Witness: ( Signature of the Proposer). 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). Full Name (Max 40. Char). We have various applications and forms available on our web site for your convenience. To save you time on the day of your visit, we suggest filling out and bringing the completed forms (below) with you to your first appointment. This document contains a proposal form for LIC's Cancer Cover Plan. No potential adverse impacts were identified; therefore, no mitigation measures are required. Please refer to mitigation measures in the attached Initial Study.