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This letter is in regard to my VUL application in your company. I was told by my agent, John Lester M.
Arcipe that you are requiring me to undergo full medical examination regarding my Asthma. I want you
to know that the last time my Asthma attacked was 7 years ago and I forgot already the name and
location of my attending physician. I am currently in a good condition, not even taking maintenance,
visiting hospital and I avoid activities that would trigger the asthma.
Rest assured that all the details I declared in RESPIRATORY DISORDER QUESTIONNAIRE are honestly
correct.
I am willing to undergo medical examination but I cant accommodate it immediately due to my busy
schedule in office.
I am asking for your consideration to approve my application without medical examination if it is really