The Prudential Insurance Company of America No. xx xxx xxx

EXHIBIT 26(e)(ii)

The Prudential Insurance Company of America No. xx xxx xxx

A Supplement to the Life Insurance Application for a variable contract in which Xxxx Xxx is named as the proposed insured.

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I BELIEVE THIS CONTRACT MEETS MY INSURANCE NEEDS AND FINANCIAL OBJECTIVES. I

ACKNOWLEDGE RECEIPT OF A CURRENT PROSPECTUS FOR THE CONTRACT. I UNDERSTAND THAT THE CONTRACT'S VALUE AND DEATH BENEFIT MAY VARY DEPENDING ON THE CONTRACT'S INVESTMENT EXPERIENCE ....................................... YES x NO o

Date Signature of Applicant

Aug. 3, 1987 XXXX XXX

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ORD 86218--88