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The information you provide is being collected by Resolution Life Australasia Limited ABN 84 079 300 379, NZ Company No. 281363, AFSL No. 233671 (Resolution Life) in order to process this claim notification. If you don't provide the information requested, Resolution Life may not be able to process this notification. The information you provide will be used to identify the policy or policies to which the claim notification relates and to correspond with you and/or third parties in relation to the claim notification and any claim(s) that may subsequently be made.

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If you are providing information about living individuals other than yourself, by submitting this claim notification you confirm that you have either legal authority or the consent of the relevant individual(s) to provide such information to Resolution Life.