Declaration by person applying

I declare that the motor vehicle described above will be kept in an efficient and roadworthy condition, and that the above information is true, correct and complete, otherwise, I understand that you may make this policy void or refuse a claim.

I agree that this application and other statements, information or declaration I have made or which has been made on my behalf (including declarations made over the phone and internet) will form the basis of the contract of insurance between me and you (Income).

I understand and agree to the 'Personal data collection statement'. You will not be legally responsible for any claims until you have accepted this application and I have paid the premium in full.