Life Assurance or Mortgage Protection

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Applicants: 1
Mortgage Protection	For a typical capital and interest mortgage loan	For family protection or an interest only mortgage

	Applicant 1
Birth Date:	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988
Gender:	Male Female
Smoker:	No Yes
	If cigar or pipe smoker ONLY, contact Monitum directly, as better terms may be available

Policy Details

Amount of Cover:	(€)	Typically, the amount of your mortgage loan
Length of Cover:	5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 (Years)

	This policy will repay your mortgage loan at interest rates of up to:
	5% (less prudent, EBS will not accept this policy) 6% 8% (more prudent)

Premium:	Annually, Direct Debit	Monthly, Direct Debit
	Cashback will be payable 3 to 6 weeks after the first premium payment	Cashback will be payable after the first 13 monthly premiums are paid
	Policies paid Annually by Direct Debit in year one can be changed to Monthly Direct Debit in year two
I have read Monitum’s Terms of Business and Authorisation Status