The document is an application form for a cancer insurance policy. It requests basic personal details like name, date of birth, contact information.Full Name (Max 40. Char). This document contains a proposal form for LIC's Cancer Cover Plan. Any surgeries done prior on in course of treatment of the illness. Name of the surgery. The policy can be purchased offline as well as online. Proof of Age: The premium has been calculated on the age of the Life Assured as declared in the Proposal Form.