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Proposed Principal Insured:

Ms. APPLELYN M CALUNSOD - Age 25 , Female

Policyowner or Payor:
Ms. APPLELYN M CALUNSOD

Dear APPLELYN,

Congratulations! You are on your way to preparing for enjoyable retirement.

We are glad you chose Retire Smart , a regular-pay investment-linked life insurance product that helps you build a future fund that will fuel
your passions when you retire.

Look forward to pursuing your passions with a plan that lets you enjoy these benefits:
Plan Summary
Chosen Fund Retire Smart 2030
Living Benefit at target date 2030*
with assumed fund growth rate of 4% PHP 429,980.69
with assumed fund growth rate of 8% PHP 565,554.18
with assumed fund growth rate of 10% PHP 649,259.19
Sum Insured PHP 150,000
Annual Premium PHP 36,800.00
*The rates of return shown above, which are approved by the Insurance Commision, are for illustration purposes and are not based on past performance, nor they guarantee future
performance. The actual return may differ.

Benefits
Build Towards your Goal
Get access to AXA's expertly-managed Retire Smart Target Date Funds.

Fund Objective
This fund is specially designed to build your retirement reserves over time.

How does it work?


AXA's professional fund managers maximize your money's growth potential on the onset, then transitions towards
less volatile investments to protect your money as your retirement approaches. Take a look at this graph to see
how it works:

This is not a deposit product. Earnings are not assured and principal amount invested is exposed to risk of loss. This product cannot be
sold to you unless its benefits and risks have been thoroughly explained. If you do not fully understand this product, do not purchase or
invest in it.

Page 1 of 9
Created Date: 09/02/2019 Printed Date: 9/2/2019 10:07:23 AM Expiry Date: 11/01/2019
Version Number: 4.4.0 Date for Next Insurance Age: 09/22/2019
Plan Code: RET/ Rider Code: WP
Retire Smart
Ms. APPLELYN M CALUNSOD, 25, Female

In addition, your plan automatically comes with the Waiver of Premium Rider to secure your retirement
fund regardless of uncertainties. With this, there is no need to pay future premiums in case you
become Totally and Permanently Disabled before the age of 60.

From these available Retire Smart Target Date Funds, you selected Retire Smart 2030:

With the Retire Smart 2030 Fund you selected, your projected retirement fund* will become:
With assumed fund growth rate of 4% PHP 429,980.69
With assumed fund growth rate of 8% PHP 565,554.18
With assumed fund growth rate of 10% PHP 649,259.19
*The rates of return shown above, which are approved by the Insurance Commision, are for illustration purposes and are not based on
past performance, nor they guarantee future performance. The actual return may differ.

Enjoy Guaranteed Protection


Receive guaranteed life insurance coverage equivalent to 5x your annual basic
premiums from the effective date of your policy. Your coverage can also increase
based on your Living Benefit, so you can be sure that your family’s needs will be taken
care of should anything happen to you.

Add More Protection


Enhance your plan with these supplements/riders to remain covered in case
uncertainties.

CRITICAL CONDITIONS CARE PROTECTOR SECURE


COVERAGE
Receive lumpsum cash benefit Get a pre-determined cash Get additional life insurance Receive additional cash benefit
in case you are diagnosed with benefit for each day of hospital coverage. Coverage period may in case of Death,
any of the covered Critical confinement. be 1, 5, or 10 years. Dismemberment, Disablement,
Conditions. and/or Major Burns caused by
accidents.

*Adding supplements/riders may lower the Living Benefit of the policy if premiums for such are not continuously paid.
Benefits may be subject to limits, please refer to the notes for your chosen plan’s inclusions/exclusions/ limits.

The succeeding pages of this proposal will provide more details on the features and benefits of Retire Smart .

Thank you for your interest in Retire Smart . For additional assistance, you may call me at my contact number below or the
AXA Customer Care Hotline No. 5815-292 or 3231-292.

BUENCAMINO, JEHAD PATRICK A.


91510
27844
639328537700

Page 2 of 9
Created Date: 09/02/2019 Printed Date: 9/2/2019 10:07:23 AM Expiry Date: 11/01/2019
Version Number: 4.4.0 Date for Next Insurance Age: 09/22/2019
Plan Code: RET/ Rider Code: WP
Retire Smart
Ms. APPLELYN M CALUNSOD, 25, Female
Below are important details of your proposal along with how your investment will be allocated to your desired fund.
Basic Plan and Supplements Cover Up to Age Sum Insured (PHP) Annual Premium (PHP)
Basic
100 150,000 30,000.00
Retire Smart
Regular Top-Up 5,000.00
Riders
WAIVER OF PREMIUM - waives all future premiums in case of
60 150,000 1,800.00
total and permanent disability

Total 36,800.00

You may also pay premium in the following modes:


Modal Premium
Mode of Payment Fund Name Fund Allocation
(PHP)
Semi-Annual 18,400.00
Quarterly 9,200.00 Retire Smart 2030 100%
Monthly 3,066.69

SPECIAL FEATURES
Fund Switch Fund switching allows you to manage your investment by choosing from the available AXA Retire Smart Funds or Peso
Liquidity Fund. Note, though, that fund allocation should be 100% to your chosen fund.

Top-Ups Top-ups are additional premiums that go directly to your chosen investment fund to accelerate the growth potential of your
Living Benefit, which is synonymous to your account value. Top-ups also shares a part on the calculation of the Minimum
Death Benefit. Your Minimum Death Benefit for any policy year is equal to 500% of your annual regular Retire Smart
premium, plus 125% of each paid top-up premium, if any, less 125% of each partial withdrawal, if any.

There are two types of Top-ups:

Lump sum top-up is an additional premium that goes directly to your chosen investment fund(s) which you can do anytime.
The minimum top-up amount is Php 10,000.

For example, a Php 200,000 lump sum top-up on year 1 is potentially an additional 457,202 in 2030 at an assumed 8%
fund growth.

Regular top-up is a committed additional premium that goes directly to your chosen investment fund paid together with
your regular premium. The minimum top-up amount is Php 10,000.

For example, a Php 50,000 regular top-up on an annual basis starting year 1 is potentially an additional 881,030 in 2030
at an assumed 8% fund growth.

Premium Holiday Premiums are paid throughout the life of your Policy. In circumstances that prevent you from being able to pay your
premium, you may request for a temporary premium holiday as long as your Living Benefit is sufficient to pay charges to
sustain your policy.

Level Death Benefit Level Death Benefit provides death benefit equal to whichever is higher of the sum insured or the Living Benefit (i.e. Php
150,000 or Living Benefit), subject to the minimum Death Benefit.

Your minimum Death Benefit for any policy year is equal to 500% of your annual regular Retire Smart premium, plus 125%
of each paid top-up premium, if any, less 125% of each partial withdrawal, if any.

Option to attach Supplement Supplements or Riders are optional additional benefits that you may add to your Basic cover to give you upgraded
benefits. The following are riders currently available for you:

• SECURE gives you additional benefit if death is the result of an accident, or a portion of this amount if the accident
resulted to dismemberment, disablement and/or major burns.

• CARE guarantees daily hospitalization benefit.

• PROTECTOR gives additional insurance coverage upon death. (Coverage period may be 1, 5, or 10 years.)

• CRITICAL CONDITIONS RIDER provides additional benefit if you get afflicted with any of the 57 identified critical
illnesses.

• WAIVER OF PREMIUM waives all future premiums if you become totally and permanently disabled before age 60.

The succeeding pages of this proposal provide more details on the benefits of Retire Smart .

Page 3 of 9
Created Date: 09/02/2019 Printed Date: 9/2/2019 10:07:23 AM Expiry Date: 11/01/2019
Version Number: 4.4.0 Date for Next Insurance Age: 09/22/2019
Plan Code: RET/ Rider Code: WP
Retire Smart
Ms. APPLELYN M CALUNSOD, 25, Female

ILLUSTRATION OF BENEFITS
Premiums can be paid throughout the life of your Policy. In addition, you have the option to accelerate the growth potential of your Living
Benefit by paying top-up premiums. These are additional premiums that goes directly to your chosen investment fund. In case of
circumstances that prevent you from being able to pay your premium, you may request for a temporary premium holiday as long as your
Living Benefit is sufficient to sustain your policy. However, using this option for an extended period of time will diminish the potential
growth of your policy and may result to policy termination because charges are continuously deducted from your Living Benefit.

The following table, assuming different rates of return, illustrates your Living Benefit when premiums are paid until reaching the target
date of your fund. Under this scenario, the longer you pay the higher your potential Living Benefits would be.
Total Cumulative ILLUSTRATION OF BENEFITS (paid until target retirement date)
End of Lump Sum Top-
Regular Basic
Policy up Premium/
Premium and 4.00 % Rate of Return 8.00 % Rate of Return 10.00 % Rate of Return
Year (Withdrawals) at
Top-up, if any,
Given Years Living Benefit Death Benefit Living Benefit Death Benefit Living Benefit Death Benefit
Paid
1 35,000 22,246 156,250 23,129 156,250 23,571 156,250
2 70,000 51,629 162,500 54,597 162,500 56,108 162,500
3 105,000 82,196 168,750 88,591 168,750 91,908 168,750
4 140,000 113,994 175,000 125,316 175,000 131,300 175,000
5 175,000 147,076 181,250 164,989 181,250 174,640 181,250
10 350,000 367,231 367,231 454,370 454,370 505,987 505,987
20 385,000 557,396 557,396 1,010,197 1,010,197 1,351,992 1,351,992
30 385,000 784,609 784,609 2,131,087 2,131,087 3,451,318 3,451,318
40 385,000 1,130,900 1,130,900 4,562,017 4,562,017 8,908,005 8,908,005
50 385,000 1,655,611 1,655,611 9,826,392 9,826,392 23,079,888 23,079,888

At 2030, Age 36 385,000 429,981 429,981 565,554 565,554 649,259 649,259


Age60 385,000 936,339 936,339 3,111,078 3,111,078 5,537,160 5,537,160
Age65 385,000 1,130,900 1,130,900 4,562,017 4,562,017 8,908,005 8,908,005
Age70 385,000 1,367,613 1,367,613 6,693,923 6,693,923 14,336,785 14,336,785

The rates of return shown above, which are approved by the Insurance Commission, are for illustration purposes and are not based
on past performance, nor they guarantee future performance. The return figures do not represent expected returns. The actual
return may differ. You may refer to the Historical Fund Performance in the succeeding pages to check the actual performance of
AXA Funds.

Your contract term is specified in the illustration of benefits in this proposal. Please refer to the additional notes below applicable to the
illustration of benefits table.

Notes:

1. This illustration shall form part of the insurance contract once the Policy is issued.
2. The values in the illustration of benefits table are based on the projected performance of your fund. Since the fund performance may vary, the values of your units are
not guaranteed and will depend on the actual investment performance at that given period. The projected returns, which are approved by the Insurance Commission,
on investments are based on assumed annual rates of 4%, 8%, and 10%. These rates are for illustration purposes only and do not represent maximum or minimum
return on your fund.
3. The illustrated values are NET of:
a. Premium charges of 40% of the basic premium for the first year and 20% of the basic premium for the second to fifth years of the policy; all top-ups shall be
subject to a premium charge of 2%;
b. Cost of Insurance has been deducted monthly from the illustrated values as well as Administration Charge amounting to Php1,500 p.a.;
c. Asset Management Charge of 2.25% p.a. plus VAT for Retire Smart Fund.
4. The illustrated values are still subject to a surrender charge for withdrawals (partial or full) up to the 10th policy year. The surrender charge is equal to the amount
withdrawn multiplied by a surrender factor of 100%/100%/25%/10%/5%/ 5%/5%/5%/5%/5% for the 1st to 10th years, respectively.
5. Assumptions:
a. All premiums shown in the illustration of benefits table are paid in full when due and as planned. It assumes the current scale of charges remains unchanged.
b. The proposed policy charges used in this illustration summary are based on the standard risk class without taking into account your own circumstances (e.g.
occupation and health condition, etc). Risk class will be determined according to our underwriting guidelines.
6. Cost of Insurance charge for the Policy, charges for any attached Supplement and Administration Charge shall continually be deducted monthly even if the Policy is
under Premium Holiday.
7. Any withdrawals from the Living Benefit will correspondingly reduce the Death Benefit payable.
8. The investment gains/risks associated with this plan are solely to your account.
9. If after purchasing the variable life insurance contract, you realize that it does not fit your financial needs, you may retu rn the contract to
AXA Philippines within 15 days from the time you receive it. AXA Philippines will return to you the Living Benefit and all initial charges

Page 4 of 9
Created Date: 09/02/2019 Printed Date: 9/2/2019 10:07:23 AM Expiry Date: 11/01/2019
Version Number: 4.4.0 Date for Next Insurance Age: 09/22/2019
Plan Code: RET/ Rider Code: WP
Retire Smart
Ms. APPLELYN M CALUNSOD, 25, Female

SUPPLEMENTARY ILLUSTRATION OF BENEFITS


Premiums are paid throughout the life of your Policy. However, premium payments done until a selected period (i.e. Premium Payment is
only until Year 3) will affect the potential growth of your policy as presented in the illustration below. This may also result to policy
termination hence losing all benefits of your policy, denoted by ‘***’ in the illustration below, as monthly charges are continuously
deducted from the Living Benefit to sustain your policy.

To further illustrate the impact of not paying your premiums when due, the following table illustrates your Living Benefit at 8.00% rate of
return at varying years of non-payment.

ILLUSTRATION OF LIVING BENEFITS AT SELECT PREMIUM PAYMENT SCENARIOS AS A PERCENTAGE OF THE TOTAL PREMIUM PAID
AT 8.00% RATE OF RETURN
Total Cumulative Living Benefit as a Total Cumulative Living Benefit as a Total Cumulative Living Benefit as a Total Cumulative Living Benefit as a
Regular Basic percentage of Total Regular Basic percentage of Total Regular Basic percentage of Total Regular Basic percentage of Total
End of Premiums, Premiums, Top-ups Premiums, Top-ups Premiums, Top-ups Premiums, Top-ups Premiums, Top-ups Premiums, Premiums,
Policy Top-ups and and Withdrawals, if and Withdrawals, if and Withdrawals, if and Withdrawals, if and Withdrawals, if Top-ups and Top-ups and
Year Withdrawals, if any, any, Paid Until any, Paid Until any, Paid Until any, Paid until any, Paid until Withdrawals, if any, Withdrawals, if any, Paid
Paid Until Year 2 Year 2 Year 5 Year 5 Year 10 Year 10 paid until the target until the target
retirement date retirement date

1 35,000 66% 35,000 66% 35,000 66% 35,000 66%


2 70,000 78% 70,000 78% 70,000 78% 70,000 78%
3 70,000 70% 105,000 84% 105,000 84% 105,000 84%
5 70,000 52% 175,000 94% 175,000 94% 175,000 94%
10 70,000 47% 175,000 127% 350,000 130% 350,000 130%
15 70,000 40% 175,000 175% 350,000 185% 385,000 182%
20 70,000 29% 175,000 246% 350,000 266% 385,000 262%

Age60 70,000 *** 175,000 784% 350,000 883% 385,000 872%


Age65 70,000 *** 175,000 1147% 350,000 1294% 385,000 1279%
Age70 70,000 *** 175,000 1680% 350,000 1899% 385,000 1877%

The rates of return shown above, which are approved by the Insurance Commission, are for illustration purposes and are not based
on past performance, nor they guarantee future performance. The return figures do not represent expected returns. The actual
return may differ.

Thank you for your interest in AXA products. If you have questions, please call me at 639328537700 , or call AXA Philippines Customer
Care Hotline at Tel. No. (02)5815-292 or (02)3231-292.

BUENCAMINO, JEHAD PATRICK A.


27844

Page 5 of 9
Created Date: 09/02/2019 Printed Date: 9/2/2019 10:07:23 AM Expiry Date: 11/01/2019
Version Number: 4.4.0 Date for Next Insurance Age: 09/22/2019
Plan Code: RET/ Rider Code: WP
Retire Smart
Ms. APPLELYN M CALUNSOD, 25, Female

HISTORICAL FUND PERFORMANCE (as of January 31, 2019)


Annualized Annualized Average Annualized
Fund Name / Year-to-Date Returns
Return for Return Returns
Currency
31-Dec- 31-Dec- 31-Dec- 31-Dec- 31-Dec- 31-Dec- 31-Dec- 31-Dec- 31-Dec- 31-Dec- the last 3 (since fund 1 Year 3 Year 5 Year
(Launch Date) 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 years inception) Intervals Intervals Intervals
Philippine Wealth
Bond Fund - PHP 5.54% 6.28% 4.23% 3.80% 2.95% 1.71% -2.27% 0.10% -1.49% -4.73% -2.05% 3.30% 0.93% 1.52% 2.21%
(9/9/2004)
Philippine Wealth
Balanced Fund -
23.88% 23.68% 2.10% 12.92% 3.84% 7.55% -3.51% -2.19% 9.66% -9.07% -0.90% 6.70% 3.73% 3.99% 5.54%
PHP
(9/9/2004)
Philippine Wealth
Equity Fund - PHP 64.26% 50.23% 1.12% 31.91% 2.91% 22.68% -3.85% -3.42% 24.47% -13.47% 1.17% 11.50% 7.84% 8.16% 11.21%
(4/6/2006)
Opportunity Fund -
PHP 6.99% 58.03% 0.79% 31.05% 2.34% 25.74% -4.23% -4.40% 23.58% -13.35% 0.63% 11.73% 6.57% 7.09% 10.18%
(8/27/2009)
Chinese Tycoon
Fund - PHP N/A N/A 3.24% 34.45% 4.93% 24.64% 0.50% -1.31% 25.37% -13.10% 2.27% 9.99% 6.72% 7.74% 8.21%
(12/1/2011)
Spanish American
Legacy Fund - PHP N/A N/A 0.18% 19.52% -4.61% 16.54% -6.35% -5.62% 22.09% -9.23% 1.38% 3.82% 2.21% 2.04% 2.62%
(12/1/2011)
Philippine Peso
Liquidity Fund - PHP 2.87% 2.40% 2.93% 2.26% 1.05% 0.33% 0.61% 1.11% 1.07% 2.46% 1.54% 1.82% 1.29% 1.11% 1.25%
(5/8/2008)
Premium Bond Fund
- USD 20.91% 11.24% 9.19% 13.64% -7.98% 9.20% 0.98% 0.59% 4.16% -3.66% 0.32% 5.92% 4.00% 4.53% 4.97%
(4/24/2003)
Capital Investment
Fund - USD 6.98% 1.83% 0.33% 0.91% -1.29% -0.09% -1.58% 0.51% -0.85% -1.43% -0.59% 1.44% 0.37% 0.42% 0.43%
(4/24/2003)
Global Advantage
Fund - USD N/A N/A N/A -1.78% 32.51% 16.60% 5.63% 4.65% 27.00% -3.86% 8.46% 13.48% 14.93% 12.92% 15.67%
(7/19/2012)
Asia Growth Fund -
USD N/A N/A N/A N/A N/A -6.37% -10.48% 1.26% 34.41% -16.81% 4.16% -1.82% 8.92% 5.32% N/A
(9/1/2014)
European Wealth
Fund - USD N/A N/A N/A N/A N/A -6.58% -7.57% -4.13% 21.22% -18.63% -1.92% -3.52% 4.84% 1.83% N/A
(9/1/2014)

Notes:
1. The Fund figures reflected above are not indicative of future performance. You should be aware that the price of units per
share and the potential income from them may go up or down depending on market conditions and thus , are not
guaranteed
2. Average Annualized Performance for 1 Year, 3 Year and 5 Year intervals shown in the tables above represent the indicated Fund’s Average Annualized Performance
using ANY 1 Year Interval, 3 Year Interval and 5 Year Interval, respectively since inception of the funds.
3. The figures are exclusive of charges which will vary depending on the AXA Product where this fund will be used.
4. Philippine Peso Liquidity Fund is available for fund switching only.
5. For more information, please refer to the individual Fund Fact Sheets available at www.axa.com.ph.

Certified true and correct:

Ronaldo C. San Jose


Chief Financial Officer

Page 6 of 9
Created Date: 09/02/2019 Printed Date: 9/2/2019 10:07:23 AM Expiry Date: 11/01/2019
Version Number: 4.4.0 Date for Next Insurance Age: 09/22/2019
Plan Code: RET/ Rider Code: WP
Retire Smart
Ms. APPLELYN M CALUNSOD, 25, Female

DECLARATION AND ACKNOWLEDGEMENTS


DECLARATIONS
1. It is my understanding that the total premium I am going to pay when I purchase this plan shall consist of the Retire Smart
premium, regular top-up premium, and Supplement premiums shown above, if any. I was also made aware that only the Retire
Smart premium and top-up premiums will be allocated to purchase units of the investment fund I will choose.
2. I confirm having read and understood the information in this proposal. I also confirm that I will fully assume all investment gains /
risks associated with the purchase of this plan. My Financial Advisor/Financial Executive fully explained to me the features and
charges that will be made on my plan, and that the actual variable plan benefits will reflect the actual investment experience of
the separate account into which my fund is invested.
Acknowledgment of Variability Variable Life Insurance Plan
I acknowledge that:

I have applied with AXA Philippines for a Variable Life Policy, and have reviewed the illustration(s) that shows how a variable life insurance
policy performs using AXA Philippines’ assumptions and based on Insurance Commission’s guidelines on interest rates.

I understand that since the fund performance may vary, the values of my units are not guaranteed and will depend on the actual
performance at that given period and that the value of my Policy could be less than the capital invested. The unit values of my Variable
Life Insurance are periodically published.

I understand that the investment risks under the Policy are to be borne solely by me, as the policyholder.
Product Transparency Declaration
By signing off on the items listed below, I acknowledge that the same have been discussed with and thoroughly explained to me.
• I understand that I am buying an investment-linked insurance product.
• I understand that the principal and earnings are not guaranteed and the value of my unit investment (NAVPU) may go up or down
depending on the performance of the separate funds.
• I understand that the funds will be invested in Equities and/or Bonds or a combination thereof, and will be subject to changes in
market conditions.
• The available funds and the risks that they bear have been thoroughly discussed with me, and I have made my Fund Allocation
decision based on my own judgment of and tolerance for these risks.
• I understand that this product is appropriate for a long-term investment horizon.
• I understand that I will have zero (0) withdrawal value during the first two (2) years of the policy because the amount withdrawn
will be subject to 100% surrender charge on the first two (2) years.
CONFORME: These declarations and acknowledgments are made with the
knowledge of the AXA representative whose signature appears below:

Applicant/Policy Owner Date Financial Advisor/Financial Executive Date


Signature over Printed Name Signature over Printed Name

TO BE FILLED UP BY AXA PHILIPPINES

These declarations and acknowledgements are valid for


the following policy/policies with policy number/s:

Disclosure of Conflict of Interest

The Company adopts a Conflict of Interest Policy and undertakes to disclose any material information which gives rise to actual or
potential conflict of interest to our customers. Company likewise takes all reasonable steps to ensure fair dealings with our customers.
General Disclaimer

All information and opinions provided are of a general nature and for information purposes only. The information and any opinions herein
are based upon sources believed to be reliable. AXA Philippines, its officers and directors make no representations or warranty,
expressed or implied, with respect to the correctness, completeness of the information and opinions in this document. Investment or
participation in the Fund(s) is subject to risk and possible loss of principal. Please carefully read the policy and endorsements and
consider the investment objectives, risks, charges and expenses before investing. You should seek professional advice from your
financial, tax, accounting or legal consultant before making an investment. Past performance is not indicative of future performance.

THIS FINANCIAL PRODUCT OF AXA PHILIPPINES IS NOT INSURED BY THE PHILIPPINE DEPOSIT
INSURANCE CORPORATION (PDIC) AND IS NOT GUARANTEED BY METROBANK NOR PSBANK.

Page 7 of 9
Created Date: 09/02/2019 Printed Date: 9/2/2019 10:07:23 AM Expiry Date: 11/01/2019
Version Number: 4.4.0 Date for Next Insurance Age: 09/22/2019
Plan Code: RET/ Rider Code: WP
Reference no.: 27844-201909021003-2-
02
INVESTMENT PORTFOLIO RISK ASSESSMENT
You prefer a growth investment portfolio
Growth Investment Portfolio : A growth investment portfolio is characterized by a willingness to accept higher than
average level of risks and price volatility in pursuit of above average returns.

- You understand that investing allows for higher returns than savings, but there is a risk that your investments
might yield negative returns and the value of your investments can even be lower than the amount you
invested
- You understand that diversifying your investments over different equity funds and bond funds reduce the
volatility of the average annual returns on your investments
- You understand that a market can be volatile and that a longer holding period in general reduces the risk of
negative average annual returns
- You prefer the possibility of a higher average annual return on your investments even if this means that there
is a probability of higher negative return in any given year.

INVESTMENT PORTFOLIO RISK ACKNOWLEDGMENT

I acknowledge that the descriptions above match the risk profile of my intended investment portfolio. I also
acknowledge that the recommended fund allocation ranges resulting from my investment portfolio risk profile is only
intended as reference to help me assess my investment portfolio’s risk appetite and investment objectives.

WAIVER FOR RISK PORTFOLIO RE-CLASSIFICATION (For Clients Investing in Products with Different Risks)

I waive the results of my investment portfolio risk profile assessment and have decided to invest instead in another
investment fund or a combination investment funds which falls outside of the recommended fund allocation ranges
indicated by my investment portfolio risk profile.

INVESTMENT POLICY STATEMENT

I acknowledge that my fund allocation represents the Investment Policy of my portfolio. I have carefully read and
understood the investment objective(s) of my selected fund(s) as well as the risk(s) that it(they) bear(s).

Conforme:

Applicant/Policy Owner Date


Signature over Printed Name
Reference Number: 27844-201909021003-2-02

FINANCIAL UNDERSTANDING SUMMARY

Dear APPLELYN

Thank you for providing us with relevant information with regards to your financial needs.

Based on your current financial situation, which includes, among others, your personal
monthly gross income of 25,000.00, and after taking into consideration your objectives, risk
profile and priorities, you have selected Retire Smart for your Retirement need.

The details of your insurance coverage and your insurance premium are summarized in your
Retire Smart sales illustration.

BUENCAMINO, JEHAD PATRICK A.


91510
27844
639328537700

This document is not intended to be a part of your sales illustration of your application form. This is a
summary of the financial needs that you have provided during assessment by your distributor.