1. YOU must answer all questions giving full and complete answers. 2. It is YOUR duty to provide all information that is requested in the Proposal Form.Please use the checklist below to indicate the operation in the QBE Pacific Islands region to which you will be submitting your proposal. YOU ARE AUTHORIZED TO PROVIDE THIS INFORMATION IN ACCORDANCE WITH THE NEW YORK COMPREHENSIVE MOTOR VEHICLE INSURANCE REPARATIONS ACT (NO-FAULT LAW). Please submit separate forms for each individual. This application must be completed in full including all required attachments. 2. Guidelines for completion of the form: Please answer all the questions fully and correctly. Please ensure you answer all questions.