| 1 | I presented my renewal rates for the last five years. | |
| 2 | Has any such proposal or renewal ever been declined or withdrawn? if so, please state name of company. | |
| 3 | Has any insurance company ever at anytime declined your proposal, cancelled your policy or refused to renew a policy? YES / NO. | |
| 4 | Students can join the Scheme or renew the insurance on designated registration dates in the beginning of every semester. | |
| 5 | Once the application for this proposal form is accepted, your policy will be automatically renewed each year. |