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Application for Plan Downgrade /Change Payment Method ...

L4 PSDG (06/2021) Page 1 of 2 Office Received Date Financial Consultant s name Financial Consultant s number - Application for Plan Downgrade /Change Payment Method -PruShield/PruExtraPlease complete in capital letters and tick boxes ( ) as appropriate. IMPORTANT NOTES 1. Downgrade request for PruShield and PruExtra (if any) can only take effect from the next monthly anniversary. PruShield with PruExtra (if any) will be downgraded concurrently. All premiums for PruExtra if on monthly mode must be paid to current month.

Prudential Assurance Company Singapore (Pte) Limited (“Prudential Singapore”), 30 Cecil Street, #30-01 Prudential Tower, Singapore 049712 Tel: 1800-3330 333 is the product provider. The Prudential Financial Consultant shall explain to you that Prudential Singapore is responsible for the product features and contractual provisions. Plan Types:

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