Scribd Logo
Upload

Welcome to Scribd!

  • 413 views

    Declaration Form

    Uploaded by

    Jules Adrian Dela Peña
    The client declaration form requires the client to sign that they have read and understood the full text of the declarations, agreements, and acknowledgements in the application forms before signing. It also notes that the client declaration form will become part of the insurance contract once the policy is issued. The client must sign and provide their name, and if over age 18, the policy owner must also provide their name and signature, along with the date and location where the form was signed.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Declaration Form

    Uploaded by

    Jules Adrian Dela Peña
    413 views1 page
    The client declaration form requires the client to sign that they have read and understood the full text of the declarations, agreements, and acknowledgements in the application forms before signing. It also notes that the client declaration form will become part of the insurance contract once the policy is issued. The client must sign and provide their name, and if over age 18, the policy owner must also provide their name and signature, along with the date and location where the form was signed.

    Original Description:

    form

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The client declaration form requires the client to sign that they have read and understood the full text of the declarations, agreements, and acknowledgements in the application forms before signing. It also notes that the client declaration form will become part of the insurance contract once the policy is issued. The client must sign and provide their name, and if over age 18, the policy owner must also provide their name and signature, along with the date and location where the form was signed.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    413 views1 page

    Declaration Form

    Uploaded by

    Jules Adrian Dela Peña
    The client declaration form requires the client to sign that they have read and understood the full text of the declarations, agreements, and acknowledgements in the application forms before signing. It also notes that the client declaration form will become part of the insurance contract once the policy is issued. The client must sign and provide their name, and if over age 18, the policy owner must also provide their name and signature, along with the date and location where the form was signed.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    Reference Number: ___________

    Client’s Declaration Form


    I have actually read and understood the full text of the
    Declarations, Agreements and Acknowledgement of the Forms
    before signing them:

    Application Form: ___________________________

    Proposal/Illustration of Benefits: ___________________________

    Investment Portfolio Risk Assessment Form: ___________________________

    I also understand that this Client’s Declaration Form shall form part of the insurance contract
    once the Policy is issued.

    ______________________________ Name and Signature of Policy Insured

    Name and signature of Policy Owner (If age 18 and above)

    Signed on: __________________________

    Signed at: __________________________

    _______________________________

    You might also like