The Manufacturers Life Insurance Company (Philippines), Inc.

Tel Nos.: 88-4-LIFE (8884-5433) • MCC P.O. Box 3208 Makati City

Recruitment Program /
Career Orientation Program
To be filled out by Agency Licensing On-boarding Number:

Agent’s Code Year Month Day

Personal History Resume

(Agency Application Document)
Confidential
Please fill-out this resume completely using permanent black ink. Leave no blanks. Indicate “n/a” if not applicable.

Name (Last, First, Middle) Nickname

Gender Date of Birth (yyyy/mm/dd) Municipality / City / State and Country of Birth
☐ Male ☐ Female

TIN SSS Number Nationality Citizenship

ACR No. (for Foreign Nationals) Issue Date Place of Issue Naturalized Date Place of Issue

Occupation

Rank (Tick appropriate box) Salary/Month (Tick appropriate box) Field (Tick appropriate box)

☐ Entry Level ☐ Less than Php 20,000 ☐ Accounting/Finance ☐ HRM

☐ Supervisor ☐ Php 20,000 and above ☐ Administrative/Human Resources ☐ Law
☐ Middle Manager ☐ Php 50,000 and above ☐ Arts ☐ Manufacturing
☐ Senior Manager ☐ Php 100,000 and above ☐ Information Technology ☐ Marketing / Sales
☐ Executive ☐ Customer Service ☐ Medicine
☐ Education/Training ☐ Others:____________
☐ Engineering

Home Address (No., Street, Barangay, Subdivision / Village, Municipality / City, Country) Zip Code

Mailing Address (No., Street, Barangay, Subdivision / Village, Municipality / City, Country) Zip Code

Email Address Home Phone Mobile Number

Spouse’s Given Name (Last, First, Middle) Spouse’s DOB(yyyy/mm/dd) Date Married (yyyy/mm/dd) Nationality Citizenship

Spouse’s Current Occupation Name of Spouse’s Employer/Business

Affiliation/Report-to-Group
Name of AUH/UH AUH’s / UH’s Code

Unit Name Unit Code Location Code Mailbox Number

Recruiter’s Name Unit Name Agent’s Code

Educational A ment
Level Name and Location of School Inclusive Dates (From-To) Major Field of Study Degree
College
High School
Others

Other Information
1. Have you had any outside selling experience? ☐ Yes ☐ No
If yes: ☐ Tangible Products ☐ Intangible products please specify: ___________________________________________
2. Have you applied with other insurance or pre-need companies as an Agent or Sales, Manager / Head? ☐ Yes ☐ No
If yes, state company/ies and date: ______________________________________________________________________________________________________

(Please see back portion)

 The Manufacturers Life Insurance Company (Philippines), Inc.
Tel Nos.: 88-4-LIFE (8884-5433)
(884-5433) • •MCC
MCCP.O.
P.O.Box
Box3208
3208Makati
MakatiCity
City

Other Information (Continuation)

3. Have you had any previous life/non-life insurance selling experience? ☐ Yes ☐ No
If yes, state company and length of service
4. Are you, or any member of your family up to 2nd degree of consanguinity or affinity presently affiliated with Manulife? ☐ Yes ☐ No
or with other insurance companies? ☐ Yes ☐ No
If yes, please give name, position and company
5. Have you ever been accused of any crime or are you involved in any criminal, civil, or administrative case/complaint/proceeding or have other
litigation (pending or previous)? ☐ Yes ☐ No
If yes, please give details:
5a. Are you being prosecuted or have been prosecuted in any criminal or bankruptcy proceedings? ☐ Yes ☐ No
If yes, please give details:
6. Have you ever been discharged from any position? ☐ Yes ☐ No
If yes, please state particulars:
7. Do you have any outstanding credit card obligations? ☐ Yes ☐ No
If so, please give details for each credit card that you have (if more than one)
i.) How much? (Principal _________________________ Interest Charges _________________________)
ii.) How long do you intend to pay your existing balance?
8. Have you had any credit card cancelled or terminated due to unpaid charges? ☐ Yes ☐ No
i.) If yes, please state particulars:
ii.) Did you apply for the card or was it automatically issued as part of a bank promotional campaign?
9. Do you have any garnished accounts/policies? Have you received any notice of garnishment? ☐ Yes ☐ No
If yes, please provide details below
10. Do you have any pending court case(s) involving any form of financial transactions or related to monetary obligations (example, but not
limited to unpaid loan amortization, family support, bouncing checks, etc) ☐ Yes ☐ No
If yes, please provide details
11. A requirement for this application is your eligibility to open a bank account with Manulife accredited banks for payroll purposes. Manulife
accredited banks do not accommodate applicants who have bad credit or financial standing with any financial institution. Please provide us,
on the blanks provided below, with any information, reason, issue and/or concern that you think may prevent you from complying with this
requirement. If none, please write “not applicable”

12. Citizenship Self- Declaration Statement Check the box that applies
☐ I acknowledge that I am NOT a United States Citizen, United States Permanent Resident Alien (Green Card Holder)
or a United States Resident
☐ I acknowledge that I am a United States Citizen, United States Permanent Resident Alien (Green Card Holder)
or a United States Resident

I certify that all statements in this Personal History Resume (PHR), to the best of my knowledge and based from records, are true. I have not knowingly
withheld any fact or circumstances which would, if disclosed, affect my application for agency unfavorably. I understand that any false information in
this PHR will be sufficient cause for termination of my application and/or agency contract with Manulife at any time. I also give my consent and
authorize Manulife to check/verify information contained in this PHR.

By signing this form, I consent to the collection, use, processing or transfer of my Personal Information by Manulife, any member of the
Manulife Financial Group, as well as third parties authorized by Manulife for the following purposes:

 Assessing my suitability as a Manulife agent or advisor;

 Fulfilling any relevant regulatory, legal, administrative, compliance, governance, audit and contractual obligations, submissions, and
requirements of Manulife or of any entity within the Manulife Financial Group;
 Marketing any product or services offered by any member of the Manulife Financial Group; or
 For other reasonable purposes relevant to my application and registration as a Manulife agent or advisor.

Applicant’s Signature Date Signed

Direct Agency Leader’s Signature Branch Head/Region Head’s Signature

About Manulife
Manulife Financial Corporation is a leading international financial services group that helps people make their decisions easier and lives better. We
operate primarily as John Hancock in the United States and Manulife elsewhere. We provide financial advice, insurance, as well as wealth and asset
management solutions for individuals, groups and institutions. At the end of 2017, we had about 35,000 employees, 73,000 agents, and thousands of
distribution partners, serving more than 26 million customers. As of June 30, 2018, we had over $1.1 trillion (US$849 billion) in assets under
management and administration, and in the previous 12 months we made $27.6 billion in payments to our customers. Our principal operations are in
Asia, Canada and the United States where we have served customers for more than 100 years. With our global headquarters in Toronto, Canada, we
trade as 'MFC' on the Toronto, New York, and the Philippine stock exchanges and under '945' in Hong Kong.