Be. Revoked: or (or) Date: (or) Borrower(s) in possession: To. Be. Revoked: or (or) Date of Insurance: All or in part: The following information, if known, is requested: Names, addresses and contact numbers of all Borrower(s) in possession. This information is intended for the sole inspection and record of the Insurer and/or the Banker. This information shall be processed for the sole purpose of maintaining the database with respect to the Insurer. The name of the bank is not to be mentioned in this database without the written request of the Banker or with the express consent of the bank. This request may not be denied as it may be contrary to the Banker's policy and to the Banker's or the Insurers's right and procedure. The following Information is intended for the sole inspection and record of the Banker. This Information is intended for, and shall only be used in accordance with, the terms and condition and other applicable statutory obligations of the Banker relating to the information provided on file with the Insurer. Information in this database is not provided in relation to the Banker's insured deposits and other liabilities. Please acknowledge that the information in this database is subject to change at any time with or without notification to the Borrower(s), without prior notice being given to these Borrowers. Any updates will be made at least 5 working days in advance. The Banker will not take any action in respect of any discrepancy between the information provided on file and (and the Banker has the right to correct any error, omission or ambiguity in information provided, in whole or in part), without prior notice being given to the Borrower(s) and without consent being given by the Banker. If this form of contract or insurance does not cover a specific event and the information contained herein is found to be incorrect, an additional statement shall be submitted, explaining that the event does not exist and that the Borrower(s) have been advised of this error. Further information about this form of insurance or contract can be obtained by writing any of the Insurers or by calling The Information Service at the appropriate telephone number. The following information and documents, if found, are intended for the sole inspection and record of the Banker and/or the Insurer: Signature of an Insurer or Banker. Signature of a Borrower or a Nominee.
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Platform Funding Limited, Exchange Tower, 2 Harbor Exchange Square, London E14 9FR Telephone: 020 7512 4006 Document Exchange: 135857 Isle of Dogs 2 CERTIFICATE OF COMPREHENSIVE BUILDINGS INSURANCE
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