I have never had a proposal or renewal for insurance declined or had special terms imposed or suffered any claims
in the last 5 years in respect of cover offered by this insurance. I undertake to advise the insurer as soon as possible
of any changes to the information provided in this application. I agree that any information provided to the insurer
regarding me for the purposes of accepting insurance and handling any claims may, if necessary, be divulged to third
parties, provided it will be processed by the insurer in compliance with the provisions of the Data Protection Act 2018.