Assure 10 Proposed Insured:

Mr. TERPZ TESTING YEAH

Age 45, Male, Non-smoker

Policyowner or Payor:
Mr. TERPZ TESTING YEAH
Age 45, Male

Dear TERPZ,

Thank you for your interest in AXA’s insurance products, and congratulations on your first step towards financial protection.

Assure is a whole life insurance product with flexible premium paying periods of 5, 10, or 20 years. It is a participating plan, thus giving
you the potential of earning dividends which could increase the benefits of the policy. Most of all, Assure provides peace of mind with
guaranteed life insurance benefit that begins on Day 1.

This Assure illustration features the following key benefits:

· Guaranteed insurance coverage of PHP 1,000,000.
· Guaranteed payment period of 10 years for a lifetime of insurance coverage.
· Additional cash benefits from:
o Guaranteed cash value that can be used should there be unexpected need for funds.
o Non-guaranteed dividends that you may leave with AXA to accumulate interest.
o Special Investment Bonus (SIB) which may be credited to your policy starting on the 5th year, and is payable upon
surrender of the policy or death of the insured.

SUMMARY OF CASH BENEFITS

For the Insured For the Beneficiaries

(Living benefits) (Death Benefits)
When the Insured reaches age 65 If the insured passes away at age 65

Guaranteed Death Benefit + Additional Cash Benefits (non-guaranteed)

Total Living Benefit
Based on 3.00% Dividend Accumulation Rate PHP 412,623 Based on 3.00% Dividend Accumulation Rate PHP 1,035,623
or based on 3.50% Dividend Accumulation Rate PHP 413,095 Or based on 3.50% Dividend Accumulation Rate PHP 1,036,095

The above is only a summary of the benefits illustration. All the amounts shown are based on the assumption that dividends are left with AXA Philippines
to earn interest. For more information on the above benefit details, please refer to the succeeding pages.

Page 1 of 7 of Proposal No. 999989-202412130156-5-02

Printed on: 12/13/2024 2:08:44 PM Created on: 12/13/2024 Expiry Date: 02/11/2025
Version Number: 6.2.0 Date for Next Insurance Age: 07/03/2025
Plan Code: WLE10 / Supplement code/s: N/A
Assure 10
for: Mr. TERPZ TESTING YEAH, 45, Male, Non-smoker

PREMIUMS
Plan/Supplements Cover up Sum Insured / Annual Premium
to Age* Coverage (PHP) (PHP)
ASSURE 10 PAY 100 1,000,000 49,520.00

Total Initial Annual Premium 49,520.00

Semi-Annual Premium 25,750.40
Quarterly Premium 13,370.40
Monthly Premium 4,704.40

*Cover up to Age refers to Termination Age

Notes:
· For the premium term of the supplement/s, if any, please refer to the supplement definition indicated in the "Summary of the Riders Attached to this Proposal".

And with the Index-linked Increase Endorsement (IIE) option, you can protect your Assure insurance coverage from inflation
by increasing your Basic Sum Insured** every year without further proof of insurability!

Again, thank you for your interest in our products. If you have questions, please call me at the number specified below or call the
AXA Customer Care Hotline at Tel. No. (02) 85815-292 or (02) 83231-292.

TEST ACCOUNT, TEST TEST

99999
999989
639267794236
**The Basic Sum Insured and all benefits, if any, will be increased by such amounts as may be secured by the increase in premiums, which are based on rises
in the Consumer Price Index (CPI), at the time you availed of this option. The rate of increase will not be less than the minimum determined by AXA Philippines
from time to time.

Page 2 of 7 of Proposal No. 999989-202412130156-5-02

Printed on: 12/13/2024 2:08:44 PM Created on: 12/13/2024 Expiry Date: 02/11/2025
Version Number: 6.2.0 Date for Next Insurance Age: 07/03/2025
Plan Code: WLE10 / Supplement code/s: N/A
Assure 10
for: Mr. TERPZ TESTING YEAH, 45, Male, Non-smoker
ILLUSTRATION OF LIVING BENEFITS
3.00% Accumulation Rate 3.50% Accumulation Rate
End of Policy Guaranteed Special Investment Accumulated Cash Total Living Accumulated Cash Total Living
Year Cash Value Bonus Dividends Benefit Dividends Benefit
1 0 0 0 0 0 0
2 31,000 0 100 31,100 100 31,100
3 54,000 0 303 54,303 304 54,304
4 79,000 0 552 79,552 554 79,554
5 105,000 3,000 959 108,959 964 108,964
6 133,000 3,000 1,327 137,327 1,337 137,337
7 162,000 4,000 1,757 167,757 1,774 167,774
8 193,000 4,000 2,250 199,250 2,276 199,276
9 225,000 5,000 2,817 232,817 2,856 232,856
10 259,000 8,000 3,702 270,702 3,756 270,756
11 270,000 9,000 4,323 283,323 4,397 283,397
12 280,000 10,000 4,983 294,983 5,081 295,081
13 291,000 10,000 5,672 306,672 5,799 306,799
14 303,000 11,000 6,412 320,412 6,572 320,572
15 315,000 18,000 7,475 340,475 7,672 340,672
16 327,000 19,000 8,159 354,159 8,400 354,400
17 339,000 20,000 8,884 367,884 9,174 368,174
18 352,000 22,000 9,640 383,640 9,986 383,986
19 364,000 23,000 10,439 397,439 10,845 397,845
20 377,000 24,000 11,623 412,623 12,095 413,095
25 447,000 38,000 15,922 500,922 16,833 501,833
At Age 60 315,000 18,000 7,475 340,475 7,672 340,672
65 377,000 24,000 11,623 412,623 12,095 413,095
70 447,000 38,000 15,922 500,922 16,833 501,833
Product Notes:
1. The Illustration of Living Benefits presents the amounts payable to the Owner once he/she decides to surrender/terminate the plan.
2. The Dividend Accumulation Rates (3.00% & 3.50%) are based on the projected annual returns on investments. These assumed annual rates
are for illustration purposes only and do not represent maximum or minimum cash returns.
3. The plan provides Guaranteed Cash Value, which can be paid to the Owner upon termination of the Policy prior to death.
4. The Special Investment Bonus is a non-guaranteed bonus payable upon occurrence of any of the following events(whichever is earliest): a)
Upon the Insured’s death provided the policy has been in effect for 5 years, b) Upon surrender or maturity provided the Policy has been in effect
for 5 years and the Insured has reached age 25.
5. Being a participating plan, the Owner may receive Cash Dividends, which are declared based on AXA Philippines' earnings or accumulated
profits.
6. The Total Living Benefit is the sum of the Guaranteed Cash Value, the Special Investment Bonus (if any) and the Accumulated Cash Dividends
(if any).
7. Dividends, interest rate on accumulated dividends and Special Investment Bonus are not guaranteed, as these are dependent on the
investment performance of AXA Philippines.
8. The Illustration assumes that your dividends are left with AXA Philippines to earn interest. If you decide to withdraw your dividends, the total
living benefits will be reduced accordingly.
9. The plan offers Extended Term Insurance (ETI), Reduced Paid Up (RPU) and Premium Loan as premium default options.
10. All amounts are in the currency indicated in the Summary of Benefits page .
11. This proposal is only an illustration of the key features, benefits and assumptions of the recommended insurance plan and does not form part of
the contract. For the complete terms, conditions and limitations of the plan please refer to your Policy.

Page 3 of 7 of Proposal No. 999989-202412130156-5-02

Printed on: 12/13/2024 2:08:44 PM Created on: 12/13/2024 Expiry Date: 02/11/2025
Version Number: 6.2.0 Date for Next Insurance Age: 07/03/2025
Plan Code: WLE10 / Supplement code/s: N/A
Assure 10
for: Mr. TERPZ TESTING YEAH, 45, Male, Non-smoker
ILLUSTRATION OF DEATH BENEFITS
3.00% Accumulation Rate 3.50% Accumulation Rate
End of Policy Guaranteed Special Investment Accumulated Cash Total Death Accumulated Cash Total Death
Year Death Benefit Bonus Dividends Benefit * Dividends Benefit *
1 1,000,000 0 0 1,000,000 0 1,000,000
2 1,000,000 0 100 1,000,100 100 1,000,100
3 1,000,000 0 303 1,000,303 304 1,000,304
4 1,000,000 0 552 1,000,552 554 1,000,554
5 1,000,000 3,000 959 1,003,959 964 1,003,964
6 1,000,000 3,000 1,327 1,004,327 1,337 1,004,337
7 1,000,000 4,000 1,757 1,005,757 1,774 1,005,774
8 1,000,000 4,000 2,250 1,006,250 2,276 1,006,276
9 1,000,000 5,000 2,817 1,007,817 2,856 1,007,856
10 1,000,000 8,000 3,702 1,011,702 3,756 1,011,756
11 1,000,000 9,000 4,323 1,013,323 4,397 1,013,397
12 1,000,000 10,000 4,983 1,014,983 5,081 1,015,081
13 1,000,000 10,000 5,672 1,015,672 5,799 1,015,799
14 1,000,000 11,000 6,412 1,017,412 6,572 1,017,572
15 1,000,000 18,000 7,475 1,025,475 7,672 1,025,672
16 1,000,000 19,000 8,159 1,027,159 8,400 1,027,400
17 1,000,000 20,000 8,884 1,028,884 9,174 1,029,174
18 1,000,000 22,000 9,640 1,031,640 9,986 1,031,986
19 1,000,000 23,000 10,439 1,033,439 10,845 1,033,845
20 1,000,000 24,000 11,623 1,035,623 12,095 1,036,095
25 1,000,000 38,000 15,922 1,053,922 16,833 1,054,833
At Age 60 1,000,000 18,000 7,475 1,025,475 7,672 1,025,672
65 1,000,000 24,000 11,623 1,035,623 12,095 1,036,095
70 1,000,000 38,000 15,922 1,053,922 16,833 1,054,833

*The Total Death Benefit is the sum of the Guaranteed Death Benefit, the Special Investment Bonus (if any), and the Accumulated
Cash Dividends (if any) payable upon the demise of the Insured.
The figures presented are based on the key features, benefits and assumptions listed on the Product Notes portion found in the
Illustration of Living Benefits page.

Page 4 of 7 of Proposal No. 999989-202412130156-5-02

Printed on: 12/13/2024 2:08:45 PM Created on: 12/13/2024 Expiry Date: 02/11/2025
Version Number: 6.2.0 Date for Next Insurance Age: 07/03/2025
Plan Code: WLE10 / Supplement code/s: N/A
Assure 10
for: Mr. TERPZ TESTING YEAH, 45, Male, Non-smoker

Attached Supplements
Summary of the Riders Attached to this Proposal
1. The Index-linked Increase Endorsement (IIE) allows you to increase your insurance benefits at the rate of inflation with no
additional medical or processing requirements so you can be sure the value of your benefits cope with future costs.

NOTES:
1. The rates shown, if any, are those currently in effect. The rates applicable upon renewal of the Supplement will be those in effect at the date of
renewal.
2. For a detailed description of the Supplements, including exclusions and other provisions, please refer to the policy contract.

Page 5 of 7 of Proposal No. 999989-202412130156-5-02

Printed on: 12/13/2024 2:08:45 PM Created on: 12/13/2024 Expiry Date: 02/11/2025
Version Number: 6.2.0 Date for Next Insurance Age: 07/03/2025
Plan Code: WLE10 / Supplement code/s: N/A
Assure 10
for: Mr. TERPZ TESTING YEAH, 45, Male, Non-smoker

DECLARATIONS AND ACKNOWLEDGEMENTS

DECLARATIONS

I confirm having read and understood the information contained in the Illustration of Living Benefits Page and the Illustration of Death
Benefits Page.

Acknowledgement of Variability
Participating Life Insurance Plan

I acknowledge that:

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

I understand that only those values described as guaranteed, if any, are guaranteed. All other policy values can change and may probably
be different from those illustrated to me. Actual values may be higher or lower depending on the dividend rates and accumulation rates
actually earned.

I understand that dividend rates change from year to year and since these are affected by the company’s mortality experience,
investment returns, expenses, and taxes, and that AXA Philippines will advise me of the actual amount of the dividend, if any.

If on any future date I choose to use available policy dividends to pay for my future premiums, I understand that actual dividend
performance will determine when or if policy values are sufficient to pay my future premiums.

I understand that the illustration(s) given to me will not become part of any issued policy, as these are provided only to show how policy
benefits would change over time under a specific set of assumptions.

CONFORME: These declarations and acknowledgements 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

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, and 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. Please carefully read the policy and endorsements and consider the
risks, charges and expenses before buying the policy. You should seek independent professional advice from your financial, tax, accounting or legal
consultant before buying the Policy.

THIS FINANCIAL PRODUCT OF AXA PHILIPPINES IS NOT INSURED BY THE PHILIPPINE DEPOSIT
INSURANCE CORPORATION (PDIC) AND IS NOT GUARANTEED BY METROBANK OR PS BANK.

Page 6 of 7 of Proposal No. 999989-202412130156-5-02

Printed on: 12/13/2024 2:08:45 PM Created on: 12/13/2024 Expiry Date: 02/11/2025
Version Number: 6.2.0 Date for Next Insurance Age: 07/03/2025
Plan Code: WLE10 / Supplement code/s: N/A
 Reference Number: 999989-202412130156-5-02

FINANCIAL UNDERSTANDING SUMMARY

Dear TERPZ,

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 100,000.00, and after taking into consideration your objectives,
risk profile and priorities, you have selected ASSURE 10 PAY for your Income Protection
need.

The details of your insurance coverage and your insurance premium are summarized in your
ASSURE 10 PAY sales illustration.

TEST ACCOUNT, TEST TEST

99999
999989
639267794236

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.