I hereby request that the Insurers provide Insurance cover in terms of this Mortality cover and its extensions. I hereby
declare that the above answers are true and correct, that I have withheld no information that might influence the
decision of Insurers regarding the Proposal and I undertake to exercise all ordinary and reasonable precautions for
the safety and well-being of the Insured Animal.
I agree that this proposal and declaration shall be held promissory and shall form the basis of the contract between myself and the Insurers and that if anything is untruly stated, or any information calculated to influence the decision