Oos

Policy Acknowledgement Receipt
OWNER : MRS. MARITES YATAN RABAYA
PROPOSED INSURED : MRS. MARITES YATAN RABAYA
POLICY NUMBER : 60019031
PLAN NAME : Set for Life
ADDRESS : 682 NAVARRO BARANGAY TAFT SURIGAO CITY SURIGAO DEL NORTE 8400
This is to acknowledge the receipt of the above policy contract while the Proposed Insured and/or Owner are both alive
and in good health.
RECEIVED BY OWNER :
FULL NAME and SIGNATURE :
DATE RECEIVED :
RECEIVED BY OWNER's AUTHORIZED REPRESENTATIVE: :
RELATIONSHIP TO OWNER :
FULL NAME and SIGNATURE :
DATE RECEIVED :
DELIVERED BY :
FULL NAME and SIGNATURE of SOLICITING AGENT :
DATE OF DELIVERY :
THIS PORTION IS FOR COURIER SERVICES ONLY
Received at given address
Given address not found
Policy Owner moved out of given address
No person to receive at given address
Others (please specify) :
FULL NAME OF MESSENGER :
DATE OF DELIVERY :
March 12, 2020
MRS. MARITES YATAN RABAYA
BARANGAY TAFT SURIGAO CITY

SURIGAO DEL NORTE 8400
Dear MRS. RABAYA,
SET FOR LIFE 60019031
On behalf of FWD, we'd like to take this opportunity to welcome you as a new customer.
You have taken an important step by looking after your financial well-being with SET FOR LIFE.
Your cover is effective as from March 12, 2020.
Attached is a copy of your Policy Contract which provides the features and benefits of SET FOR LIFE along with the terms and
conditions. You will receive the Unit Statement within thirty (30) days from the date of this letter.
Kindly email CustomerConnect.ph@fwd.com or send back the Policy Acknowledgement Form enclosed herein to acknowledge
receipt of this Policy Contract. If SET FOR LIFE does not meet your needs, you may cancel your policy in writing within fifteen (15)
days from receipt of your Policy Contract.
Your Financial Planner / Financial Solutions Consultant AMBER ALLYSA CUSTAN MERCADO is available on to assist you with
your queries. You can also contact Customer Connect on (632) 8888-8388 Monday to Friday between 8am to 5pm.
Again, welcome to FWD. We look forward to helping you meet your financial needs now and in the future.
Get ready to live!
Sincerely yours,
Li Hao Zhuang
President and Chief Executive Officer
FWD Life Insurance Corporation
This is a system-generated correspondence. If issued without alteration, this does not require a signature.
Cc: AMBER ALLYSA CUSTAN MERCADO

91207106
SBC Branch
Policy Data Page
Date: 12 MARCH 2020
POLICY OWNER: MRS. MARITES YATAN RABAYA PLAN NAME: SET FOR LIFE
INSURED: MRS. MARITES YATAN RABAYA POLICY NUMBER: 60019031
POLICY INFORMATION
Years Premium Payment Form
Plan Name Risk Class Issue Age Status
Payable Frequency Number
SET FOR LIFE 5 Years Quarterly STANDARD 54 RPVULBA.03.2017 Active
POLICY BENEFITS
Benefit Description Benefit Period Effective Date Expiry Date Sum Assured (in PHP)
SET FOR LIFE* To Age 100 12 MAR 2020 12 MAR 2066 300,000.00
*The Death Benefit is subject to the provisions of Section 15.
SCHEDULE OF POLICY PREMIUMS (in PHP)

Annual Semi-Annual Quarterly Monthly
REGULAR PREMIUMS PAYABLE 60,000.00 30,000.00 15,000.00 4,998.00
TOTAL PREMIUMS 60,000.00 30,000.00 15,000.00 4,998.00
TOTAL PREMIUM FOR MODE CHOSEN & DUE DATE PHP 15,000.00 Every 12th of MARCH, JUNE, SEPTEMBER and DECEMBER
INVESTMENT FUND DETAILS

Investment Fund Allocation Rate
FWD Peso Bond Fund 40.00%
FWD Peso Equity Index Fund 60.00%
POLICY CHARGES
Premium Charge rate (as % Regular Premium)
First Year 70.00%
Second Year 45.00%
Third Year and Subsequent Policy Years 0.00%
Premium Charge rate (as % of Regular Top-Up Premium and % of Lump Sum Top-Up Premium) 5.00%
Fund Switching Charge rate (as % of amount switched)
First to Sixth per policy year via online facility Free
All others 1.00%
Fund Management Charge rate (as % of Account Value per annum, VAT exclusive)
FWD Peso Balanced Fund 2.00%
FWD Peso Fixed Income Fund 1.75%
FWD Peso Equity Fund 2.00%
FWD Peso Stable Fund 2.00%
FWD Peso Bond Fund 1.75%
FWD Peso Growth Fund 2.00%
FWD Peso High Dividend Equity Fund 2.00%
FWD Peso Equity Index Fund 1.50%
Surrender Charge rate (as % of amount withdrawn)
For all Policy Years NIL
THE DOCUMENTARY STAMP TAX OF THIS POLICY HAS BEEN PAID.
Page | i
Regular Pay Variable Life Insurance Plan
Policy Contract
FWD Life Insurance Corporation shall pay the Benefits provided by this Policy to:
· the Owner if the Insured is alive, or;
· the surviving Beneficiaries if the Insured dies
subject to the terms and conditions set forth in this Policy.
Li Hao Zhuang
President and Chief Executive Officer
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 WE
STRONGLY RECOMMEND THAT YOU DO NOT PURCHASE OR INVEST IN IT.
Table of Contents
PAGE
POLICY DATA PAGE i
INSURANCE BENEFIT 1
DEFINITIONS 3
GENERAL PROVISIONS
1 Entire Insurance Contract 5
2 Effectivity of the Policy 5
3 Ownership 5
4 Non-Participating 5
5 Currency and Place of Payment 5
6 Cooling Off Period 5
7 Assignment 6
8 Misstatement of Age and/or Sex 6
9 Incontestability 6
10 Suicide 6
11 Beneficiary 7
12 Premiums 7
13 Reinstatement 8
14 Charges 9
15 Death Benefit 10
16 Claim Settlement 10
17 Termination of the Policy 11
18 Funds 11
19 Deferment and Limitation 12
20 Surrender and Withdrawals 13
21 Fund Switch 13
22 Change of Fund Allocation Rate 14
23 Loyalty Bonus 14
24 Disclosures of Conflict of Interest 14
25 Limitation of Action 15
IMPORTANT NOTICE 15
Form Number: RPVULBA.03.2017 Page | 2

Definitions
“Application Form” refers to the form prescribed by FWD and completed and signed by the Owner and/or Insured, which
provides information about the physical and medical condition, any occupation and any avocation of the Insured. This form is
used to determine whether the Insured seeking insurance with FWD meets FWD’s underwriting requirements and to
determine the Insured’s appropriate risk class.
“Beneficiary” or “Beneficiaries” has the meaning set out in Section 11 Beneficiary.
“Benefit” refers to the Basic Plan and Supplementary Benefit/s if any.
“Contract Debt” has the meaning set out in Section 14 Charges.
“Death Benefit” has the meaning set out in Section 15 Death Benefit.
“Fund” or “Investment Fund” or “Variable Unit Linked Investment Fund” refers to any of the separate funds created by FWD
wherein the Owner’s Regular Premium, Regular Top-Up Premium/s if any and/or Lump Sum Top-Up Premium/s if any are
invested as defined in Section 18 Funds.
“Fund Account Value” has the meaning set out in Section 18 Funds.
“FWD” and “We” refer to “FWD Life Insurance Corporation”, a corporation organized and existing under Philippine law.
“Insurance Charges” has the meaning set out in Section 14 Charges.
“Insured” refers to the named Insured of this Policy as shown on the Policy Data Page.
“Lump Sum Top-Up Premium” refers to any unscheduled additional premium for this Policy which is paid by the Owner on top
of the Regular Premium and any Regular Top-Up Premium due.
“Monthly Anniversary” refers to the anniversary date of this Policy on succeeding calendar months determined from the
Effective Date. If there is no such date in any of the succeeding calendar months that corresponds to the same day as the
Effective Date, the Monthly Anniversary shall be on the last calendar day of such month.
“Next Valuation Date” refers to the Valuation Date that comes immediately after the approval date of any particular
transaction. Such transactions include, but are not limited to, creation of Units, lapsation, full withdrawal, partial withdrawal,
cancellation, and deduction of Charges, and should occur before the cut-off schedule determined by FWD.
“Owner”, “You” and “Your” refer to the Owner of this Policy as shown on the Policy Data Page.
“Policy Data Page” shows the Policy Information, the Schedule of Benefits of the Basic Plan and Supplementary Benefit/s if
any, the Schedule of Premiums, the Investment Fund Details, and the Charges Details. The Policy Information includes the
Insured, Owner, Regular Premium, Regular Top-Up Premium, Sum Assured, and Effective Date. The Schedule of Benefits
includes the Benefits, Benefit Amount, Expiry Date and Form Number of the Basic Plan and Supplementary Benefit/s if any.
The Schedule of Premiums include the Premium Due Dates. The Investment Fund Details includes the Funds and the Fund
Allocation Rate. The Charges Details includes the Premium Charge rate, the Fund Switching Charge rate and the Fund
Management Charge rate. FWD may update the contents of the Policy Data Page from time to time.
“Policy Year” refers to a period of twelve (12) months from the Effective Date of this Policy and every succeeding twelve (12)
month period thereafter.
“Premium Charge” has the meaning set out in Section 14 Charges.
“Regular Premium” refers to the scheduled premium payable for this Policy as shown in the Policy Data Page.
“Regular Top-Up Premium” refers to the scheduled additional premium for this Policy which is payable by the Owner in
addition to and at the same time as the Regular Premium.
“Sales Illustration” refers to the form attached to the Policy which provides information to the Owner about the product and
its Benefits. The Sales Illustration illustrates how the Death Benefit and the Total Account Value vary with assumed investment
return rates over specified Policy Years.
“Supplementary Benefit/s” refers to additional Benefits purchased separately from the Basic Plan to enhance or modify the
terms of this Policy. Supplementary Benefit/s if any and their corresponding Form Number/s are shown in the Policy Data
Page.
“Top-Up Premium” refers to the sum of any Regular Top-Up Premium paid and any Lump Sum Top-Up Premium paid.
“Total Account Value” refers to the total of all Fund Account Values applicable to this Policy. The Total Account Value on any
Valuation Date is determined and calculated as the Unit Price of each Fund for such Valuation Date multiplied by the number
of Units the Policy has of each corresponding Fund.
“Unit” refers to the unit of ownership in the Investment Fund.
“Unit Price” refers to the value of a unit of a given Fund determined pursuant to Section 18 Funds. This is the basis of purchasing
Unit/s to the Fund/s as well as for cancelling Unit/s from such Fund/s.
“Valuation Date” refers to the date wherein FWD calculates the Unit Price/s of a Unit of the Fund/s applicable to this Policy.

General Provisions
1. ENTIRE INSURANCE CONTRACT
This Policy Contract in paper or electronic form including the Application Form, the Sales Illustration, the Policy Data Page and
attached Supplementary Benefit/s if any together with any endorsements made by FWD shall constitute this Policy. Statements
by the Insured, or on his or her behalf, shall be considered as representations and not warranties. Any form that may be issued
at any time during the life of this Policy also becomes part of this Policy.
Only the President and Chief Executive Officer or officers duly authorized in writing by FWD have authority to modify this
Policy. Any such modification must be in writing and duly signed by the authorized officer.
2. EFFECTIVITY OF THE POLICY
This Policy becomes effective only upon the payment of the initial Regular Premium and any Regular Top-Up Premium and this
Policy’s delivery to the Owner while the Insured is alive and in good health. The Effective Date of this Policy shall be used to
determine Premium Due Dates, Monthly Anniversaries, Policy Years and Policy anniversaries.
3. OWNERSHIP
While the Insured is alive, the Owner can exercise every right, title, interest and privilege given by this Policy and its
Supplementary Benefit/s if any or allowed by FWD even without the consent of any revocable Beneficiary. In case the Owner
dies before the Insured, every right, title and interest shall automatically vest to the Insured.
However, the written consent of every designated irrevocable Beneficiary while alive must be obtained by the Owner in order
to exercise any right under this Policy.
4. NON-PARTICIPATING
This Policy does not participate in any surplus distribution of FWD. This Policy participates only in the performance of the
Investment Fund/s to which the coverage of this Policy is linked.
5. CURRENCY AND PLACE OF PAYMENT
All amounts payable either to or by FWD in relation to this Policy and Supplementary Benefit/s if any shall be in the currency
stated in the Policy Data Page.
Article 1250 of the Civil Code of the Philippines (Republic Act No. 386) which reads in part:
"In case an extraordinary inflation or deflation of the currency stipulated should supervene, the value of the currency at the
time of establishment of the obligation shall be the basis of payment."
is understood and agreed not to apply to any payments made or to be made either to or by FWD. All amounts payable by FWD
shall be paid only in the Philippines. This Policy shall be governed by and interpreted according to Philippine law.
6. COOLING OFF PERIOD
This Policy and/or Supplementary Benefit/s if any may be cancelled by the Owner's written request to FWD within fifteen (15)
days after receipt of this Policy. This Policy is considered delivered to and deemed received by the Owner on the date shown
in the acknowledgement receipt when it is delivered via email, or at the postal address shown in the Application Form and
received by a person of suitable age and competence then present therein. This Policy shall be considered as received within
ten (10) days from the date of delivery by FWD if delivered by post.

On such cancellation, the amount refundable shall be the sum of:
i. Premium Charges and Insurance Charges; plus

ii. the Total Account Value calculated based on the Unit Price/s of the relevant Fund/s, as of the Next Valuation Date
following the receipt of written request for cancellation of this Policy.
If a claim for any Benefit has been received by FWD at any of its offices, no refunds can be made under this provision.
7. ASSIGNMENT
FWD is not bound by any assignment of this Policy unless duly endorsed on this Policy. FWD assumes no responsibility for the
effect, sufficiency or validity of any assignment. FWD has the right not to endorse any reassignment by any assignee.
8. MISSTATEMENT OF AGE OR SEX
If the age or sex of the Insured has been misstated, the Insurance Charges deducted from the Total Account Value shall be
adjusted using the correct age and sex, applicable risk class and applicable Cost of Insurance rates of this Policy.
If at the correct age and sex, the Insured is not eligible for coverage, this Policy and its Supplementary Benefit/s if any shall be
terminated and the liability of FWD shall be limited to a refund of:

ii. the Total Account Value calculated based on the Unit Price/s of the relevant Fund/s, as of the Next Valuation Date
following FWD’s termination of this Policy due to misstatement of age or sex.
9. INCONTESTABILITY
Except for non-payment of Regular Premiums, or if the Total Account Value is insufficient to cover the Insurance Charges, or
any other grounds recognized by law or jurisprudence, FWD cannot contest this Policy after it has been in force during the
lifetime of the Insured for two (2) consecutive years from the Effective Date of this Policy or approval date of its last
reinstatement, whichever is later. The contestability period of two (2) years shall also apply to any increase in Death Benefit
due to payment of Top-Up Premium/s if any.
Where the initial coverage and/or any increase in the Death Benefit is not payable, the liability of FWD corresponding to the
excluded coverage shall be limited to a refund of:

ii. the Total Account Value calculated based on the Unit Price/s of the relevant Fund/s as of the Next Valuation Date
following FWD’s termination of such excluded coverage on this Policy.
10. SUICIDE
If the Insured dies as a result of suicide whilst sane within two (2) years of the Effective Date or the date of reinstatement of
this Policy, no Death Benefit shall be paid and FWD shall refund any Premium Charges and Insurance Charges deducted in the
preceding two (2) years plus the Total Account Value calculated on the Next Valuation Date following FWD’s receipt of written
notice of the Insured's death. Suicide committed in a state of insanity will be compensable regardless of the date of
commission.
The same shall apply with respect to any increase in the Death Benefit that results from Top-Up Premiums being paid if the
Insured dies as a result of suicide whilst sane within two (2) years of the Effective Date of that increase.

11. BENEFICIARY
The Beneficiaries are the surviving persons designated to receive the proceeds of this Policy upon the death of the Insured.
Unless otherwise changed, the Beneficiaries are as designated in the Application Form.
If all the Beneficiaries are designated as "revocable", the Owner may delete any Beneficiary or designate new Beneficiaries
and exercise any and all other rights, interests and privileges under this Policy while in force. If any Beneficiary is designated
as "irrevocable", the consent of all such irrevocable Beneficiaries while alive is required before the Owner can exercise any and
all rights, interests and privileges under this Policy.
Beneficiaries are classified either as a primary Beneficiary or as a contingent Beneficiary. Surviving Beneficiaries in the same
Beneficiary classification share equally in the Death Benefit proceeds for that Beneficiary classification, unless otherwise
specified.
The Death Benefit proceeds are payable to the primary Beneficiaries surviving at the death of the Insured. If no primary
Beneficiaries survive the Insured, the Death Benefit proceeds are payable to the contingent Beneficiaries surviving at the death
of the Insured.
If no contingent Beneficiaries survives the Insured, the Death Benefit proceeds are payable to the Owner, if alive, otherwise,
to any of the following surviving relations of the Insured as substitute Beneficiaries in the order named:
i. Legal spouse; then

ii. Legitimate child / children; then
iii. Illegitimate child / children; then
iv. Parent/s; then
v. Brother/s / Sister/s of the full blood; then
vi. Brother/s / Sister/s of the half blood.
If the primary Beneficiaries, contingent Beneficiaries, Owner, and substitute Beneficiaries do not survive the Insured, the Death
Benefits proceeds are then payable to the estate of the Insured.
The Owner can change any Beneficiary or Beneficiary designation by written notice satisfactory to FWD, together with the
written consent of all irrevocable Beneficiaries while alive, subject to any assignment of this Policy in the records of FWD. FWD
assumes no responsibility for the validity of any such written notice. If no change in Beneficiary or Beneficiary designation has
been made during the lifetime of the Insured, designation shall be deemed irrevocable.
A receipt for any Death Benefit proceeds under this Policy, signed by all Beneficiaries designated either in this Policy or in
accordance with this provision or by a duly authorized representative, shall be a good and valid discharge to FWD. The receipt
shall be final and conclusive evidence that such Death Benefit proceeds have been duly paid to and received by those lawfully
entitled to them, and that all claims and demands against FWD with respect to them have been fully satisfied.
12. PREMIUMS
Payment of Regular Premium

Regular Premiums shall be payable in accordance with the Schedule of Premiums. The Regular Premium, less any applicable
Premium Charges and any Contract Debt, shall be used to purchase Units at Unit Price/s of relevant Fund/s at the Next
Valuation Date following the date of receipt of such Regular Premium, in accordance with the Fund Allocation Rate specified
in the Policy Data Page or in any subsequent endorsement recorded with FWD.
Grace Period
All Regular Premiums, except for the Initial Regular Premium, must be paid not later than thirty-one (31) days after its due
date. Any outstanding Insurance Charges shall be deducted from any proceeds that may become payable during the thirty-one
(31) days Grace Period.

If Regular Premium payment is not received at the end of the thirty-one (31) days Grace Period and this Policy has a Total
Account Value, this Policy shall continue to be in force for the same Death Benefit for as long as the Total Account Value is
sufficient to pay for the Premium Charges and Insurance Charges. If this Policy's Total Account Value is insufficient to pay for
the Premium Charges and Insurance Charges, and Insurance Charges were not paid through Contract Debt, this Policy and
Supplementary Benefit/s if any shall immediately terminate at the end of the thirty-one (31) days Grace Period. Any balance
remaining in the Total Account Value of this Policy shall be returned to the Owner.
Payment of Regular Top-Up Premium

Regular Top-Up Premium, if elected by the Owner, shall be due together with the Regular Premium. Regular Top-Up Premium,
less any applicable Premium Charges and any Contract Debt, shall be used to purchase Units at Unit Price/s of relevant Fund/s
at the Next Valuation Date following the date of receipt of such Regular Top-Up Premium, in accordance with the Fund
Allocation Rate specified in the Policy Data Page or in any subsequent endorsement recorded with FWD.
The Minimum Death Benefit shall be automatically increased by 125% of each Regular Top-Up Premium paid. Regular Top-Up
Premiums do not increase the Benefit Amount of the Supplementary Benefit/s if any payable under this Policy.
Payment of Lump Sum Top-Up Premium

While this Policy is in force, the Owner may request for and upon approval by FWD pay a Lump Sum Top-Up Premium at any
time. Such Lump Sum Top-Up Premium, less any applicable Premium Charges and any Contract Debt, shall be allocated and
applied in accordance with the Owner's request on FWD's appropriate form to purchase Units at Unit Price/s of relevant Fund/s
at the Next Valuation Date subject to FWD's written approval and prevailing administrative rules and procedures at the time
of application.
Lump Sum Top-Up Premium shall be subject to FWD’s prevailing administrative rules on the minimum and maximum
requirements for Lump Sum Top-Up Premium. Each Lump Sum Top-Up Premium shall automatically increase the Minimum
Death Benefit by 125% of such Lump Sum Top-Up Premium amount paid. Lump Sum Top-Up Premiums do not increase the
Benefit Amount of any attached Supplementary Benefit/s. FWD reserves the right to require evidence of insurability or to
decline such payment of Lump Sum Top-Up Premium.
Premium Holiday
Premium Holiday is allowed as long as the Total Account Value is sufficient to cover the Premium Charges and Insurance
Charges when they fall due. This Policy can go into Premium Holiday:
i. automatically when Regular Premium/s and any Regular Top-Up Premium/s remains unpaid at the end of the Grace
Period; or
ii. upon the Owner's request.
After the Premium Holiday period, the Owner may resume payment of the Regular Premium/s and any Regular Top-Up
Premium/s due.
Subject to Grace Period and Contract Debt provisions, the Total Account Value may become insufficient to cover the Premium
Charges and Insurance Charges during the Premium Holiday period and may result to the termination of this Policy.
13. REINSTATEMENT
If this Policy terminates due to insufficient Total Account Value, this Policy may be reinstated within three (3) years from the
date of such termination provided that (i) the Insured is alive at the time of application and (ii) this Policy has not been
surrendered for its Total Account Value.
To apply for reinstatement, FWD requires the following:
i. a written application for reinstatement using the appropriate form; and

ii. satisfactory evidence of insurability; and

iii. receipt of payment of all amounts necessary to put this Policy in force.
This Policy shall be reinstated on the date on which FWD determines that the requirements have been met.
Subject to Section 9 Incontestability, any reinstated Policy shall only cover loss or insured events that occurred after the date
of approval of the reinstatement.
14. CHARGES
Unless otherwise stated and with at least one (1) month prior notice to the Owner, all charges and/or payments in this section
are subject to revision. A general change to charges and/or payments requires prior approval of the Insurance Commission.
Premium Charges
The Premium Charges consist of the following:
i. Regular Premium Charge. This is determined by multiplying the Regular Premium by the Premium Charge rate. The
Regular Premium Charge shall be deducted as follows:
a. If the Regular Premium is paid in accordance with the Schedule of Premiums, the Regular Premium Charge shall
be deducted from the Regular Premium amount received by FWD before purchasing Units at Unit Price/s of the
relevant Fund/s.
b. If the Regular Premium is not paid in accordance with the Schedule of Premiums and this Policy has sufficient
Total Account Value, the Regular Premium Charge shall be charged proportionately to the Fund Account Value
of each Fund in which the Owner has invested in, subject to the Grace Period provision in Section 12 Premiums.
Any premiums received after the Regular Premium Charge has been deducted from the Total Account Value and
before purchasing Units at Unit Price/s of relevant Fund/s shall be allocated to pay for (i) any Regular Premium/s
that fell due and remains unpaid, (ii) Regular Premium for the next Premium Due Date, less any applicable
Premium Charge and less any Contract Debt, if such premiums were received before the end of the Grace Period
of such Premium Due Date, and (iii) Top-Up Premium less any applicable Premium Charge.
c. If the Regular Premium is not paid in accordance with the Schedule of Premiums and this Policy has insufficient
Total Account Value to cover the Regular Premium Charge, this Policy shall terminate subject to the Grace Period
provision in Section 12 Premiums.
ii. Regular Top-Up Premium Charge. This is determined by multiplying the Regular Top-Up Premium by the Premium
Charge rate. The Regular Top-Up Premium Charge shall be deducted from the Regular Top-Up Premium amount
received by FWD before purchasing Units at Unit Price/s of the relevant Fund/s.
iii. Lump Sum Top-Up Premium Charge. This is determined by multiplying the Lump Sum Top-Up Premium by the
Premium Charge rate. The Lump Sum Top-Up Premium Charge shall be deducted from the Lump Sum Top-Up
Premium amount received by FWD before purchasing Units at Unit Price/s of the relevant Fund/s.
Insurance Charges
Subject to the Contract Debt provision in this section, the Insurance Charges shall be deducted each month from the Total
Account Value at the Unit Price on the Next Valuation Date after the Monthly Anniversary. Insurance Charges shall be charged
to each Fund in proportion to the Fund Account Value of each Fund in which the Owner has invested in. The Insurance Charges
consist of the following:

i. Cost of Insurance of the Basic Plan. This is determined by multiplying the difference between the Death Benefit and
the Total Account Value by the Cost of Insurance rate of the Basic Plan as determined by FWD from time to time. The
Cost of Insurance rate of the Basic Plan is determined by the attained age and risk class of the Insured at the start of
the Policy Year.
ii. Cost of Insurance of the Supplementary Benefit/s if any. This is determined by multiplying the Benefit Amount of the
Supplementary Benefit/s if any by the Cost of Insurance rate of the corresponding Supplementary Benefit/s if any as
determined by FWD from time to time. The Cost of Insurance rate of the Supplementary Benefit/s if any is determined
by the attained age and risk class of the Insured at the start of the Policy Year.
Surrender Charges
No surrender charges shall be applied on any partial or full withdrawals from the Total Account Value.
Other Charges
Subject to the Insurance Commission's approval, FWD reserves the right to impose additional charges by giving the Owner at
least one (1) month prior written notice.
Contract Debt
This provision on Contract Debt applies provided that during the first three (3) years of this Policy:
i. Regular Premiums and Regular Top-Up Premiums are paid before the end of the Grace Period; and
ii. No withdrawals are made against the Total Account Value.
If the Total Account Value is insufficient to cover the Insurance Charges, FWD shall create a Contract Debt without interest in
FWD’s favor equal to the cumulative Insurance Charges not paid from the Total Account Value. The Contract Debt shall be paid
by deducting its amount from any Regular Premium paid after deduction of any applicable Regular Premium Charge and/or
from any Top-Up Premium paid after deduction of any applicable Top-Up Premium Charge.
15. DEATH BENEFIT
While this Policy is in force and subject to its terms and conditions, FWD shall pay the Death Benefit less any Contract Debt.
The Death Benefit payable is equal to the higher of:
i. The current Sum Assured; or

ii. Minimum Death Benefit; or
iii. Total Account Value.
The Minimum Death Benefit shall be:
i. 500% of the Regular Premium; plus

ii. 125% of all Top-Up Premiums paid; less
iii. 125% of all partial withdrawals made.
The Total Account Value is calculated based on the Unit Price/s of each of the relevant Fund/s as of the Next Valuation Date
following FWD’s receipt of written notice of the Insured's death.
16. CLAIM SETTLEMENT
For settlement of claims under this Policy, this Policy must be presented at any of FWD's duly designated offices together with
due proof for the claim and all other requirements satisfactory to FWD.
FWD must receive the requirements within ninety (90) days from the date of claim. Failure to submit the requirements shall
not invalidate or reduce the claim if it is shown not to have been reasonably possible to give such notice or proof and that such
was given as soon as was reasonably possible.
17. TERMINATION OF THE POLICY
This Policy shall terminate on the earliest of the following:
i. at the end of the Grace Period if the Total Account Value of this Policy becomes insufficient to pay for the Premium
Charges and Insurance Charges in accordance with the Grace Period in Section 12 Premiums, except when Contract
Debt is in effect;
ii. the date of approval by FWD of the Policy’s full surrender as provided under Section 20 Surrender and Withdrawals;
iii. on the date of death of the Insured subject to Section 15 Death Benefit; or
iv. the Expiry Date of this Policy.
If this Policy terminates under (i), (ii) and (iv) above, the Total Account Value if any, less Contract Debt if any, shall be returned
to the Owner based on the Unit Price/s of the relevant Fund/s, as of the Next Valuation Date following the termination of this
Policy.
18. FUNDS
Investment Funds
FWD created and maintains Variable Unit Linked Investment Funds, where the investment portion of the premium under this
Policy shall be allocated. The investment management of each Fund shall be at FWD’s full discretion. The investment policy of
each Fund may be changed subject to the approval of the Insurance Commission. The Fund/s and all its assets shall be and
remain in the absolute beneficial ownership of FWD on behalf of or for the account of the Owner.
Each Fund is denominated in Units of equal value, and the value of each Unit of a given Fund may change from time to time
depending on market conditions.
FWD may do the following subject to the approval of the Insurance Commission:
i. create new Fund/s and all the provisions of this Policy shall apply to the new Fund/s;
ii. delegate all or any of FWD's discretion and investment powers to any person and/or entity on such terms as FWD
determines;
iii. withdraw or change the Fund/s being offered by FWD. In such event, FWD shall give the Owner a written notice at
least three (3) months in advance of FWD's intent to withdraw or change the Fund/s and invite the Owner to direct
FWD to transfer the balance of the Investment Fund/s into another Investment Fund/s then offered by FWD. If FWD
does not receive any instruction from the Owner within the time period specified in FWD's notice, FWD shall surrender
all the outstanding Units of the Fund/s being withdrawn. Proceeds from the withdrawn Fund/s shall be distributed in
the following order:
a. allocate it to other available Fund/s deemed to have an equivalent fund asset mix as with the original source
Fund, if any; or
b. allocate it to the remaining Fund/s in which the Owner has Account Value balances, in proportion to this
Policy's Fund Account Values in such Fund/s; or
c. return it to the Owner if there are no remaining balances in the Fund/s in which the Owner has Fund Account
Value balances.

Valuation of Fund and Units
The valuation of the Fund/s shall be done by FWD on a daily basis. Net asset value shall be determined by using market prices
of the underlying funds or the quoted prices of direct investments, allowing for fund management fee, any fund administration
charge, purchase and sell expense, tax or other statutory levy, deposit and withdrawal made since the last Valuation Date. The
Unit Price of each Fund shall be determined by dividing the Fund’s net asset value by the corresponding number of outstanding
Units of such Fund.
Deductions from the Funds
FWD shall deduct from each Investment Fund the following:
i. all expenses incurred by FWD directly or indirectly upon purchase and sale of investments;
ii. all expenses incurred by FWD directly or indirectly in managing, maintaining and valuing assets in such Fund;
iii. any tax or other statutory levy attributable to the investment income and capital gain on assets of the Fund;
iv. Fund Management Charge, subject to FWD's sole discretion to change the Fund Management Charge rate by giving
the Owner at least three (3) months written notice; and
v. all other additional Charges as determined by FWD subject to approval of the Insurance Commission.
Fund Account Value
For this Policy, the Fund Account Value corresponding to a Fund is the net value of that Fund’s Units allocated to this Policy at
the Unit Price on the Next Valuation Date, after adjusting for the following transactions net of fees:
i. increased by the amount of premiums allocated and applied to such Fund Account Value;
ii. increased by any amount transferred from another Fund Account Value to such Fund Account Value;
iii. decreased by any amount transferred to another Fund Account Value from such Fund Account Value;
iv. decreased by any amounts withdrawn from such Fund Account Value; and
v. decreased by the amount of any monthly deductions and any other Charges made by FWD from such Fund Account
Value.
This Policy shall have a Fund Account Value corresponding to each Fund the Owner has opted to invest in.
Exceptional Circumstances
Where for any reasons other than payment of the Death Benefit under this Policy, the creation and/or cancellation of Units in
any Fund Account Value becomes necessary and FWD in its absolute discretion deems the circumstances to be prejudicial to
the interests of its policyholders, the creation and/or cancellation of Units in any Fund Account Value shall be deferred for a
period not exceeding six (6) months from the date the creation and/or cancellation would in normal circumstances have taken
place.
Exceptional circumstances include, but are not limited to:
i. the closure or suspension of dealings on recognized stock exchanges;

ii. suspension of valuation or dealings of the underlying Investment Funds; or
iii. periods when the assets in an Investment Fund cannot be valued or invested according to its investment objective.
19. DEFERMENT AND LIMITATION
For valid reasons solely determined by FWD, the valuation, creation or cancellation of Units of the Investment Fund/s may be
temporarily suspended or deferred.

FWD may also limit the number of Units of an Investment Fund that can be cancelled on any Valuation Date (whether for this
Policy or otherwise) as FWD may determine from time to time. In such case, Units of the Investment Fund allocated to this
Policy shall be cancelled on a pro rata basis. Units not cancelled shall be carried forward for cancellation, subject to the same
limitation, on the Next Valuation Date of the Investment Fund.
20. SURRENDER AND WITHDRAWALS
The Owner may surrender this Policy for its Total Account Value while this Policy is in force. This Policy shall terminate at the
effective date of such surrender.
The Owner may withdraw part of the Total Account Value of this Policy while this Policy is in force. Such transaction is referred
to as withdrawal.
The following conditions shall apply:
i. Owner must request for surrender or partial withdrawal using the appropriate form prescribed by FWD.
ii. The Owner’s request shall be subject to FWD’s prevailing administrative rules and procedures at the time of
application for surrender or withdrawal.
iii. The amount of withdrawal must not be less than the minimum amount determined by FWD from time to time.
iv. If there is more than one Investment Fund and the Owner does not specify the Investment Fund/s from which the
amount requested is to be withdrawn, then the withdrawal amount shall be taken proportionately from each
Investment Fund.
v. The Total Account Value immediately after the request for partial withdrawal must not be less than the minimum
amount specified by FWD from time to time; otherwise, the Owner must fully surrender this Policy. The withdrawal
amount with respect to a Fund must not exceed this Policy’s Fund Account Value for such Fund.
vi. Any amount surrendered or partially withdrawn from a Fund shall be deducted from the Fund Account Value of such
Fund at its Unit Price determined at the Next Valuation Date following the date that FWD approves the Owner's
request.
vii. FWD shall automatically reduce the Minimum Death Benefit by 125% of the amount of the partial withdrawal, subject
to the Minimum Death Benefit requirement of the Insurance Commission.
21. FUND SWITCH
While this Policy is in force, the Owner may at any time request FWD to switch all or part of the Fund Account Value with
respect to any of the Fund/s under this Policy, to one or more of the other Fund/s. Such transaction is referred to as Fund
Switching.
i. Owner must request for Fund Switching using the appropriate form prescribed by FWD.
ii. The Owner’s request for Fund Switching shall be subject to prevailing administrative rules and procedures of FWD at
the time of application for Fund Switching.
iii. The amount to be switched must not be less than the minimum amount as determined by FWD from time to time.
iv. Fund Switching may be allowed without a Fund Switching Charge for up to six (6) times per Policy Year, provided that
the Fund Switch was requested through FWD’s online facility. If the Owner exceeds the maximum number of allowed
Fund Switching through FWD’s online facility or requests such Fund Switching other than through FWD’s online
facility, a Fund Switching Charge shall be deducted from the Total Account Value upon approval by FWD of such Fund
Switch. The Fund Switching Charge may change from time to time and shall be subject to FWD’s prevailing
administrative rules and procedures at the time of the Fund Switch.

v. Immediately after the Fund Switch, the Total Account Value must not be less than the minimum amount as specified
by FWD from time to time; otherwise, the Owner must withdraw the Total Account Value. The amount switched from
a particular Fund plus any Fund Switching Charge with respect to such Fund must not exceed the Fund Account Value
corresponding to such Fund.
vi. The amount switched from a Fund shall be deducted from the Fund Account Value of such Fund at the Fund’s Unit
Price on the Next Valuation Date following the date the Owner's written request for such Fund Switching is approved
by FWD. The amount switched less any Fund Switching Charge shall be applied to purchase Units at Unit Price/s of
the respective Fund/s determined at the Next Valuation Date following such cancellation.
22. CHANGE OF FUND ALLOCATION RATE

While this Policy is in force, the Owner may, at any time, request FWD to change the Fund Allocation Rate under this Policy.

i. Owner must request for change in Fund Allocation Rate using the appropriate form prescribed by FWD.
ii. The Owner’s request to change the Fund Allocation Rate shall be subject to prevailing administrative rules and
procedures at the time of application of the change in the Fund Allocation Rate.
iii. The Fund Allocation Rates to the selected Fund/s, when changed, must not be less than the minimum as determined
by FWD from time to time.
iv. The change shall be effective at the Next Valuation Date following the date the Owner's request for such change in
allocation has been approved by FWD. Such change in the Fund Allocation Rate shall apply only to subsequent
allocations of the premiums to the Fund/s.
v. A fee for change in allocation may be charged, subject to FWD’s prevailing administrative rules and procedures at the
time of the change in allocation.
23. LOYALTY BONUS

While this Policy is in force, FWD may award a Loyalty Bonus payable at the end of the tenth (10 th) Policy Year and on every
fifth (5th) Policy anniversary thereafter. The Loyalty Bonus shall be a percentage of the average Total Account Value over the
past sixty (60) Monthly Anniversaries of this Policy, and such percentage shall be determined by FWD from time to time. Any
Loyalty Bonus payable shall be made by crediting additional Units proportionately to each Fund Account Value.
The Loyalty Bonus is non-guaranteed. If this Policy has been reinstated at any time during its lifetime, this Policy shall not be
eligible to receive the Loyalty Bonus after the approval date of last reinstatement.
24. DISCLOSURES OF CONFLICT OF INTEREST

The fund manager makes investment decisions for the Investment Fund/s based on the circumstances of each Investment
Fund and independently of decision made for other Investment Fund/s. The fund manager may make the same investments
for an Investment Fund and one or more other Investment Fund/s. This may create a conflict of interest if there is only a limited
amount of the investment available, or if the investment is purchased at different times or at different prices for different
Investment Fund/s. If this happens, the fund manager shall attempt to allocate the investment fairly between the Investment
Fund and other Investment Fund/s. Factors the fund manager considers in allocations include the size and timing of previous
allocations, whether the security meets the objectives of the respective portfolios, the relative portfolio size and the rate of
growth of the portfolios.
25. LIMITATION OF ACTION

No legal action on this Policy may be filed after five (5) years from the time the cause of action accrues.

IMPORTANT NOTICE
The Insurance Commission, with offices in Manila, Cebu and Davao, is the government office in charge of the enforcement of
all laws related to insurance and has supervision over insurance companies and intermediaries. It is ready at all times to assist
the general public in matters pertaining to insurance. For any inquiries or complaints, please contact the Public Assistance and
Mediation Division (PAMD) of the Insurance Commission at 1071 United Nations Avenue, Manila with telephone numbers
+632-85238461 to 70 and email address publicassistance@insurance.gov.ph. The official website of the Insurance Commission
is www.insurance.gov.ph.
THIS CONTRACT IS BETWEEN THE OWNER AND FWD LIFE INSURANCE CORPORATION, A SUBSIDIARY OR
AFFILIATE, AS THE CASE MAY BE OF SECURITY BANK CORPORATION. ALL TRANSACTIONS ARISING OUT
OF OR RELATED TO THIS CONTRACT SHALL BE BINDING ONLY BETWEEN THESE TWO (2) CONTRACTING
PARTIES. IT IS UNDERSTOOD THAT THIS TRANSACTION IS NEITHER INSURED BY THE PHILIPPINE
DEPOSIT INSURANCE CORPORATION NOR GUARANTEED BY SECURITY BANK CORPORATION.

SET FOR LIFE 5PAY SALES ILLUSTRATION Quotation Reference No : 9904515800649
FOR THE PROPOSED OWNER :

NAME : Mrs. MARITES RABAYA DATE OF BIRTH: December 07, 1965
GENDER: Female AGE: 54
PROPOSED INSURED :
NAME : Mrs. MARITES RABAYA DATE OF BIRTH: December 07, 1965
GENDER: Female AGE: 54
RISK CLASS : Standard Class 1 OCCUPATION : Storekeeper /owner
Thank You for considering Set for Life 5Pay - the perfect way to protect You and Your family's future. By investing regularly in FWD's professionally managed Investment Funds,
You benefit from the long term growth potential of carefully selected equities and bonds. You also have the flexibility to invest additional amounts at any time (subject to our
approval) or, if money is tight, suspend regular investments and/or withdraw some or all of Your investment without penalties. You can give Your family even more peace of mind
by attaching Supplementary Benefits which provide financial support if the Insured is hospitalized, has suffered a critical illness, is disabled or worse. With Your family’s financial
future secure, You can get ready to live!
To reward our long term Customers, FWD Life Insurance Corporation ("FWD") aims to pay Loyalty Bonuses on the 10th policy year and every five years thereafter. The Loyalty
Bonus is now at 2% of the average Total Account Value of the preceding sixty months. The Loyalty Bonus is not guaranteed and may be adjusted by FWD.
An illustration of Your potential benefits is shown below, amounts are in Philippine Pesos.
AMOUNT TOTAL LIVING BENEFITS PROJECTED DEATH BENEFIT

POLICY BASIC TOP-UP
AGE ALLOCATED (AT END OF YEAR) (AT END OF YEAR)
YEAR PREMIUMS PREMIUMS
TO FUND 4% 8% 10% 4% 8% 10%
1 54 60,000 - 18,000 15,843 16,233 16,427 300,000 300,000 300,000
2 55 60,000 - 33,000 47,683 49,505 50,424 300,000 300,000 300,000
3 56 60,000 - 60,000 108,747 114,085 116,814 300,000 300,000 300,000
4 57 60,000 - 60,000 172,772 184,423 190,471 300,000 300,000 300,000
5 58 60,000 - 60,000 240,042 261,196 272,371 300,000 300,000 300,000
6 59 - - - 248,847 281,658 299,373 300,000 300,000 300,000
7 60 - - - 258,064 304,057 329,310 300,000 304,057 329,310
8 61 - - - 267,744 328,383 362,241 300,000 328,383 362,241
9 62 - - - 277,933 354,658 398,465 300,000 354,658 398,465
10 63 - - - 293,954 389,370 445,259 300,000 389,370 445,259
11 64 - - - 305,670 420,520 489,782 305,670 420,520 489,782
12 65 - - - 317,898 454,161 538,758 317,898 454,161 538,758
13 66 - - - 330,616 490,497 592,636 330,616 490,497 592,636
14 67 - - - 343,840 529,736 651,898 343,840 529,736 651,898
15 68 - - - 364,078 581,582 728,451 364,078 581,582 728,451
16 69 - - - 378,637 628,108 801,293 378,637 628,108 801,293
17 70 - - - 393,779 678,355 881,419 393,779 678,355 881,419
18 71 - - - 409,531 732,622 969,561 409,531 732,622 969,561
19 72 - - - 425,912 791,231 1,066,516 425,912 791,231 1,066,516
20 73 - - - 450,981 868,674 1,191,760 450,981 868,674 1,191,760
27 80 - - - 604,231 1,513,395 2,359,196 604,231 1,513,395 2,359,196

37 90 - - - 927,128 3,376,330 6,314,603 927,128 3,376,330 6,314,603
46 99 - - - 1,367,874 6,974,520 15,365,121 1,367,874 6,974,520 15,365,121
Version 1.4 This Sales Illustration is prepared on March 09, 2020 and valid until June 06, 2020 Page 1 of 7
FWD LIFE INSURANCE CORPORATION

19/F, W Fifth Avenue Bldg., 5th Avenue cor. 32nd Street,
Bonifacio Global City, Taguig City 1634, Philippines
T: (632) 8888 8393 | F: (632) 8558 7393
FWD.COM.PH
IMPORTANT INFORMATION TO NOTE ABOUT SET FOR LIFE 5PAY
(i) ALL INVESTMENT RISKS ASSOCIATED WITH SET FOR LIFE 5PAY ARE BORNE SOLELY BY THE OWNER.
(ii) Amount Allocated To Fund is the sum of your Total Basic Regular Premiums and Top-Up Premiums, if any, less applicable Premium Charges.
Supplementary Benefit Premiums are not invested.
(iii) Total Living Benefits is the sum of your Total Account Value, less any applicable Surrender Charges for full or partial withdrawals. The Total Living Benefits illustrated
assume investment earnings of 4%, 8%, and 10%. Fund Management Charge, tax and other investment expenses are also assumed to have been deducted from the
Investment Funds. These earning rates are not based on past fund performance and actual Investment Fund earnings will differ from these rates.
(iv) The value of Your Policy is NOT GUARANTEED and depends on the actual investment performance of the Funds. It is possible that the value of Your policy will become
less than the amount that You invest.
(v) The amounts in this illustration also assume that the illustrated Premiums are paid in full when due, are net of the Policy Charges which may be reviewed and subject to
change in the future. Fund Switching Charges may apply.
(vi) If the Insured dies while the Policy is in force, FWD will pay whichever is higher of (i) 300,000, (ii) the Total Account Value or (iii) the Minimum Death Benefit. The Minimum
Death Benefit is the sum of 500% of Basic Annual Premiums plus 125% of any Top-Up Premiums paid less 125% of any Partial Withdrawals. This is still exclusive of any
applicable benefit/s payable upon death from Supplementary Benefits.
(vii) If You decide this Policy is not suitable for Your needs, You can return the Policy to FWD for cancellation within 15 days from the date You receive it and
receive a refund equal to the sum of the Total Account Value, Premium Charges, Supplementary Benefit Premiums and the Insurance Charges that have been
deducted from Your Fund Account Value.
(viii) This Sales Illustration becomes part of Your Policy after the Policy is issued. The terms and conditions applicable to Your Policy are presented in more detail in the Set for
Life 5Pay Policy Contract. The Policy Contract will be followed if there are inconsistencies between this Sales Illustration and the Policy Contract.
(ix) FWD may change the Policy Charges but only after seeking approval from the Insurance Commission and informing You one (1) month prior to the change.
SUMMARY OF BENEFITS, PREMIUMS AND INSURANCE CHARGES
INITIAL INSURANCE TOTAL ANNUAL
SUM ASSURED BENEFIT PAYMENT
BENEFIT DESCRIPTION CHARGES* PREMIUM
(in PHP) PERIOD PERIOD
(in PHP) (in PHP)
Set for Life 5Pay Death Benefit 300,000.00 To Age 100 2,548.05 5 Years 60,000.00
Basic Premium 60,000.00

*Insurance Charges are deducted from Your Total Account Value as payment for the Benefits You have Top Up Premium 0.00
selected. The initial Insurance Charges shown are the projected charges for the first year of the policy. Supplementary Benefits Premium 0.00
Charges will increase in subsequent years based on the Insured's attained age and the actual Account Value Total Annual Premium 60,000.00
of the policy.
Total Semi-Annual Premium 30,000.00
Total Quarterly Premium 15,000.00
**Your Total Regular Premium refers to the total premiums you need to pay for a year depending on the
Total Monthly Premium 4,998.00
premium frequency you have chosen.
Total Regular Premium** 60,000.00
FWD.COM.PH
SPECIAL ILLUSTRATION OF BENEFITS
For LUMP SUM TOP-UP PREMIUMS, SCHEDULED WITHDRAWALS AND PREMIUM HOLIDAY OPTION
Set for Life can be customized to suit your family’s protection needs. The table below illustrates how Set for Life benefits can be adjusted to keep up with your needs.
REGULAR/LUMP TOTAL LIVING BENEFITS PROJECTED DEATH BENEFIT
POLICY BASIC
AGE SUM TOP-UP WITHDRAWALS (AT THE END OF YEAR) (AT THE END OF YEAR)
YEAR PREMIUMS
PREMIUMS 4% 8% 10% 4% 8% 10%
1 54 60,000 - - 15,843 16,233 16,427 300,000 300,000 300,000
2 55 60,000 - - 47,683 49,505 50,424 300,000 300,000 300,000
3 56 60,000 - - 108,747 114,085 116,814 300,000 300,000 300,000
4 57 60,000 - - 172,772 184,423 190,471 300,000 300,000 300,000
5 58 60,000 - - 240,042 261,196 272,371 300,000 300,000 300,000
6 59 - - - 248,847 281,658 299,373 300,000 300,000 300,000
7 60 - - - 258,064 304,057 329,310 300,000 304,057 329,310
8 61 - - - 267,744 328,383 362,241 300,000 328,383 362,241
9 62 - - - 277,933 354,658 398,465 300,000 354,658 398,465
10 63 - - - 293,954 389,370 445,259 300,000 389,370 445,259
11 64 - - - 305,670 420,520 489,782 305,670 420,520 489,782
12 65 - - - 317,898 454,161 538,758 317,898 454,161 538,758
13 66 - - - 330,616 490,497 592,636 330,616 490,497 592,636
14 67 - - - 343,840 529,736 651,898 343,840 529,736 651,898
15 68 - - - 364,078 581,582 728,451 364,078 581,582 728,451
16 69 - - - 378,637 628,108 801,293 378,637 628,108 801,293
17 70 - - - 393,779 678,355 881,419 393,779 678,355 881,419
18 71 - - - 409,531 732,622 969,561 409,531 732,622 969,561
19 72 - - - 425,912 791,231 1,066,516 425,912 791,231 1,066,516
20 73 - - - 450,981 868,674 1,191,760 450,981 868,674 1,191,760
27 80 - - - 604,231 1,513,395 2,359,196 604,231 1,513,395 2,359,196

37 90 - - - 927,128 3,376,330 6,314,603 927,128 3,376,330 6,314,603
46 99 - - - 1,367,874 6,974,520 15,365,121 1,367,874 6,974,520 15,365,121
Additional Notes on the Special Illustration of Benefits:
1. Lump Sum Top-Up Premiums can be paid by the policyowner anytime through a duly accomplished Investment Change Form subject to the approval of the
Underwriting Department. The minimum amount to be invested per fund is Php 2,000. The illustration above includes all the Top-Up Premiums applicable in the
policy including Regular Top-Up and Lump Sum Top-Up Premiums.
2. Scheduled withdrawals from the Account Value may be requested by the policyowner through a duly accomplished Policy Withdrawal Form submitted to FWD. Any
withdrawal from the Account Value may reduce the Death Benefit payable and will be subject to corresponding Surrender Charges, if any.
FWD.COM.PH
WHAT WE DON’T COVER
SET FOR LIFE
We will not pay any death benefit if the claim arises from attempted suicide or self-inflicted act by the Insured within two years.
FWD.COM.PH
ACKNOWLEDGEMENTS BY THE OWNER
POLICY CHARGES
I acknowledge that I understand that the following Policy Charges will be charged to my Set for Life 5Pay Policy:
(i) Premium Charges are deducted according to the following table:
Premium Charge as a Percentage of Premium Payable in :
1st Policy Year 2nd Policy Year 3rd Policy Year 4th Policy Year Onwards
Basic Premium Charge 70% 45% 0% 0%
Regular Top-Up Premium Charge 5% 5% 5% 5%
Lump Sum Top-Up Premium Charge 5% 5% 5% 5%
You can suspend payment of Basic Premiums and Basic Top-Up Premiums at any time. However any Basic Premium Charges that would have been received by FWD
had You continued to pay Basic Premiums will be deducted from Your Total Account Value. If Total Account Value becomes insufficient to cover these Charges, Your
Policy will terminate.
(ii) Insurance Charges are deducted every month from Your Total Account Value as payment for the benefit that You have selected. If the Total Account Value becomes
insufficient to cover the Insurance Charges during the first three (3) Policy Years, Your Basic Plan Death Benefit will continue for as long as Basic Premiums and Regular
Top-Up Premiums are paid when due and no withdrawals. A Contract Debt is created equal to any undeducted Insurance Charges and accumulated without interest. Any
Basic or Top-Up Premiums paid net of Premium Charges will reduce the Contract Debt with any remaining amounts being invested in the Total Account Value. The Policy
will terminate at the end of the third (3rd) year if the Total Account Value is zero (0) or below. The Contract Debt balance will be deducted from any Death Benefit that may
become payable.
(iii) Fund Management Charges are deducted from the Investment Funds to cover the cost of administering the Investment Funds and determine the net asset values of
each of the Investment Funds.
(iv) Fund switching is free up to six (6) times per Policy Year, provided that it is requested through FWD's online facility. In other situations, a Fund Switching Charge of 1%
of the amount switched will be deducted from the Total Account Value.
I acknowledge that:
(i) I have applied to FWD for a Set for Life 5Pay Insurance Policy and have reviewed the illustrations showing how variable life insurance policies perform using FWD's
assumptions and the Insurance Commission's guidelines on interest rates.
(ii) I understand that since the fund performance may vary, the values of my units are not guaranteed and will depend on the actual performance and that the value of my
Policy could be less than the total of the Basic Premiums and Regular Top-Up Premiums and any Lump Sum Top-Up Premiums paid. The actual unit values of the
Investment Funds are published regularly.
(iii) I fully understand that the investment risks under my Policy are to be borne solely by me, as the Owner.
March 09, 2020 MRS MARITES RABAYA

DATE ACCEPTED OWNER'S FULL NAME
March 09, 2020 91207106 Amber Allysa Custan Mercado

DATE ACCEPTED CODE FINANCIAL SOLUTIONS CONSULTANT'S FULL NAME
BANK REFERROR NAME: Security Bank Corporation BANK REFERROR CODE: DMY00001
FWD.COM.PH
INVESTMENT FUND OPTIONS
FWD PESO BOND FUND Your nominated allocation to this fund : 40.0 %
The fund targets long term growth by investing in a diversity of high quality, medium-to-long term fixed securities such as government securities and corporate bonds and
notes. It is designed for people with lower than average investment risk tolerance. The fund invests in assets managed by Security Bank. The Fund Management Charge is
1.75% of the fund per year.
FWD PESO STABLE FUND Your nominated allocation to this fund : 0 %
The fund targets long term growth by investing in a balanced diversity of high quality equities listed in the Philippine Stock Exchange and fixed income securities such as
government securities and corporate bonds and notes. The fund invests in assets managed by Security Bank. The Fund Management Charge is 2.00% of the fund per year.
FWD PESO HIGH DIVIDEND EQUITY FUND Your nominated allocation to this fund : 0 %
The fund targets total returns through income growth and long term capital appreciation by investing in carefully selected equities listed in the Philippine Stock Exchange that
offer high dividend payments. While You are still exposed to the possibility of capital losses given the volatile nature of equities, consistent and high dividend payments help
cushion declines in actual stock prices. The fund invests in assets managed by Security Bank. The Fund Management Charge is 2.00% of the fund per year.
FWD PESO GROWTH FUND Your nominated allocation to this fund : 0 %
The fund is designed to optimize growth over the long term from a diversified portfolio of equities listed in the Philippine Stock Exchange and money market securities. This
fund is suitable for investors with an aggressive risk profile and long investment horizon. You should only invest in this fund if You are willing to accept negative investment
returns. The fund invests in assets managed by Security Bank. The Fund Management Charge is 2.00% of the fund per year.
FWD PESO FIXED INCOME FUND Your nominated allocation to this fund : 0 %
The fund targets long term growth by investing in a diversity of high quality, medium-to-long term fixed securities such as government securities and corporate bonds and
notes. It is designed for people with lower than average investment risk tolerance. The fund invests in assets managed by Bank of the Philippine Islands. The Fund
Management Charge is 1.75% of the fund per year.
FWD PESO BALANCED FUND Your nominated allocation to this fund : 0 %
The fund targets stable long term growth by predominantly investing in high quality government securities and corporate bonds whilst investing a smaller proportion in
carefully selected equities listed in the Philippine Stock Exchange. The fund invests in assets managed by Bank of the Philippine Islands. The Fund Management Charge is
2.00% of the fund per year.
FWD PESO EQUITY FUND Your nominated allocation to this fund : 0 %
The fund is designed to optimize growth over the long term from a diversified portfolio of equities listed in the Philippine Stock Exchange and money market securities. This
fund is suitable for investors with an aggressive risk profile and long investment horizon. You should only invest in this fund if You are willing to accept negative investment
returns. The fund invests in assets managed by Bank of the Philippine Islands. The Fund Management Charge is 2.00% of the fund per year.
FWD PESO EQUITY INDEX FUND Your nominated allocation to this fund : 60.0 %
The fund is designed to achieve income growth and investment returns that closely track the total return of the Philippine Stock Exchange Index (PSEi). This fund is suitable
for investors with an aggressive risk profile and who seeks potentially higher yields from dividends as well as from stock price appreciation. You should only invest in this
fund if You are willing to accept capital losses given the volatility nature of the local equities markets. The fund invests in assets managed by Security Bank. The Fund
Management Charge is 1.50% of the fund per year.
The assets in our Investment Funds are valued using the marked-to-market valuation method on a daily basis. The Unit Prices of the Investment Funds are published weekly
in major newspapers and daily in our website (www.fwd.com.ph).
DISCLOSURES OF CONFLICT OF INTEREST
The fund manager makes investment decisions for the Investment Fund/s based on the circumstances of each Investment Fund and independently of decision made for
other Investment Fund/s. The fund manager may make the same investments for an Investment Fund and one or more other Investment Fund/s. This may create a conflict of
interest if there is only a limited amount of the investment available, or if the investment is purchased at different times or at different prices for different Investment Fund/s. If
this happens, the fund manager will attempt to allocate the investment fairly between the Investment Fund and other Investment Fund/s. Factors the fund manager considers
in allocations include the size and timing of previous allocations, whether the security meets the objectives of the respective portfolios, the relative portfolio size and the rate
of growth of the portfolios.
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, we strongly recommend that you do not purchase or invest in it.
THIS FINANCIAL PRODUCT OF FWD LIFE INSURANCE CORPORATION IS NOT INSURED BY THE PHILIPPINE DEPOSIT INSURANCE CORPORATION (PDIC) AND
IS NOT GUARANTEED BY SECURITY BANK CORPORATION.
FWD.COM.PH
OTHER IMPORTANT INFORMATION
What are the key risks of my product?
Purchasing a Variable Life insurance product has its advantages and trade-offs. You should understand that Variable Life products are subject to investment risks which
include, but are not limited to credit risk, mark-to-market risk, taxation risk, regulatory risk, liquidity risk and default risk which could affect the value of your Variable Life
Policy. FWD is guided by its Investment Policies and Guidelines in managing these risks however, this does not guarantee investment returns nor protect against capital loss.
To further understand the nature of these risks, please talk to your FWD Financial Solutions Consultant.
Is it possible to terminate my investment and will this incur Charges?
Set for Life 5Pay allows you to withdraw some or all of your Total Account Value however Surrender Charges may apply. If you withdraw all of your Total Account Value, your
Policy will immediately terminate. Doing this may be more disadvantageous than beneficial as you lose potential investment earnings plus the benefits of having life
insurance protection. We recommend that you talk to your Financial Consultant first to explore other options.
Your policy will also terminate if the Total Account Value is no longer sufficient to cover Premium Charges and Insurance Charges. In this case, you may reinstate your Policy
and any Supplementary Benefits within three (3) years if you satisfy our Reinstatement requirements.
Other important information I need to know.
Should you need further information, you may contact FWD Life Insurance Corporation at the address shown on Page 1.
DEFINITION OF INVESTMENT RISKS

Credit Risk
This risk refers to the probability that a counterparty to an investment may not be able to fulfill its obligations accordingly, resulting to an adverse effect on the value of a
money market or debt security such as a bond.
Interest Rate Risk
This risk refers to the possibility that the value of an investment with holdings in fixed-income securities such as bonds may rise and fall as interest rates change. When
interest rates fall, the value of an existing bond rises. On the contrary, when interest rates rise, the value of an existing bond generally falls.
Liquidity Risk
This risk refers to the possibility that assets or securities cannot be bought or sold within a desired time and/or at fair value, which in turn may affect the value of an
Investment Fund or affect FWD's ability to satisfy the investment purchase and redemption requests of its Owners.
Mark-to-Market Risk
This risk refers to the probability that the market value of an investment will rise or fall based on overall market conditions. The value of the market can vary with changes in
the general economic and financial conditions as well as political, social and environmental factors.
Regulatory Risk
This risk refers to the probability that certain laws and regulations applicable to investments, including income tax and securities laws, and the administrative policies and
practices of regulatory authorities may change in a manner that adversely affects the value of an investment.
Taxation Risk
This risk refers to the probability that the application of tax on investment may differ from jurisdiction to jurisdiction and tax treatment may change before the maturity or
redemption date of an investment. For more information on the effects of tax on the acquisition, ownership or liquidation of Investment Funds, you should consult a personal,
independent tax adviser.
FWD.COM.PH
Set for Life Regular Application Form
Policy Number: 60019031
Importance of Truthful Disclosure: It's important that you provide truthful answers in the Application Form.
Concealment of any facts may cause FWD to deny a claim on this policy.
INDIVIDUAL PROPOSED OWNER AND INSURED INFORMATION

Full name Mrs. MARITES YATAN RABAYA
Gender Female
Date of Birth 12/07/1965
Marital Status Married
Country of Birth Philippines
Nationality Filipino
TIN Number 925561463
Valid ID Voter's ID
ID Number 67240095AL0765MYR200
Expiry Date 05/13/2021
682 NAVARRO, BARANGAY TAFT, Surigao City, Surigao del Norte, Philippines,
Current Address
8400
Permanent Address
8400
Email Address tess_rabaya@yahoo.com
Primary Contact Number 63-9189184461
FWD will use your policy delivery mode and contact details to update and notify you in relation to your policy such as
payments, billings, annual statement. It’s also important to let us know when your contact details change in order for
us to manage your account better.
Occupation Storekeeper /owner
Annual Income Php 300,000.00
Source of Funds Business
Purpose of Insurance Savings
Employer's Name JRG JUNKSHOP
Industry Retail and sales-others
Business Address
8400
Policy Delivery Mode Email + Customer Portal
Ver No. 001-REGAPP (08/08/2017) Page 1 of 6

PLAN DETAILS
PLAN PAYMENT TERM SUM ASSURED PREMIUM
Set for Life 5 300,000.00 60,000.00
FUND ALLOCATION (Each fund should have minimum of 10%. Total Fund Allocation should equal to 100%)
FUND NAMES ALLOCATION (%)
FWD PESO Bond Fund 40.0
FWD PESO Equity Index Fund 60.0
PAYMENT INFORMATION
Payment Mode Quarterly
Initial Payment Mode
Cash (Partner Banks)
APP No. 0104515800047
BENEFICIARY DETAILS
Full Name Date of Gender Relationship Allocation Type of Designation Trustee Name
Birth to the of Beneficiary
Proposed Benefits
Insured (%)
Ms. REAH MAEH

08/15/1992 Female Mother 25.00 Primary Revocable
YATAN RABAYA
Mr. RODNEY YATAN
12/06/1988 Male Mother 25.00 Primary Revocable
RABAYA
Ms. ROSETTE YATAN
RABAYA
Ms. ROXY YATAN
RABAYA
Please note:
If the "Allocation of Benefits" is left blank, benefits will be shared equally between Beneficiaries of the same
type.
If the "Type of Beneficiary" or "Designation" are left blank, the Beneficiary will be defined as "Primary" or
"Revocable" respectively.
FWD will require prior approval of all Beneficiaries designated as "Irrevocable" before processing any policy
transactions.
If there are no changes to the Beneficiary or his designation during the lifetime of the Proposed Insured, the
designation will automatically be deemed "Irrevocable".
If a designated Beneficiary is a minor, a legally recognized guardian or trustee may be required to enact a policy
transaction or file a claim.
OTHER DECLARATIONS
REPLACEMENT OF EXISTING POLICIES
Is the Policy applied for intended to change or replace any existing insurance inforce on the
No
Proposed Owner or Insured?
Will premiums for the insurance you are applying for be paid by a policy loan or surrender
No
value from any existing policies?

REMINDERS: REPLACING an existing life insurance policy with a new one is usually disadvantageous as you may lose
financial benefits you have accumulated over the years, or you may not even be insurable on standard terms, or you
may be required to pay a higher premium in view of higher age. Thus, for your own benefit and interest, please consult
your present insurer before making a final decision. Hear from both sides and make a careful comparison. You can then
be sure that you are making a decision that is your best interest.
US TAX DECLARATION
Are you a citizen, taxpayer, passport holder or green card holder of the U.S. or were you born
No
in the U.S ?
Your Lifestyle
Proposed Insured
Please choose the best description of your smoking habits:
o Non-smoker
o Smoker
Have you ever been active or intend to be active in politics as a candidate or in any other capacity?
o Yes
o No
Your Health
Proposed Insured
What is your Height? 5 ft and 2 in OR 157.48 cm
What is your Weight? 132 lbs OR 60 kgs
Have you ever had or received medical advice or treatment for:
o Cancer
o Coronary artery disease, heart valve condition or other heart condition
o Diabetes or elevated blood sugar
o Hepatitis B or hepatitis C, liver fibrosis or cirrhosis
o Nephritis, nephrotic syndrome or chronic kidney disease
o Stroke or transient ischemic attack (TIA)
o Chronic obstructive pulmonary disease (COPD)
o HIV infection or positive HIV test
o None of these
In the last 2 years, have you had any other condition(s) which resulted in:
o Ongoing medical care or follow-up with a doctor, specialist or hospital

o Continuously receiving medication or treatment for 4 weeks or more
o None of these
Aside from what you've shared earlier, are you currently:
o Planning or been advised to consult a doctor (aside from routine health check)
o Undergoing or awaiting investigations, follow-up or treatment including surgery
o None of these

FWD'S HOME OFFICE ENDORSEMENTS AND SPECIAL INSTRUCTIONS
DECLARATIONS MADE BY PROPOSED OWNER

I UNDERSTAND AND CONFIRM THAT:
1. I read the Sales Illustration before applying for the policy and am fully informed about the product’s benefits &
charges and my obligations.
2. The information I have provided above and in any supporting documents or information (collectively defined as
this 'Application Form') are true and complete. I understand that providing inaccurate or incomplete information
may result in future policy benefits being denied.
3. In case of apparent errors or omissions in this Application Form, or if the policy cannot be issued based on FWD's
underwriting guidelines, FWD may amend this Application Form in the FWD's Home Office Endorsement and
Special Instructions and may issue the policy on the basis of such amendments. I understand that my acceptance
of the policy ratifies these amendments.
4. If the policy will replace any existing policies, I have read the Replacement of Existing Policies.
5. I may be subjected to HIV testing and/or a personal investigation for the purpose of underwriting this
application.
6. In accordance with the Insurance Commission's Circular Letter No. 2016-54, your medical information will be
uploaded to a Medical Information Database accessible to life insurance companies for the purpose of enhancing
risk assessment and preventing fraud. Once uploaded, all life insurance companies will only have limited access
to your information in order to protect your right to privacy in accordance with law. A copy of Circular Letter No.
2016-54 may be accessed at the Insurance Commission's website at www.insurance.gov.ph.
7. I have fully disclosed all of my citizenships, tax status, residencies, relevant taxpayer identification numbers and
agree to notify FWD within thirty days of any changes to the above information. For the purposes of ensuring
continued compliance, FWD may request information and/or documents from me including completed,
executed and, if necessary, notarized tax declarations or forms.
8. The amounts invested in the policies have been declared to the relevant government and tax authorities (within
or outside the Philippines) and none were derived, directly or indirectly, from illegal activities, illegal sources or
tax evasion. I authorize FWD to withhold payment of any amounts due to myself, my beneficiaries, claimants,
assignees and/or payees if required by any relevant government or tax authorities (within or outside the
Philippines).
9. The benefits payable under the policy are linked to the performance of the Investment Funds that I have elected
to invest in. I understand that the value of those Investment Funds and therefore the policy value will rise and
fall. I confirm that my Fund Allocation Instruction above is based solely on my personal judgment.
10. I may cancel the policy by giving FWD written notice within 15 days from receipt of the policy. In this situation, I
will receive a refund equal to the value of my units plus applicable Premium Charges and Insurance Charges.
11. FWD may require satisfactory evidence of insurability of the Proposed Insured prior to accepting any top-up
premiums.
Data Privacy and Consent Declaration

By signing and submitting this Application Form to FWD, I expressly consent to the following:

1. FWD may collect, use, and store the information provided in this Application Form and from Third Parties
(including, but not limited to, affiliates, partners, contracted service providers, medical/financial/insurance
institutions, government agencies and medical information sharing facilities) to process this application and to
service my policies. The information gathered may be shared with FWD's third parties for purposes consistent
with which it was obtained. These information (including those which will be available during the life of my
policies) may further be processed and shared for underwriting, reinsurance, policy issuance and administration,
claims adjudication, data analytics, historical and scientific research, profiling, risk management, enhancement of
products and services, identity verification, protection against fraud, and to comply with legal, regulatory, or
contractual requirements. I acknowledge that in certain instances, my information may be processed through
automated means.
2. I authorize FWD to disclose my personal and financial information to any government or tax authority (within or
outside the Philippines) for the purposes of ensuring FWD's continual compliance with applicable laws,
regulations, guidelines and good market practices. I also agree that FWD has the right to require any of my
beneficiaries, claimants, assignees and/or payees to:
a. provide FWD with their respective personal and financial information;
b. sign and submit such documents as FWD may reasonably require; and
c. authorize FWD to disclose such personal and financial information to relevant Philippine and/or
foreign government and/or tax authorities.
3. I understand that FWD reports to its parent company located in Hong Kong and may engage third-party service
providers and partners who, in some instances, may be located outside the Philippines. As necessary, my personal
and policy information may be processed, shared, stored, and be subject to the laws of these foreign jurisdictions.
FWD and its affiliates, third-party service providers and partners, are required to protect the confidentiality of my
personal information in a manner consistent with data protection principles.
4. FWD may contact me to request or clarify information to process this application, send me policy information, and
perform other relevant activities to service my policies.
5. To ensure FWD's continued service where my servicing intermediary, agent or Financial Solutions Consultant
(FSC), is no longer connected with FWD, I authorize FWD to assign and inform me of my new servicing
intermediary, who shall have access to my data for purposes of serving my policy/ies.
6. I authorize FWD, its affiliates, partners and contracted third parties, to contact me and keep me updated on
FWD's products, and other promotional information that I might be interested in.
I do not want to be contacted for promotional information about FWD's products, and offers.
7. I attest that the consent of the Policy Insured, Beneficial Owner (if any), Beneficiary/ies and all other data subjects
in this Application form were obtained by me for the processing of their information for purposes listed above.
Privacy Policy:
Your privacy is a priority for FWD. The Company keeps your personal information about you and the products and
services you have with us in confidence. For more information about our Privacy Policy, kindly visit our website at
https://www.fwd.com.ph. You may also email our Data Protection Office at dataprotection.ph@fwd.com for any
privacy concerns related to your information provided to us.
Note: A separate Temporary Life Insurance Certificate form will be forwarded to you as soon as the Initial Modal Premium has been received.

Proposed Owner printed name and signature
MARITES YATAN RABAYA

Date of Signing : 03/09/2020
DECLARATIONS MADE BY FINANCIAL SOLUTIONS CONSULTANT

In signing below, I certify that :
I have fully answered any questions the Proposed Owner and/or the Proposed Insured asked in a language
which they understand;
I have acted under the direction and authority of the Proposed Owner;
The Proposed Owner and/or Proposed Insured (where appropriate) have signed this Application Form in our
presence;
I affirm the identity of the Proposed Owner and/or Proposed Insured; and
I have seen and verified the original copy of the identification documents submitted in connection with this
application for insurance.
Name and signature of Financial Solutions Consultant
Amber Allysa Custan Mercado

Code : 91207106
Date of Signing : 03/09/2020
BANK INFORMATION:
BANK REFERROR CODE : DMY00001
BANK REFERROR : Security Bank Corporation

Scanned with CamScanner
RISK PROFILE QUESTIONNAIRE
1. Personal Information
Title First Name Middle Name Last Name Extension Name
Mrs. MARITES YATAN RABAYA
m m d d y y y y
Date of Birth: 1 2 / 0 7 / 1 9 6 5 Industry : Occupation :
Residential No. Business / Office No.
Country Code Area Code Telephone Number Country Code Area Code Telephone Number
Mobile No. Email Address

63 - Philippines 9189184461 tess_rabaya@yahoo.com
Country Code Area Code Mobile Number
2. Financial Profile
1. What is your family's average gross annual income?
Less than PHP 500,000 Above PHP 2,000,000
 PHP 500,000 to 1,000,000 No regular source of income
Above PHP 1,000,000 but less than PHP 2,000,000
2. Of the following financial needs, which do you consider the most important?
Protection for beneficiaries/dependents Estate Planning
Education Mortgage Redemption
 Savings Retirement
Short-Term Invetsment Growth Accident Protection
Long-Term Investment Growth Health Protection
3. Risk Profile Questionnaire (For Variable Life Insurance Policies)

1. What is your primary goal in investing
To earn regular income while preserving my capital. (1)
To have the potential for medium gains while accepting moderate risks. (2)
 To have the potential for large gains while accepting potential losses. (3)
2. How long do you intend to keep your investment?

Short-term(1 year or less). (1)
Medium (1-3 years). (2)
 Long (more than 3 years). (3)
3. How important is immediate access to your invested funds?

Very important. I may need to withdraw the income/principal anytime. (1)
Modestly important. I may need to withdraw the income/principal in the next 1-2 years. (2)
 Slightly important. I have no need to use the funds for the next 3 years. (3)
4. What is your knowledge in investment?

 Low. I know Bank Deposits, SDA, Money Market funds. (1)
Average. Aside from deposits and other money market funds, I also know Government Securities,
Corporate Bonds and Notes, Bond Funds, Euro bonds. (2)
High. I have knowledge of / experience in the stock market, Equity Funds, other complex products. (3)
5. As an investor, what is your attitude toward risk?

I cannot tolerate any losses on my investment. (1)
I am prepared to accept a small degree of risk in return for moderate returns. (2)
 I can tolerate a high degree of volatility in order to achieve higher financial gains even if this may
result in substantial losses during adverse market conditions. (3)
TOTAL SCORE (Question 1 to 10): 13
Total Score Risk Level Suitable Product Risk Investor Risk Profile and Investment Policy Statement
Refers to investors who are suitable for relatively low risk asset classes
and price fluctuation which achieve better yield than deposits and
inflation rate. Investors with this profile may invest in funds which targets
5-8 Conservative Low
long term growth through investments in a diverse mix of high quality,
medium to long term fixed securities such as government securities,
corporate bonds and notes.
Refers to investors who are suitable for medium risk asset classes and
price fluctuation which achieve long term capital gain. Investors with this
profile may invest in funds which targets long term growth through
9-11 Balanced Medium
investments in a balanced diversity of high quality equities listed in the
Philippine Stock Exchange and fixed income securities such as
government securities, corporate bonds and notes.
Refers to investors who are suitable for relatively high risk asset classes
and significant price fluctuation which achieve high growth of capital.
12-15 Aggressive High Investors with this profile may invest in funds which optimize growth over
the long term from a diversified portfolio of equities listed in the
Philippine Stock Exchange and money market securities.

4. Investment Policy Statement
I have read and understand the following before submitting this application:
l FWD Life Insurance Corporation’s assessment of my investment risk level and the resultant suitable
product risk recommendation above;
l The features of this plan and the investment strategy and goals of my nominated Investment Funds;
l The benefits payable under this plan are linked to the performance of my nominated Investment
Funds which will rise and fall. The investment risks under this plan are therefor borne solely by me.
I confirm that my decision to invest money in this plan and the nominated Investment Funds is based solely on my
own judgment. If I have nominated one or more Investment Funds that are inconsistent with FWD Life Insurance
Corporation’s assessment of my investment risk level and the resultant suitable product risk recommendation above, I
do so based solely on my own judgment. I therefore hold FWD Life Insurance Corporation, its principals, their
representatives, and successors-in-interest free and harmless from any and all liabilities, opportunity cost and/or
causes of any kind as a result of or due to this decision.
Mrs. MARITES YATAN RABAYA Mar/09/2020
Owner's Full Name Date Accepted
Amber Allysa Custan Mercado 91207106
Primary Agent's Full Name & Code Primary Agent's Unit
Secondary Agent's Full Name & Code Secondary Agent's Unit
This Risk Profile Questionnaire is valid from

Mar <Date 1>
09, 2020 to Jun <Date 2>
06, 2020

Oos

Uploaded by

Copyright:

Available Formats

Oos

Uploaded by

Document Information

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Oos

Uploaded by

Copyright:

Available Formats

Policy Acknowledgement Receipt

OWNER : MRS. MARITES YATAN RABAYA

PROPOSED INSURED : MRS. MARITES YATAN RABAYA

POLICY NUMBER : 60019031

PLAN NAME : Set for Life

FULL NAME and SIGNATURE :

RECEIVED BY OWNER's AUTHORIZED REPRESENTATIVE: :

FULL NAME and SIGNATURE :

FULL NAME and SIGNATURE of SOLICITING AGENT :

THIS PORTION IS FOR COURIER SERVICES ONLY

Received at given address

Given address not found

Policy Owner moved out of given address

No person to receive at given address

Others (please specify) :

FULL NAME OF MESSENGER :

MRS. MARITES YATAN RABAYA

BARANGAY TAFT SURIGAO CITY

Dear MRS. RABAYA,

SET FOR LIFE 60019031

Your cover is effective as from March 12, 2020.

Get ready to live!

Cc: AMBER ALLYSA CUSTAN MERCADO

SCHEDULE OF POLICY PREMIUMS (in PHP)

INVESTMENT FUND DETAILS

THE DOCUMENTARY STAMP TAX OF THIS POLICY HAS BEEN PAID.

Form Number: RPVULBA.03.2017 Page | 2

“Beneficiary” or “Beneficiaries” has the meaning set out in Section 11 Beneficiary.

“Benefit” refers to the Basic Plan and Supplementary Benefit/s if any.

“Contract Debt” has the meaning set out in Section 14 Charges.

“Insurance Charges” has the meaning set out in Section 14 Charges.

“Premium Charge” has the meaning set out in Section 14 Charges.

“Unit” refers to the unit of ownership in the Investment Fund.

Form Number: RPVULBA.03.2017 Page | 4

2. EFFECTIVITY OF THE POLICY

5. CURRENCY AND PLACE OF PAYMENT

6. COOLING OFF PERIOD

Form Number: RPVULBA.03.2017 Page | 5

i. Premium Charges and Insurance Charges; plus

8. MISSTATEMENT OF AGE OR SEX

i. Premium Charges and Insurance Charges; plus

i. Premium Charges and Insurance Charges; plus

Form Number: RPVULBA.03.2017 Page | 6

i. Legal spouse; then

Payment of Regular Premium

Form Number: RPVULBA.03.2017 Page | 7

Payment of Regular Top-Up Premium

Payment of Lump Sum Top-Up Premium

To apply for reinstatement, FWD requires the following:

i. a written application for reinstatement using the appropriate form; and

Form Number: RPVULBA.03.2017 Page | 8

Form Number: RPVULBA.03.2017 Page | 9

15. DEATH BENEFIT

The Death Benefit payable is equal to the higher of:

i. The current Sum Assured; or

The Minimum Death Benefit shall be:

i. 500% of the Regular Premium; plus

16. CLAIM SETTLEMENT

17. TERMINATION OF THE POLICY

This Policy shall terminate on the earliest of the following: