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Sunday, June 25, 2017
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We are pleased to hear of your interest in Self Secure life insurance!

Please complete your details below and a representative from Self Secure Life will promptly be in contact with you to complete the short application.


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White Collar - the duties of your occupation are limited to professional, administrative, clerical, secretarial or similar sedentary tasks, which do not involve manual work and are undertaken entirely (or at least 80%) within an office environment.

Non White Collar - anyone who doesn't meet the above definition of White Collar. This includes those not working and/or engaged in home duties.

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