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Type: Peso account Dollar account Bank Name: Metrobank Others: Branch Name: Swift Code (for Non-Metrobank) Account Number of payee: Account Name of payee: Declarations and Agreements: 1. I declare that the proceeds of this application/policy once deposited to the account afore entioned shall be equivalent to payment to me directly of the same and I shall render AXA Philippines, its successors-in-interests and assigns, including its directors, off.

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