I/We agree that this proposal, together with any other information or documents supplied with this proposal, will form the basis of any contract of insurance.
I/We acknowledge that if this application is accepted, the contract of insurance will be subject to the terms and conditions as set out in the policy wording as issued or as otherwise specifically varied in writing by the insurer.
I/We declare, after inquiry of all relevant persons, that the statements, particulars and information contained in this application and in any documents accompanying this application are true and correct in every detail and that no other material facts have been misstated, suppressed or omitted.
I/We undertake to inform the insurer of any material alteration to those facts before completion of the contract of insurance.
