Has any insurance in respect of the risks to which this proposal relates
SYSTEM OF CHECK
SCOPE OF COVER
Cover for employees in selected categories of occupations only:-
I/We declare that these statements made by me/us or on my/our behalf are to the best of my/our knowledge and belief true and complete and shall be incorporated in the contract between me/us and the company. I/We agree to accept a policy in the Company's usual form for this class of insurance.
Signing this form does not oblige you to complete the insurance