Form gl 4 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the General Information section. Indicate your gender and marital status by checking the appropriate boxes. Enter your last name, first name, and middle name clearly.
3. Provide your birthdate in the format of day/month/year, along with any other legal names you may have. Ensure to check the type of group insurance you are applying for by selecting either Term Life or Personal Accident.
4. Complete your residence address without using a P.O. box. Include city, province, country, zip code, occupation, basic salary, and date employed.
5. List your primary beneficiaries along with their dates of birth and relationship to you. Specify if they are revocable or irrevocable.
6. Sign and date the application at the bottom of the form after reviewing all information for accuracy.

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