Confirm to Proceed

Your declaration

I/We agree and acknowledge that:

  • I/We wish to apply for an Aussie Mortgage Protection Plan and acknowledge that cover does not commence until this application has been accepted by Aussie Insurance.
  • I/We have received a Financial Services Guide and Product Disclosure Statement ("PDS") for Aussie Mortgage Protection Plan dated 1 November 2013.
  • The information I/we have provided in this application is true and correct.
  • I/We have met the eligibility requirements for this product.
  • I/We am/are aware of the exclusions that apply to this cover (see page 5 of the Aussie Mortgage Protection Plan PDS).
  • I/We have not been given any advice on whether the insurance is suitable for my/our individual financial circumstances, personal needs and objectives and I/we understand that I/we need to consider this before deciding whether to take out the insurance.
  • I/We consent to the collection, use and disclosure of my/our personal information in the manner set out in the "Protection of your privacy" information provided on page 21 of the Aussie Mortgage Protection Plan Policy Document.