Witness: ( Signature of the Proposer). LIC's Cancer Cover (Plan No. 905, UIN : 512N314V02).The document is an application form for a cancer insurance policy. It requests basic personal details like name, date of birth, contact information. Full Name (Max 40. Char). Some of our plans have certain options (including rider(s)) available under them. It is important that the options, if any, available. This document contains a proposal form for LIC's Cancer Cover Plan. 139 East South Temple, Suite 330, Salt Lake City, UT, 84tlt-t 169, 531-0441. Send a stide, transparency or print of each scene you want to be considered.