Remittance Entry
AR #:
Application
Details
Plan Type:
New Business
Sub-Pay
Additional Payment
Change Mode
Reinstatement
Rcv. From:
Application #:
BusinessDate:
Client:
Code:
Last Name:
First Name:
Middle Name:
Agent 1:
Agent 2:
Provider:
Select Provider
AIA - Ordinary Life
AIA - Variable
Asian Life Health Care
Bankers Assurance Corp.
Ben Life Insurance
Chartis
Eternal Plans Inc.
ETIQA
Etiqa Healthcare
Etiqa NonLife
FAMI
FWD
Generali Pilipinas
IL Direct Marketing
Insular Life
Insular Life
Insular Life Health Care
Loyola Plans
Malayan Insurance
Manulife
Mapfre Insular
Medicard
Medicare Plus, Inc.
Phil Life
Philam Asset Mgt. Inc.
Philam Group Life
Philam Life Accident and Health
PhilCare
Prudential Guarantee Assurance Inc
Prudentialife Optima Funds, Inc.
Prudentialife Plans, Inc.
Standard
The Fort Park Estate Inc.
Product:
Select Product
Currency:
Peso
Dollar
Mode:
One-Time Payment
Monthly
Annual
Semi-Annual
Quarterly
Inst. No.:
Premium:
Top-Up:
TOP-UP
Payment
Only
Cash:
Check:
Deposit Slip:
Credit Card:
Fund Transfer:
Details:
Payment
( premium )
Cash:
Check:
Deposit Slip:
Credit Card:
Fund Transfer:
Details:
DatePaid:
Branch:
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