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For office use only: POLICY NUMBER: GAP COVER INDIVIDUAL DEBIT ORDER APPLICATION FORM Underwritten by Holland Group Risk (HER), a division of The Holland Insurance Company Limited, Reg. No. 1952/003004/06,
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Broker consultant name refers to the name of the individual or entity who acts as the broker for a particular transaction or deal.
The individual or entity acting as the broker for a transaction is required to file the broker consultant name.
To fill out the broker consultant name, you must provide the full legal name of the broker or consultant involved in the transaction.
The purpose of providing the broker consultant name is to accurately identify the parties involved in a transaction and ensure transparency.
The broker consultant name must include the full legal name of the individual or entity acting as the broker, as well as any relevant contact information.
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