Cancer Cover - Online Application

I, {Full names:13} {Surname:14}, {ID Number:17}, hereby acknowledge that:

• The information provided in this application is true and I have not withheld any facts. Misrepresentation of non-disclosure may result in us refusing to pay a claim or voiding this policy.
• I understand and agree to abide to the terms and conditions of this policy. Please click here to read the full terms and conditions.
• I understand that there is a 3-month waiting period, during which no claim event will be covered, and will remain uncovered even after the waiting period has expired. This means that a diagnosis in the waiting period will at no time thereafter qualify for a benefit payment.
• Any new cancers diagnosed after the expiry of the waiting period that qualifies as a claim event, will be covered.
• No benefits are payable for a period of 12 months from the start date of cover in respect of a cancer which manifested symptoms within 12 months before the start date of cover and which would have caused a reasonable and prudent person to seek medical advice and/or treatment. This exclusion applies whether you received treatment or not.