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details like name, date of birth, contact information.LIC's Cancer Cover (Plan No. 905, UIN : 512N314V02) Date of Withdrawn : 26.04.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. The proposed chapter prescribes the time, form, and content of reports the OAG requires from certain district and county attor neys' offices. Given our mission and commitment to Texas as the catchment area for our population health strategic plan, we selected the Texas Cancer Plan (2012) as the model. CLAIM FORM FOR LIC's Cancer Cover policy​​ Name of the Life Assured: ………………………………………………………. Date of Birth: ……………………………..