Terms & Conditions
I hereby declare that, to the best of my knowledge and belief, the particulars and answers are true and correct and that I have not withheld any information, which is likely to influence the decision of the Insurers in regard to this proposal.
Signing this form does not bind the Proposer to complete the Insurance but it is agreed that this form shall be the basis of the contract should a policy be issued. No liability attaches to the Insurers until this proposal has been accepted.