<p style="text-align:justify">IT IS HEREBY DECLARED AND AGREED that&nbsp;effective as of&nbsp;&nbsp;&nbsp;&nbsp; , the amount of premim under the above-mentioned policy is hereby decreased by P&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; from P&nbsp;&nbsp;&nbsp;&nbsp; to&nbsp; &nbsp; P&nbsp;&nbsp;</p>

<p style="text-align:justify">IN VIEW OF THE FOREGOING, a refund premium and charges computed as follows</p>
