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). This document contains a proposal form for LIC's Cancer Cover Plan. No special form is required; a handwritten letter will do. Any surgeries done prior on in course of treatment of the illness. Name of the surgery. Smok- ing tobacco is acknowledged as the leading cause of lung cancer.