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                                                                 EXHIBIT (10)(d)
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PLATINUM INVESTOR III                                                                                        AMERICAN
VARIABLE UNIVERSAL LIFE INSURANCE                                                                               |GENERAL
SUPPLEMENTAL APPLICATION                                                                                        |FINANCIAL GROUP

AMERICAN GENERAL LIFE INSURANCE COMPANY,  ("AGL")
Home Office: Houston, TX

Member of American General Financial Group. American General Financial Group is the marketing name for American General Corporation
and its subsidiaries.

(This supplement must accompany the appropriate application for life insurance.)
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APPLICANT INFORMATION - SUPPLEMENT TO THE APPLICATION ON THE LIFE OF
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<S>                                                                         <C>
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Name of proposed insured                                                    Date of application for life insurance

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INITIAL ALLOCATION PERCENTAGES
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INVESTMENT OPTIONS    In the "Premium Allocation" column, indicate how each premium received is to be allocated. In the "Deduction
                      Allocation" column, indicate which investment options are to be used for the deduction of monthly charges.
                      Total allocations in each column must equal 100%. Use whole percentages only.

                                           PREMIUM    DEDUCTION                                               PREMIUM    DEDUCTION
                                          ALLOCATION  ALLOCATION                                             ALLOCATION  ALLOCATION
                                          ----------  ----------                                             ----------  ----------
AIM VARIABLE INSURANCE FUNDS                                      NEUBERGER BERMAN ADVISERS MANAGEMENT TRUST
AIM V.I. International Growth Division (260)_____%     _____%     Mid-Cap Growth Division (286)                    _____%     ____%
AIM V.I. Premier Equity Division (261)      _____%     _____%
                                                                  PIMCO VARIABLE INSURANCE TRUST
AMERICAN CENTURY VARIABLE PORTFOLIOS, INC.                        PIMCO Real Return Division (288)                 _____%     _____%
VP Value Division (262)                     _____%     _____%     PIMCO Short-Term Division (287)                  _____%     _____%
                                                                  PIMCO Total Return Division (289)                _____%     _____%
AYCO SERIES TRUST
Ayco Growth Division (270)                  _____%     _____%     PUTNAM VARIABLE TRUST
                                                                  Putnam VT Diversified Income Division (290)      _____%     _____%
CREDIT SUISSE TRUST                                               Putnam VT Growth and Income Division (291)       _____%     _____%
Small Cap Growth Division (300)             _____%     _____%     Putnam VT Int'l Growth and Income Division (292) _____%     _____%

DREYFUS INVESTMENT PORTFOLIOS                                     SAFECO RESOURCE SERIES TRUST
MidCap Stock Division (273)                 _____%     _____%     Equity Division (293)                            _____%     _____%
                                                                  Growth Opportunities Division (294)              _____%     _____%
DREYFUS VARIABLE INVESTMENT FUND
Quality Bond Division (271)                 _____%     _____%     SUNAMERICA SERIES TRUST
Small Cap Division (272)                    _____%     _____%     SunAmerica Balanced Division (306)               _____%     _____%
                                                                  Aggressive Growth Division (307)                 _____%     _____%
FIDELITY VARIABLE INSURANCE PRODUCTS FUND
VIP Asset Manager Division (277)            _____%     _____%     THE UNIVERSAL INSTITUTIONAL FUNDS, INC.
VIP Contrafund Division (276)               _____%     _____%     Equity Growth Division (295)                     _____%     _____%
VIP Equity-Income Division (274)            _____%     _____%     High Yield Division (296)                        _____%     _____%
VIP Growth Division (275)                   _____%     _____%
                                                                  VALIC COMPANY I
FRANKLIN TEMPLETON VARIABLE INSURANCE PRODUCTS TRUST              International Equities Division (263)            _____%     _____%
Franklin U.S. Government Division (302)     _____%     _____%     Mid Cap Index Division (264)                     _____%     _____%
Mutual Shares Securities Division (303)     _____%     _____%     Money Market I Division (265)                    _____%     _____%
Templeton Foreign Securities Division (304) _____%     _____%     Nasdaq-100 Index Division (266)                  _____%     _____%
                                                                  Science & Technology Division (269)              _____%     _____%
JANUS ASPEN SERIES                                                Small Cap Index Division (268)                   _____%     _____%
Aggressive Growth Division (280)            _____%     _____%     Stock Index Division (267)                       _____%     _____%
International Growth Division (278)         _____%     _____%
Worldwide Growth Division (279)             _____%     _____%     VANGUARD VARIABLE INSURANCE FUND
                                                                  High Yield Bond Division (297)                   _____%     _____%
J.P. MORGAN SERIES TRUST II                                       REIT Index Division (298)                        _____%     _____%
JPMorgan Small Company Division (281)       _____%     _____%
                                                                  VAN KAMPEN LIFE INVESTMENT TRUST
MFS VARIABLE INSURANCE TRUST                                      Growth & Income Division (305)                   _____%     _____%
MFS Capital Opportunities Division (284)    _____%     _____%
MFS Emerging Growth Division (282)          _____%     _____%     AGL DECLARED FIXED INTEREST ACCOUNT (301)        _____%     _____%
MFS New Discovery Division (285)            _____%     _____%     OTHER:_____________________________              _____%     _____%
MFS Research Division (283)                 _____%     _____%                                                       100%       100%
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AGLC 0198-00                                                                                                            Page  1 of 4
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DOLLAR COST AVERAGING
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DOLLAR COST    ($5,000 MINIMUM BEGINNING ACCUMULATION VALUE) An amount can be systematically transferred from the Money Market I
AVERAGING      Division and transferred to one or more of the investment options below. The AGL Declared Fixed Interest Account is
               not available for Dollar Cost Averaging. Please refer to the prospectus for more information on the Dollar Cost
               Averaging option.

               Day of the month for transfers:                         (Choose a day of the month between 1-28.)
               _____________________________________________________   _________________________________________
               Frequency of transfers:  [_] Monthly    [_] Quarterly    [_] Semiannually   [_] Annually
               _______________________  ___________    _____________    _________________  _______________
               Transfer $                                              ($100 MINIMUM, WHOLE DOLLARS ONLY)
               ___________________________________________             ___________________________________

AIM VARIABLE INSURANCE FUNDS                                     NEUBERGER BERMAN ADVISERS MANAGEMENT TRUST
AIM V.I. International Growth Division (260) $__________         Mid-Cap Growth Division (286)                       $__________
AIM V.I. Premier Equity Division (261)       $__________
                                                                 PIMCO VARIABLE INSURANCE TRUST
AMERICAN CENTURY VARIABLE PORTFOLIOS, INC.                       PIMCO Real Return Division (288)                    $__________
VP Value Division (262)                      $__________         PIMCO Short-Term Division (287)                     $__________
                                                                 PIMCO Total Return Division (289)                   $__________
AYCO SERIES TRUST
Ayco Growth Division (270)                   $__________         PUTNAM VARIABLE TRUST
                                                                 Putnam VT Diversified Income Division (290)         $__________
CREDIT SUISSE TRUST                                              Putnam VT Growth and Income Division (291)          $__________
Small Cap Growth Division (300)              $__________         Putnam VT Int'l Growth and Income Division (292)    $__________

DREYFUS INVESTMENT PORTFOLIOS                                    SAFECO RESOURCE SERIES TRUST
MidCap Stock Division (273)                  $__________         Equity Division (293)                               $__________
                                                                 Growth Opportunities Division (294)                 $__________
DREYFUS VARIABLE INVESTMENT FUND
Quality Bond Division (271)                  $__________         SUNAMERICA SERIES TRUST
Small Cap Division (272)                     $__________         SunAmerica Balanced Division (306)                  $__________
                                                                 Aggressive Growth Division (307)                    $__________
FIDELITY VARIABLE INSURANCE PRODUCTS FUNDS
VIP Asset Manager Division (277)             $__________         THE UNIVERSAL INSTITUTIONAL FUNDS, INC.
VIP Contrafund Division (276)                $__________         Equity Growth Division (295)                        $__________
VIP Equity-Income Division (274)             $__________         High Yield Division (296)                           $__________
VIP Growth Division (275)                    $__________
                                                                 VALIC COMPANY I
FRANKLIN TEMPLETON VARIABLE INSURANCE PRODUCTS TRUST             International Equities Division (263)               $__________
Franklin U.S. Government Division (302)      $__________         Mid Cap Index Division (264)                        $__________
Mutual Shares Securities Division (303)      $__________         Nasdaq-100 Index Division (266)                     $__________
Templeton Foreign Securities Division (304)  $__________         Science & Technology Division (269)                 $__________
                                                                 Small Cap Index Division (268)                      $__________
JANUS ASPEN SERIES                                               Stock Index Division (267)                          $__________
Aggressive Growth Division (280)             $__________
International Growth Division (278)          $__________         VANGUARD VARIABLE INSURANCE FUND
Worldwide Growth Division (279)              $__________         High Yield Bond Division (297)                      $__________
                                                                 REIT Index Division (298)                           $__________
J.P. MORGAN SERIES TRUST II
JPMorgan Small Company Division (281)        $__________         VAN KAMPEN LIFE INVESTMENT TRUST
                                                                 Growth & Income Division (305)                      $__________
MFS VARIABLE INSURANCE TRUST
MFS Capital Opportunities Division (284)     $__________         OTHER:_______________________________               $__________
MFS Emerging Growth Division (282)           $__________
MFS New Discovery Division (285)             $__________
MFS Research Division (283)                  $__________
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AUTOMATIC REBALANCING
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AUTOMATIC      ($5,000 MINIMUM BEGINNING ACCUMULATION VALUE) Variable division assets will be automatically rebalanced based on the
REBALANCING    premium percentages designated on Page 1 of this form. If the AGL Declared Fixed Interest Account has been designated
               for premium allocation, the rebalancing will be based on the proportion allocated to the variable divisions. Please
               refer to the prospectus for more information on the Automatic Rebalancing option.

               CHECK HERE FOR AUTOMATIC REBALANCING FREQUENCY:  [_] Quarterly  [_] Semiannually  [_] Annually
               ----------------------------------------------   -------------  ----------------  -----------
               NOTE: Automatic Rebalancing is not available if the Dollar Cost Averaging option has been chosen.

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MODIFIED ENDOWMENT CONTRACT
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CONTRACT       If any premium payment causes the policy to be classified as a modified endowment contract under Section 7702A of the
               Internal Revenue Code, there may be potentially adverse tax consequences. Such consequences include: (1) withdrawals
               or loans being taxed to the extent of gain; and (2) a 10% penalty tax on the taxable amount. In order to avoid
               modified endowment status, I request any excess premium that could cause such status to be refunded.
                                                                                                         [_] YES   [_] NO
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AGLC 0198-00                                                                                                             Page 2 of 4
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DEATH BENEFIT COMPLIANCE TEST
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                           [_] Guideline Premium Test                           [_] Cash Value Accumulation Test

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SPECIFIED AMOUNT
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Base Coverage $______________________plus Supplemental Coverage $ _________________________ = Total Specified Amount $ _____________

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TELEPHONE AUTHORIZATION
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                      I (or we, if Joint Owners), hereby authorize American General Life Insurance Company ("AGL") to act on
                      telephone instructions to transfer values among the variable divisions and the AGL Declared Fixed Interest
                      Account and to change allocations for future premium payments and monthly deductions given by:

INITIAL APPROPRIATE   [    ]  Policy Owner(s)- if Joint Owners, either of us acting independently.
BOX HERE:
                      [    ]  Policy Owner(s) or the Agent/Registered Representative who is appointed to represent AGL and the firm
                              authorized to service my policy.

                      AGL and any person designated by this authorization will not be responsible for any claim, loss or expense
                      based upon telephone instructions received and acted on in good faith, including losses due to telephone
                      instruction communication errors. AGL's liability for erroneous transfers and allocations, unless clearly
                      contrary to instructions received, will be limited to correction of the allocations on a current basis. If an
                      error, objection or other claim arises due to a telephone transaction, I will notify AGL in writing within
                      five working days from receipt of confirmation of the transaction from AGL. I understand that this
                      authorization is subject to the terms and provisions of my variable universal life insurance policy and its
                      related prospectus. This authorization will remain in effect until my written notice of its revocation is
                      received by AGL at its home office.

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SUITABILITY
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ALL QUESTIONS MUST    1. Have you, the Proposed Insured or Owner (if different), received the variable universal life
BE ANSWERED:             insurance policy prospectus and the prospectuses describing the investment options?         [_] yes  [_] no

                         (IF "YES," PLEASE FURNISH THE PROSPECTUS DATES.)

                             Variable Universal Life Insurance Policy Prospectus:     __________

                             Supplements (if any):                                    __________

                      2. Do you understand and acknowledge:

                         a. THAT THE POLICY APPLIED FOR IS VARIABLE, EMPLOYS THE USE OF SEGREGATED ACCOUNTS WHICH
                            MEANS THAT YOU NEED TO RECEIVE AND UNDERSTAND CURRENT PROSPECTUSES FOR THE POLICY AND
                            THE UNDERLYING ACCOUNTS?                                                                 [_] yes  [_] no

                         b. THAT ANY BENEFITS, VALUES OR PAYMENTS BASED ON PERFORMANCE OF THE SEGREGATED
                            ACCOUNTS MAY VARY: AND                                                                   [_] yes  [_] no

                            (1)  ARE NOT GUARANTEED BY THE COMPANY, ANY OTHER INSURANCE COMPANY, THE U.S.
                                 GOVERNMENT OR ANY STATE GOVERNMENT?                                                 [_] yes  [_] no

                            (2)  ARE NOT FEDERALLY INSURED BY THE FDIC, THE FEDERAL RESERVE BOARD OR ANY
                                 OTHER AGENCY, FEDERAL OR STATE?                                                     [_] yes  [_] no

                         c. THAT IN ESSENCE, ALL RISK IS BORNE BY THE OWNER EXCEPT FOR FUNDS PLACED IN
                            THE AGL DECLARED FIXED INTEREST ACCOUNT?                                                 [_] yes  [_] no

                         d. THAT THE POLICY IS DESIGNED TO PROVIDE LIFE INSURANCE COVERAGE AND TO ALLOW FOR
                            THE ACCUMULATION OF VALUES IN THE SEGREGATED ACCOUNTS?                                   [_] yes  [_] no

                         e. THE AMOUNT OR DURATION OF THE DEATH BENEFIT MAY INCREASE OR DECREASE, DEPENDING
                            ON THE INVESTMENT EXPERIENCE OF THE SEPARATE ACCOUNT?                                    [_] yes  [_] no

                         f. THE POLICY VALUES MAY INCREASE OR DECREASE, DEPENDING ON THE INVESTMENT
                            EXPERIENCE OF THE SEPARATE ACCOUNT, THE AGL DECLARED FIXED INTEREST ACCOUNT
                            ACCUMULATION, AND CERTAIN EXPENSE DEDUCTIONS?                                            [_] yes  [_] no

                      3. Do you believe the Policy you selected meets your insurance and investment
                         objectives and your anticipated financial needs?                                            [_] yes  [_] no
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YOUR SIGNATURE
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SIGNATURES   Signed at (city, state)
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             Print name of Broker/Dealer
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             X Registered representative                                      State license #                   Date
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             X Primary proposed insured                                                                         Date
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             X Owner                                                                                            Date
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             (If different from Proposed Insured)

             X Joint Owner                                                                                      Date
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             (If applicable)
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AGLC 0198-00                                                                                                           Page 4 of 4
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