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04 June 2018

PRU LIFE UK
9F Uptown Place, Tower 1
1 East, 11th Drive
Uptown Bonifacio
1634 Taguig City

To whom it may concern:

Good day!

This is to authorize ___ to receive my Pru Life UK Insurance Policy on my behalf. Affixed herein is my
signature, and attached is a copy of my valid ID.

Thank you for your generous assistance.

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