DECLARATION AND AGREEMENT
1. I acknowledge that I have read, understood and agreed to the Notice to the proposed insured included with this form.
2. I acknowledge that if this application is accepted, the insurance cover will be subject to the terms and conditions as set out in the Policy Schedule and Policy Wording.
3. I declare that the information contained in this application form is true and correct and that I have not suppressed nor misstated any facts.
4. I acknowledge that Aon values the privacy of personal information and is bound by the Privacy Act 1988 (Clth) when they collect, use, disclose or handle personal information.
5. I acknowledge that Aon collects personal information to offer, provide, manage and administer the services they provide in accordance with Aon’s Privacy Statement. I consent to the use of my personal information for the purposes shown in the Privacy Statement, and the disclosure of my personal information to, and obtaining personal information from, other parties, including ANCA and those shown in the Privacy Statement, for any of these purposes.
6. If I have disclosed personal or sensitive information about any other person, I confirm that I have obtained consent from that person to disclose to you their personal or sensitive information and have made them aware that you will or may provide their information to other third parties, including the insurer for any of these purposes, and for the purposes, which we or the third parties may use the information for, including those outlined in Aon's Privacy Statement
. If I have not obtained consent and authorisation from any other person to disclose their personal or sensitive information to you, I will inform you before providing the relevant information.
7. I declare that I am a current and financial member of the Australian National Choral Association (ANCA) and shall immediately notify Aon if I cease to be a member of ANCA.
8. I authorise Aon to release personal information relating to this insurance to ANCA.