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Disclosure

The proposer(s), or any partner, or any director, or any officer, have never:

  • a) been declared bankrupt
  • b) been disqualified from being a company director
  • c) been convicted, or have any prosecutions pending, or been given an official police caution in respect of fraud, or dishonesty
  • d) had a company go into liquidation or become insolvent
  • e) had any insurance proposal declined, renewal refused, had any special or increased terms applied or had insurance cancelled or avoided by Underwriters

I confirm that I have read and agree that the above statement is true

I confirm that I have read and agree that the above statement is true

If you cannot agree with the above statement please give your reasons below.