By submitting this form I declare that the answers to the questions and statements above, whether in my own handwriting or not, are true and complete.
I understand that the answers to the questions and statements above and any documents required by KOLAL shall be the basis of the contract.
I accept that KOLAL will incur no liability under this application until: the application has been received and approved, the full modal premium has been paid to and accepted by KOLAL.
l understand that KOLAL has the right to defer a claim under this policy until all requirements, as specified by KOLAL, have been met.
I acknowledge that I have read and understood these declarations. I declare that the answers to ALL the above questions and statements are true and complete.