Level term
Increasing term
Mortgage protection
Renewable term
Convertible term
Family Income Benefit
Whole of Life
Keyman
Family Protection
Income Protection
Inheritance Tax protection
Gifts inter Vivos tax protection
Directors Share Protection
Partners Share Protection
Single Premium Life Insurance
One day cover
X days/weeks/months cover
Critical illness
Premium waiver
Indexation
Trusts


Personal Details

Please note that all fields marked * are required before you submit your details.

 

You

Your partner

Title:

*

Forenames:

*

Surname:

*

Date Of Birth:

*

Smoker:

Male/Female:

*


Contact Information

 

Address 1:

*

Daytime Telephone:

*

Address 2:

Evening Telephone:

*

Address 3:

Mobile:

Town/City:

*

Fax:

County:

*

Email:

*

Postcode:

*

How did you find us?:

Country*:

Mother's Maiden Name:


Application Information
 

 

 

I have read and accept your terms of business:

 

Type of policy:

 

Sum insured:

 

Life assured:

 

Premium frequency:

 

Additional features not mentioned above:

Critical illness cover

 
Waiver of premium
Term of contract:
 
Additional details:  
 



IFA Direct is a trading name of Credenda Ltd.
Credenda Ltd. is an appointed representative of Credenda and is regulated by the Financial Services Authority.


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IFA-Life insurance-Direct is a trading name of Credenda. Credenda is regulated by the Financial Services Authority
The life insurance products above are not all regulated by the Financial Services Authority