I hereby certify that all the information submitted online with this application and all
statements of facts contained herein are true, complete, and correct to the best of my knowledge.
I further declare that I will send all original copies of the money receipts to
Guardian Life Insurance Limited (GLIL) in due course and if any of my submitted documents (scanned copies)
are found to be fabricated/manipulated/false at any time in the future, I will be liable to return the paid
claim amount to GLIL and the employer can take appropriate legal action against me.