SAFELIFE GROUP PHILIPPINES (SGP)

ASSOCIATE MEMBERSHIP FEE: 650 PESOS

ASSOCIATE MEMBERS OF EWAPP INC. ARE OPEN TO JOIN

LAM GROUP

INTERESTED INDIVIDUALS MAY FILL-UP FORM BELOW

FOR EWAPP ASSOCIATE MEMBERSHIP

APPLICATION FORM

Date:

1. NAME

2. PRESENT ADDRESS

3. CIVIL STATUS

Single
Married

4. EDUCATION

High School Graduate
College Graduate

5. CATEGORY, please check

Active Employee
Retired Employee
Active OFW
Retired OFW
Elected Government Official

6. FACEBOOK ACCOUNT

7. MOBILE / CEL NUMBER

8. FOR LAM GROUP SUBSCRIPTION:

a) NUMBER OF SHARES SUBSCRIBED @ 950 pesos / share

b) TOTAL AMOUNT: no. off shares x 950

NOTE: Application is subject for evaluation. EWAPP Membership fee is 650 Pesos

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