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WWW.libertyinsurance.com.SG Please complete all sections to facilitate the processing of your application. Statement pursuant to Section 25(5) Cap. 142 of the Insurance Act or any subsequent amendments
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Start by writing your full legal name in the designated space. Make sure to use your current and accurate name as it appears on official documents.
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The name of proposername is the individual or entity who is submitting the proposal.
The person or entity submitting the proposal is required to file the name of proposername.
You can fill out the name of proposername by typing in the appropriate name or entity.
The purpose of name of proposername is to identify who is submitting the proposal.
The name of proposername must include the full name of the individual or entity submitting the proposal.
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