EXHIBIT 1.A(10)(b) ================================================================================ Supplement to the Application [X] The Prudential Insurance Company of America [ ] Pruco Life Insurance Company of New Jersey A Subsidiary of The Prudential Insurance Company of America No. XXXXXXXXXX ------------------------------ A Supplement to the Application for a variable contract in which John Doe is named as the proposed Insured. - --------------- - -------------------------------------------------------------------------------- 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 [ ] An illustration of values is available upon request. Date Signature of Applicant January 1, 1997 John Doe ORD 86218-96 New York II-70