AUTHORIZATION TO DEDUCT

Recruit Name Christine Irish P. Goyena Date May 16, 2021

Agent Code To be filled-out by Home Office upon system coding
Branch JASPER
Description Code NOW, Pay LATER! – recruitment campaign
First license fee (including D-BTC fee) PhP 1,780 *
Second license fee PhP 1,530 **
TOTAL FOR COMMISSION DEDUCTION PhP 3,310***

Amount (in words) Amount (in figures)

Three thousand three hundred ten pesos PhP 3,310

This is to authorize PRU LIFE UK to deduct the above amount from my commissions in full as soon as commissions are credited.
Should my commissions be insufficient to cover the above amount in full, I authorize PRU LIFE UK to apply commission deduction on
my subsequent commissions until the amount is recovered in full. I also authorize PRU LIFE UK to deduct the remaining amount, if any
from my final payout upon my separation from PRU LIFE UK.

CHRISTINE IRISH P. GOYENA

______________________________________ May 16, 2021
__________
Recruit’s Signature over Printed Name Date
*Excludes the exam fee for 1st license.
**Excludes the exam fee for 2nd license.
***Amount to be recovered shall be PhP 1,530 if the recruit paid for his 1st license and applied for the 2nd licensed during coding month
using the ‘Authority to Deduct’ facility. Recruits who have taken the BTC prior to July 2020 shall be required to settle the usual BTC fee
of PhP 500 hence total maximum amount for deduction shall be PhP 3,560 instead of PhP 3,310.

______________________________________________________________________________________

AUTHORIZATION TO DEDUCT
Recruit Name Christine Irish P. Goyena Date May 16, 2021
Agent Code To be filled-out by Home Office upon system coding
Branch JASPER
Description Code NOW, Pay LATER! – recruitment campaign
First license fee (including D-BTC fee) PhP 1,780 *
Second license fee PhP 1,530 **
TOTAL FOR COMMISSION DEDUCTION PhP 3,310***

Amount (in words) Amount (in figures)

Three thousand three hundred ten pesos PhP 3,310

This is to authorize PRU LIFE UK to deduct the above amount from my commissions in full as soon as commissions are credited.
Should my commissions be insufficient to cover the above amount in full, I authorize PRU LIFE UK to apply commission deduction on
my subsequent commissions until the amount is recovered in full. I also authorize PRU LIFE UK to deduct the remaining amount, if any
from my final payout upon my separation from PRU LIFE UK.

CHRISTINE IRISH P. GOYENA

______________________________________ May 16, 2021
__________
Recruit’s Signature over Printed Name Date
st
*Excludes the exam fee for 1 license.
**Excludes the exam fee for 2nd license.
***Amount to be recovered shall be PhP 1,530 if the recruit paid for his 1st license and applied for the 2nd licensed during coding month
using the ‘Authority to Deduct’ facility. Recruits who have taken the BTC prior to July 2020 shall be required to settle the usual BTC fee
of PhP 500 hence total maximum amount for deduction shall be PhP 3,560 instead of PhP 3,310.