Transcription of Life Insurance Application
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LifeInsurance ApplicationLife Insurance89604 (08/2008)89604 (08/2008)COLLECTION AND USE OF PERSONAL INFORMATIONC ollecting your personal informationWe (RBC life Insurance Company) may from time to time collect information about you such as: information establishing your identity (for example, name, address, phone number, date of birth, etc.) andyour personal background; information related to or arising from your relationship with and through us; information you provide through the Application and claim process for any of our Insurance products andservices; and information for the provision of products and may collect information from you, either directly or through representatives.
Page 3 Applicant/Owner 15. Proposed Life Insured A Proposed Life Insured B Proposed Life Insureds A and B jointly Other If other, please complete below.
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