This document appears to be a proposal form for an Arogya Rakshak health insurance plan from LIC. It collects personal details of the principal insured.LIC's Arogya Rakshak (Plan No. 906, UIN : 512N318V01). Division: Branch Office: INSTRUCTIONS TO THE PROPOSER. 1. This proposal form collects information about the principal insured and other members to be covered under a health insurance policy.