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Questions 1-5
Complete the notes below.
Write NO MORE THAN TWO WORDS AND/OR A NUMBER for each answer.

INSURANCE APPLICATION FORM
Example Answer
The reason for calling: furniture insurance
Name: Ariel (1)
Age: 27
Nationality: (2)
Address: Flat 21C, (3) Road
Postcode: 3GJ7K
Occupation: (4)
Telephone: 3856 943 232
Length of insurance: (5)

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