Transcription of Zurich Insurance Application form
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Zurich Insurance Application form
Page 1 of 16 Before completing or signing this Application form, you should read the Product Disclosure Statement (PDS) relevant to your policy. In instances where one or more new policies are created, this is the Zurich Wealth Protection PDS dated 27 September 2021 and the Zurich Active PDS dated 27 September you are requesting an alteration or increase to an existing policy, you should refer to the PDS and policy document issued at the time you applied for your policy (and any policy updates for your product) for the applicable relevant PDS must be provided to you with this Application form.
If you are requesting an alteration or increase to an existing policy, you should refer to the PDS and policy document issued at the time ... Title Surname First name Middle name Male Female Date of birth / / ... If the Application being submitted requires a Life Insured’s Statement please complete the Preferences for tele-interview section ...
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