I hereby warrant that all information given by me are true and correct to the best of my knowledge,
freely and voluntarily given to Malayan Insurance Co., Inc. ("MICO"). I hereby authorize MICO to keep, record, store, use,
process my name, address, contact details and all other information I give MICO, to transfer and share the same to other parties,
and other YGC companies, their affiliates, subsidiaries, contractors, partners, agents, intermediaries, and/or other parties
they may choose, for survey, statistical analysis, monitoring, research, or direct marketing, promotional, and sale purposes
through telephone, e-mail, correspondence, short messaging service, and any other means of communication.
If purchasing, transacting and/or acting on behalf of other person(s), I hereby warrant that I am duly authorized to perform
such acts and that I am duly allowed to give their information to MICO. I bind myself to advise all other persons in whose behalf
I have acted, transacted with and/or purchased any product from MICO of all the terms and conditions herein. I hereby hold MICO,
its officers, directors, and employees free and harmless from any liability, directly or indirectly arising from or in connection
with the disclosure, sharing, and use of the information stated above.