a.I/We, the
undersigned, hereby declare and warrant that the insurance
contract and policy to be issued by Edelweiss General Insurance
Company Limited [Company] is subject to the declarations,
warranties, statements and particulars given in this proposal
form. The statements and particulars given in this proposal form
are complete, true and accurate to the best of my/our personal
knowledge and belief.
b.I/We have
clearly understood the terms and conditions [T & C] applicable to
the proposed insurance contract and agree that the statements and
particulars given in this proposal form shall be held to be
promissory and shall be the basis of the insurance contract
between me/us and the Company; and the Company shall have no
liability under the insurance contract if it is found that any of
my/our statements or particulars or declarations in this proposal
form or other documents are incorrect and or untrue or there has
been suppression of any information or provision of misleading or
false information, in any respect, on any matter regarding the
grant of a cover.
c.I/We hereby
agree to receive the policy schedule only and understand that the
T & C of the proposed insurance contract are available on the
website of the Company, www.edelweissinsurance.com.
d.I/We state
that the salient features and terms and conditions of the
proposed insurance contract have been explained to me/us in
vernacular language, and I/We agree to the same.
e.I/We agree
to receive service related information from Edelweiss General
Insurance Co. Ltd. and its service providers from time to time,
through electronic and telecommunication mode including WhatsApp,
and understand that no unsolicited information will be sent to
me/us.
f.I/We confirm that
the premium amount(s) being/to be paid against/under this proposal
is/shall be from bona fide sources and not in violation of the provisions
of the PML Act, 2002, and its amendments. I/We agree to fully cooperate with
the company if document(s) to establish source of such premium amount(s) is/are
called for, and understand that the company possesses absolute and sole discretion
to cancel the policy, as and if issued, basis my/our conviction by a court of law
or competent authority under/relating to the PML Act, 2002 and its amendments.
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