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Current Cover:


Your Address









Beneficiaries

PLEASE NOTE you must provide details of all current beneficiaries even if they have been previously notified.
















Partners information




Partner Beneficiaries

Your spouse partner should nominate the beneficiaries for their life insurance. As with the member nomination, this can be split between a number of people but you must state what percentage each will received in the event of the death of your partner.

(YOU SHOULD NOT COMPLETE THIS ON BEHALF OF YOUR PARTNER)

PLEASE NOTE you must provide details of all current beneficiaries even if they have been previously notified.
















WHEN YOU CLICK TO SEND THIS FORM YOU CONFIRM THAT DETAILS ARE CORRECT AND THAT THE INFORMATION CONTAINED IN THIS SECTION REFLECT THE WISHES OF YOUR SPOUSE PARTNER