The document is an application form for a cancer insurance policy. It requests basic personal details like name, date of birth, contact information.LIC's Cancer Cover (Plan No. 905, UIN : 512N314V02) Date of Withdrawn : 26.04. Full Name (Max 40. Char). This document contains a proposal form for LIC's Cancer Cover Plan. CLAIM FORM FOR LIC's Cancer Cover policy​​ Name of the Life Assured: ………………………………………………………. Date of Birth: ……………………………..