Whole of Life Application Form (W10243) - Legal & General

SECTION B Full application details continuedTOTAL COVERClient oneClient twoIncluding this application, will thetotal amount of LIFE cover on yourlife exceed £1,500,000?Yes No Yes NoIf you have answered ‘Yes’ to the above question and this cover is for Business reasons please complete a Business AssuranceQuestionnaire (W1844) available on the Adviser Centre; you can copy this link into your browser: http://www.legalandgeneral.com/library/underwriting/underwriting-questionnaire/W1844.pdf, otherwise please complete a Personal Assurance Questionnaire (in Part 4)BEFORE continuing with the next question.TRAVELClient oneClient twoDuring the last five years haveyou lived, worked or travelledOUTSIDE the UK?Please ignore holidays for up toone month; business trips up toone week, provided they did nottotal more than 12 weeks in a year.In this context, UK includesEngland, Scotland, Wales,Northern Ireland, Isle of Manand the Channel Islands.YesNoIf ‘Yes’, please give the following details:Which country?In total, how longwere you there? years monthsHow long ago wasyour last visit? years monthsYesNoIf ‘Yes’, please give the following details:Which country?In total, how longwere you there? years monthsHow long ago wasyour last visit? years monthsDo you have anyother country(ies)to disclose?YesNoDo you have anyother country(ies)to disclose?YesNoIf ‘Yes’, please give the same details as above, for theother country(ies), in Part 8 (Additional Information)before continuing with this section.If ‘Yes’, please give the same details as above, for theother country(ies), in Part 8 (Additional Information)before continuing with this section.During the next two years, doyou intend to live, work or travelOUTSIDE the UK?Please ignore: holidays for up toone month; business trips up toone week, provided they will nottotal more than 12 weeks in a year;any service as a member of theArmed Forces.In this context, UK includesEngland, Scotland, Wales andNorthern Ireland.YesNoIf ‘Yes’, please give the following details:Do you plan to leave theUK permanently?YesNoIf ‘Yes’, please advise when you plan to leave the UKand where you will live.If ‘No’, will you be staying within the EuropeanUnion, United States of America, Canada,Australia or New Zealand?YesNoIf ‘Yes’, please give the following details:Do you plan to leave theUK permanently?YesNoIf ‘Yes’, please advise when you plan to leave the UKand where you will live.If ‘No’, will you be staying within the EuropeanUnion, United States of America, Canada, Australiaor New Zealand?YesNoYesNoHow long do you plan to be outside the UK orRepublic of Ireland during the next two years?How long do you plan to be outside the UK orRepublic of Ireland during the next two years?weeksdaysweeksdaysPlease list all the countries or islands outside theEuropean Union, United States of America, Canada,Australia or New Zealand that you are going to:Please list all the countries or islands outside theEuropean Union, United States of America, Canada,Australia or New Zealand that you are going to:Whole of Life Protection Plan – Application Form and Additional Questionnaires Page 7