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Declaration Statement
Neither the proposer nor any drivers have been declared bankrupt or insolvent, nor have been the subject of bankruptcy or insolvency proceedings, unless discharged.
Neither the proposer nor any drivers have had insurance refused, declined, cancelled or had special terms imposed at any time.
Neither proposer nor any drivers have any unspent non-motoring convictions according to the Rehabilitation of Offenders Act, nor have any prosecutions pending.
No vehicle will be loaned, leased or hired out to another party.
NumberOfVehicles
Please select the number of each vehicle type requiring cover: