2 February 2022

The Person-In-Charge
PIONEER LIFE INC. / PIONEER INSURANCE & SURETY CORPORATION
Pioneer House Makati
108 Paseo de Roxas
Legaspi Village, Makati City

Dear Sir / Madam,

Good day!

This has reference to insurance of Migrant Worker – Myra Alfaro Las Marias with Group
Master Policy No. GA-PA-FAB-MW-17-0000340 and with Statement of Insurance No.
01269598 under the Payor/Policy Holder, Prime Goal International Manpower.

In view of the foregoing, said worker has cancelled her application with us and we are
requesting to change the above-mentioned insurance Myra Alfaro Las Marias in favor of Marlyn
Villanueva Laping.

For your reference, attached herewith is the insurance form and passport copy of Marlyn
Villanueva Laping.

Your kind consideration will be highly appreciated.

Thank you so much in anticipation.

Very truly yours,

Faizal G. Lumiguis
President