I hereby declare that I will comply with the "Do and Don't" list outlined in the Introducer Program and accept full responsibility for any consequences resulting from non-compliance.

I hereby declare that I consent to provide my personal information, including my name,gender, date of birth, policy number, phone number, and bank account details, to Manulife and authorize Manulife to share this information with its banking partner for the purpose of managing this program, as well as with other third parties working with Manulife to administer the program.

I hereby declare that I have thoroughly read the Terms and Conditions and agree to all provisions contained therein in order to participate in this Introducer Program.