Please check this box to declare that to the best of my/our knowledge or belief that the particulars and statements given in this proposal and any other information provided in connection with this proposal are true and complete and this proposal, declaration and information shall be the basis of the contract between myself/ourselves and The Underwriters. I/We accept the Company’s standard form of policy and endorsements for this insurance. If applicable, I/we further agree that if I/We do not pay any installment on the due date then I/we must pay the total premium which is outstanding within 7 days of The Underwriters asking for it. If I/we do not pay the policy will be cancelled.