I/ We hereby apply for Insurance against risks as set out in the General Insurance Company Limited standard policy and declare that the above particulars and answers are true and complete in every respect and that no material fact has been suppressed or withheld, and I/ We undertake to exercise all ordinary and reasonable precautions for the safety of the property, and I/ We agree that this declaration and the answers given above shall be the basis of the Contract between myself/ ourselves and General Insurance Company Limited, and I/ We further agree to accept a Policy subject to the usual conditions prescribed by General Insurance Company Limited, and endorsed on its Policy, and to pay the first premium there under.

I/We declare that the particulars are true and I/We undertake that the vehicle shall not be driven by any person who to my/ our knowledge of belief has been refused Motor Insurance or continuance thereof. I/We agree that this proposal and declaration shall be the basis of the contract between me/ us and the company and I/We are willing to accept the policy subject to the Terms and Exceptions and Conditions prescribed by the Company.