APPLICATION ORD 99730 NY-1

EXHIBIT (4)(d)

PRUCO LIFE INSURANCE COMPANY OF NEW JERSEY, STRATEGIC PARTNERS(SM)
a Prudential Financial company ANNUITY ONE APPLICATION
Flexible Payment Variable Deferred Annuity
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On these pages, I, you,and your refer to the contract owner. We, us, and our
refer to Pruco Life Insurance Company of New Jersey.
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1 CONTRACT OWNER INFORMATION

Contract number (if any) _____________________________

[ ] Individual [ ] Corporation [ ] UGMA/UTMA [ ] Other

TRUST: [ ] Grantor [ ] Revocable [ ] Irrevocable

TRUST DATE (mo., day, yr.)_____ _____ _________

If a corporation or trust is indicated above, please check the following as
it applies. If neither box is checked, we will provide annual tax reporting
for the increasing value of the contract.

[ ] Tax-exempt entity under Internal Revenue Code 501

[ ] Trust acting as agent for an individual under Internal Revenue Code 72(u)

Name of owner (first, middle initial, last name)
_____________________________________________________________________________

Street Apt.
________________________________________________________ _________________

City State ZIP code
__________________________________________ ________ _________-__________

Social Security number/EIN Date of birth (mo., day, year) Telephone number
__________________________ _________ _________ __________ ____ ____-______

A. [ ] Female
[ ] Male

B. [ ] U.S. citizen [ ] I am not a U.S. person (including resident alien).
[ ] Resident alien I am a citizen of
__________________________________________________
Attach the applicable IRS Form W-8(BEN, ECI, EXP,
IMY).
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2 JOINT OWNER INFORMATION (if any) Do not complete if you are opening an IRA.

Unmarried persons who wish to own the contract jointly should consult with
their tax adviser.

Name of joint owner, if any (first, middle initial, last name)
_____________________________________________________________________________

Street (Leave address blank if same as owner.) Apt.
________________________________________________________ _________________

City State ZIP code
__________________________________________ ________ _________-__________

Social Security number/EIN Date of birth (mo., day, year) Telephone number
__________________________ _________ _________ __________ ____ ____-______

A. [ ] Female
[ ] Male

B. [ ] U.S. citizen [ ] I am not a U.S. person (including resident alien).
[ ] Resident alien I am a citizen of
__________________________________________________
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3 ANNUITANT INFORMATION Do not complete if you are opening an IRA.

This section must be completed only if the annuitant is not the owner or if
the owner is a trust or a corporation.

Name of annuitant (first, middle initial, last name)
_____________________________________________________________________________

Street (Leave address blank if same as owner.) Apt.
________________________________________________________ _________________

City State ZIP code
__________________________________________ ________ _________-__________

Social Security number Date of birth (mo., day, year) Telephone number
__________________________ _________ _________ __________ ____ ____-______

A. [ ] Female
[ ] Male

B. [ ] U.S. citizen [ ] I am not a U.S. person (including resident alien).
[ ] Resident alien I am a citizen of
__________________________________________________
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Pruco Corporate Office: Pruco Life Insurance Company Ed. 5/2003
of New Jersey, Newark, NJ 07102
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ORD 99730 New York-1 Page 1 of 6
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4 CO-ANNUITANT INFORMATION (if any) Do not complete if you are opening an IRA
or if the contract will be owned by a corporation or trust.

Name of co-annuitant (first, middle initial, last name)
_____________________________________________________________________________

Social Security number Date of birth (mo., day, year) Telephone number
__________________________ _________ _________ __________ ____ ____-______

A. [ ] Female
[ ] Male

B. [ ] U.S. citizen [ ] I am not a U.S. person (including resident alien).
[ ] Resident alien I am a citizen of
__________________________________________________
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5 BENEFICIARY INFORMATION Please add additional beneficiaries in section 18.

[X] PRIMARY CLASS

Name of beneficiary (first, middle initial, last name) If trust, include name
of trust and trustee's name.
_____________________________________________________________________________

TRUST: [ ] Revocable [ ] Irrevocable Trust date (mo., day, year)__ __ ____

Beneficiary's relationship to owner__________________________________________

Social Security number_______________________________________________________

CHECK ONLY ONE: [ ] Primary class [ ] Secondary class

Name of beneficiary (first, middle initial, last name) If trust, include name
of trust and trustee's name.

TRUST: [ ] Revocable [ ] Irrevocable Trust date (mo., day, year)__ __ ____

Beneficiary's relationship to owner__________________________________________

Social Security number_______________________________________________________
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6 ELECTION OF CREDIT

Complete this section if you want to elect Credit. The election of Credit to
each purchase payment results in a higher insurance and administrative cost
and higher withdrawal charges than if the Credit was not elected. The Credit
that is allocated to the contract vests upon expiration of the the Right to
Cancel period. We reserve the right to recapture any Credit granted within
one year of the date of the owner's death.

[ ] Yes, I want Credit.
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7 INCOME BENEFITS

Check all that apply. The cost of each benefit is in parentheses immediately
following the option. ONCE ELECTED, THE GUARANTEED MINIMUM INCOME BENEFIT
(GMIB) CANNOT BE REVOKED.

[ ] Yes, I would like to elect a Guaranteed Minimum Income Benefit (GMIB).
(0.45%)

[ ] Yes, I would like to elect the Income Appreciator Benefit (IAB). (0.25%)
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8 DEATH BENEFIT

THIS SECTION MUST BE COMPLETED. Check one of the Death Benefit options below.
The cost of each benefit is in parentheses immediately following the option.

[ ] Base Death Benefit. (1.40% without credit; 1.50% with credit)

[ ] Guaranteed Minimum Death Benefit (GMDB) with an annual Step-Up option.
(1.65% without credit; 1.75% with credit)

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9 TYPE OF PLAN AND SOURCE OF FUNDS (minimum of $10,000)

PLAN TYPE. Check only one:

[ ] Non-qualified [ ] Traditional IRA [ ] Custodial account
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SOURCE OF FUNDS. Check all that apply:

[ ] Total amount of the check(s)
included with this application.
(Make checks payable to Prudential.) $______,_________,___________._____

[ ] IRA Rollover $______,_________,___________._____

If Traditional IRA new contribution(s) for the current and/or previous year,
complete the following:
$____,___________._______ Year___________ $______,________.______ Year_______

[ ] 1035 Exchange (non-qualified only),
estimated amount: $ _______,_________,___________.______

[ ] IRA Transfer (qualified),
estimated amount: $ _______,_________,___________.______

[ ] Direct Rollover (qualified),
estimated amount: $ _______,_________,___________.______
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ORD 99730 New York-1 Page 2 of 6 Ed. 5/2003
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10 PURCHASE PAYMENT ALLOCATION(S)

Please write in the percentage of your payment that you want to allocate to
the following options. total must equal 100 percent. IF CHANGES ARE MADE TO
THE ALLOCATIONS LISTED BELOW, THE APPLICANT MUST INITAL THE CHANGES.