Name of Company

Office Address

COMPANY LETTERHEAD

CERTIFICATION
To : Manulife Philippines

Date :

Subject : <Name of Corporate Client>

Pursuant to the requirements of the Anti-Money Laundering Act, as amended, and its
Revised Implementing Rules and Regulations, the Terrorism Financing Prevention and
Suppression Act of 2012 and its Implementing Rules and Regulations, Insurance
Commission Circular Letter Nos. 15-2007, 2016-54, the Data Privacy Act and its
Implementing Rules and Regulations, we hereby certify that:

1) <Name of Corporate Client> has conducted the prescribed Know-Your-Client

(KYC) and customer due diligence process, including client identification,
verification and maintenance of client identification documents and records to
establish the existence of the ultimate customer and has in its custody all the
minimum information and/or documents required to be obtained from, the attached
list of clients who are duly eligible to be covered under the Group Policy.
2) <Name of Corporate Client> shall furnish, upon request and without undue delay,
The Manufacturers Life Insurance Co. (Phils.), Inc.(“Manulife Philippines”) with
copies of available client records referred to above as may be necessary or required
by Manulife Philippines to verify the identity of the customer or ultimate beneficial
owner or in response to any legislative, judicial, regulatory, information sharing or
tax reporting inquiry, audit, process, requirement or order for anti-money laundering,
anti-terrorist financing and audit purposes.
3) <Name of Corporate Client> warrants and represents that it has secured the
necessary consent of its employees, availing of Manulife Philippines’ products and
services, to the collection, use, processing, transferring, disclosing and sharing by
Manulife Philippines, including its shareholders, directors and employees, affiliates,
subsidiaries, business partners, any member of the Manulife Financial Group
(including those located overseas), advisors, representatives, industry associations
and databases, local and foreign authorities having jurisdiction over companies
within the Manulife Financial Group , external auditors/counsels and its third party
service providers (whether within or outside the Philippines) of the personal and
sensitive information provided to Manulife Philippines and any subsequent changes
to it, including the medical, personal and sensitive information of the insured,
previously collected by the Medical Information Bureau (MIB) and uploaded to the
Medical Information Database (MID), within the rules set by the Data Privacy Act, as
may be amended from time to time, relevant regulations and Manulife’s Privacy
Policy available at www.manulife.com.ph/Customer-Privacy-Policy, for purposes of:
 underwriting and approving my application;
 administering, serving and reinsuring my policy;
 marketing (including marketing of products and services offered by any member of the
Manulife Financial Group and those of our business partners), promoting, getting
feedback on our products and services, and measuring client satisfaction;
 conducting data analytics and doing automated data processing;
 preventing money laundering or terrorist financing activities;
 complying with reportorial and regulatory requirements of both local and foreign
regulatory authorities (including local and foreign tax authorities and stock exchanges) as
well as other legal, regulatory or contractual obligations of any member within the
Manulife Financial Group, relating to information sharing, tax reporting or otherwise;
  the Company’s internal purposes such as governance, risk, actuarial, claims and
underwriting management, and reporting; and
 for other reasonable purposes related to the services provided.

4) <Name of Corporate Client> understands and agrees that without securing the
explicit consent of its employees, to the collection, use, processing, transferring,
disclosing and sharing of their personal and sensitive information, Manulife
Philippines will not be able to provide the services required to maintain and service
the policy.
5) <Name of Corporate Client> understands and agrees that all forms and
documents provided by it to Manulife Philippines, including this Certification, forms
part of its application form for life insurance coverage and records stored with
Manulife Philippines.
6) <Name of Corporate Client> agrees to indemnify and hold harmless Manulife
Philippines, including its shareholders, directors, officers and employees, against
liability for any damage, injury, claim or action, which alleges that the collection,
use, processing, transferring, disclosing and sharing of the personal and sensitive
information of its employees by Manulife Philippines, including its shareholders,
directors, officers and employees, affiliates, subsidiaries, business partners any
member of the Manulife Financial Group (including those located overseas),
advisors, representatives, industry associations and databases, external
auditors/counsels and its third party service providers (whether within or outside the
Philippines), violates the data privacy rights of its employees.

___________________________

Printed Name and Signature of

Company Authorized Signatory
Designation: ______________

SUBSCRIBED AND SWORN to before me, on this __ th day of _____________ 20__, at

___________________________; affiant exhibited to me his/her competent evidence of identity (any
government issued ID) No. ___________, issued at __________________, valid up
to__________________.

Doc. No.: _____;

Page No.: _____;
Book No.: _____;
Series of 20____.