I hereby declare, confirm and agree that:
- I/We have not withheld any material information and accept that this application and declaration shall form the basis of the contract between YAS Digital Limited (the “Company”), the Insurer and me/us. I hereby acknowledge that failure to supply true and accurate answers to this application or inform YAS Digital Limited (the “Company”) and the Insurer of all material information about this application may render YAS Digital Limited (the “Company”) and the Insurer unable to accept or process this application or the insurance policy void.
- The insurance coverage applied for shall only take effect when this application has been accepted by YAS Digital Limited (the “Company”) and the Insurer and I/We have paid the required premium.
- (If applicable) I/We have obtained the authorisation from the insured person to provide the information requested in this application and to deal with and receive or request information concerning the insured person from YAS Digital Limited (the “Company”) and the Insurer in relation to any matters arising from this application. I/We further acknowledge that the insured person has been explicitly informed and agrees that his/her personal data will be transferred to YAS Digital Limited (the “Company”) and the Insurer for the purpose of this application and has been informed of his/ her rights under the Personal Data (Privacy) Ordinance.
- I/We are required to disclose all material facts which I/we know YAS Digital Limited (the “Company”) and the Insurer would regard them as likely to influence the acceptance and assessment of this proposal. Providing correct answers and making sure YAS Digital Limited (the “Company”) and the Insurer are informed is for my/our own protection, as failure to disclose such information may mean that my/our policy will not provide with the cover I/we require and may even invalidate the policy altogether.
- Where the Applicant(s) has/have an Insurance Broker: I/We understand, acknowledge and agree that, as a result of the purchasing and taking up the policy by me/us, with the policy issued by the Insurer, the Insurer will pay my/our authorized insurance broker commission during the continuance of the policy including renewals, for arranging the said policy. (If applicable) Where the applicant is a body corporate, I/We am/are the authorized person(s) signing on behalf of the applicant and I/We further confirm to YAS Digital Limited (the “Company”) and the Insurer that I/We am/are authorized to do so. I/We understand that the above agreement is necessary for YAS Digital Limited (the “Company”) and the Insurer to proceed with the application.
In case of discrepancies between the English and Chinese versions, the English version shall prevail.