I understand that this declaration is a material part of this application to RF&G Life Insurance Company Ltd. and will be relied upon by RF&G Life Insurance Company Ltd. in determining whether I qualify for the plan of insurance applied for. I further understand that this declaration is a material statement without which the policy applied for could not be issued to me, and that if it is issued, RF&G Life Insurance Company Ltd. will rely upon its truth in issuing the policy.
I understand that any material misstatement in this declaration, or elsewhere, will render the contract, if issued to me, voidable.
I hereby represent, to the best of my knowledge and belief, that the answers to all the above questions are complete and true and I agree that they shall form part of the application and become a part of any contract of insurance issued as a result of such application.
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