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Ever had an insurance policy cancelled, declined or terms imposed?
Ever been declared bankrupt?
Ever been involved in a company or business which became insolvent or subject to any form of insolvency or voluntary administration (e.g. liquidation or receivership)?
Been convicted of any criminal offence within the past 5 years (other than minor traffic convictions)?
Been liable for any civil offence or pecuniary penalty (exceeding $5,000)?
Any other matters you would like to disclose?
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