 6,051.11 0.00 6,051.11

PESO PAY MB 08/15/2021

Conditions on Acceptance of Payment

• This receipt does not waive or modify any provisions or conditions of the plan agreement or of the application.
• This receipt shall not be binding upon the company for any part of payment covered by check or other form of remittance unless such remittance is
promptly honored on first presentation of payment.
• This payment if sufficient shall be applied at the installment due on the plan provided that such plan is in for of the date of payment. In case this payment is
insufficient, or said plan has lapsed before this payment, the amount receipted shall be treated as deposit only until the amount actually due is paid in full
or until said plan, if lapsed, is reinstated.
• No person except an executive officer of the company is authorized to make, alter or discharge contracts or waive forfeitures.

For Manulife Use Only

CCABINGA - NX2

Processor ID

Acknowledgement Certificate Number AC_125_092020_00013 date issued 2020-09-21 with Effectivity Date September 21, 2020 Series Range 0000000001 -
0020000000

Form No. MP BC OR (v. 04/2020)