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For GPL Head Office Use Only GPL Certificate Number APPLICATION FOR Group Coverage Please print clearly and complete both sides of this form, in INK. Section 1 is to be completed by the plan administrator
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Section 1 is to refer to the first section of a form or document where personal information is usually provided.
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Section 1 is generally required to be filled out by the individual or entity completing the form.
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Section 1 is typically filled out by entering personal details such as name, address, date of birth, etc. as per the instructions provided.
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The purpose of section 1 is to is to collect necessary information to identify and verify the individual or entity filling out the form.
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