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Date of birth
 
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How long have you been resident in the UK?
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How long have you been resident in the UK?
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Have you had any claims / accidents / losses in the last 5 years?
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Have you had any driving convictions, including fixed penalty notices, in the last 5 years?
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Do you have any non-motoring convictions?
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Have you ever had an insurance policy declined, cancelled, voided or had special terms imposed?
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Do you have any medical conditions or disabilities that are DVLA reportable?
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How do you usually pay for your car insurance?
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Existing insurance policy expiry month
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Do you own your home?
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Build Date: 2024/09/16 16:45 Build Number: 3.5.65