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). 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. Covered critical illness claims will be reviewed and must meet the definitions as defined in the policy. Complete Supplier Set Up Form. Complete User Account and User ID Form.