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Get and Sign Philippines Manulife Credit 2017-2022 Form
________________________________
Reinstatement
Premium Amount Due (STRAIGHT CHARGE)
Premium Amount Due (BDO PAYLITE - 3 months installment at 0% interest)
Premium Amount Due (Citibank PAYLITE - 3 months installment at 0% interest)
AMOUNT:
* If SINGLE PAYMENT TRANSACTION is elected, failure to pay succeeding premiums within
the grace period shall be governed by the grace period provision of the policy.
Policyowner's
Name
Policy
Number
B. AUTO PAY / RECURRING PAYMENT
AUTO PAY ENROLLMENT**...
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