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2. I declare that the information that I have supplied is correct and complete and that this declaration shall be the basis of the contract of insurance between Guardrisk and I, which will become effective on the first day of the month for which premiums are paid. 3. I confirm my understanding that should this application be incomplete, my application may not be processed by Guardrisk. 4. I confirm my understanding that should any material information be withheld or incorrectly furnished during.

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