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VP Funeral Plan

Before proceeding with this application, please consider the VP Funeral Plan Product Disclosure Statement (PDS) (effective 01/08/2023). Please fill in the sections below for either 1 or 2 applicants.

Apply for an VP Funeral Plan policy today. You're guaranteed acceptance

For a personalised quote, Watsapp (65) 8815 8379

Return this application form by post to: Virtue Paradise Pte Ltd No.1 Kaki Bukit Road 1 #04-23 Enterprise One Singapore 415 934

Email this application form to vpcw1979@gmail.com

A. Personal Details (Please complete all sections)

B. Level of Cover (Please tick one box for each person to be insured)

Please check pages 11-12 of the PDS for your monthly premium details.

D. Declaration (Please read carefully and then sign)

I/We acknowledge and confirm that:
• I/We have read and understood the PDS and my/our decision to purchase VP Funeral Plan is based on the PDS:
• I/We confirm I/we have read VP's Privacy Statement which is available at VP.com.sg/funeralplan and I/we consent to the collection, use and disclosure of my/our personal (including sensitive) information in accordance with the Privacy Statement;
• I/We understand my/our VP Funeral Plan policy will not become effective until this application is accepted in writing;
• The information provided in this application is true and correct;
• I/We acknowledge that this direct debit arrangement is governed by the terms of the Direct Debit Request Service Agreement of the PDS and the terms and conditions of my policy; and
• I/We understand if I/we am/are eligible to make a nomination, a Nomination of Beneficiary form will be provided in the welcome pack
• I/we will receive if my/our application is accepted.

Issued by: Virtue Paradise Pte Ltd - UEN 202316265R