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Name of Applicant:

WHO AMONG YOUR FRIENDS/RELATIVES/OFFICEMATES WILL FIND VALUE IN GETTING THIS PLAN?

Friends: Relatives: Officemates:


1. _____________P ______/month 1. _____________P ______/month 1. _____________ P ______/month

2. _____________P ______/month 2. _____________ P ______/month 2. _____________ P ______/month

3. _____________ P ______/month 3. _____________ P ______/month 3. _____________ P ______/month

4. _____________P ______/month 4. _____________P ______/month 4. _____________ P ______/month

5. _____________ P ______/month 5. _____________P ______/month 5. _____________P ______/month

YOUR ESTIMATED FIRST YEAR COMMISSION:


Total Annual Premium:
Equivalent First Year Commission (45%):
Equivalent per month:

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