Letter of Appointment

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Letter of Appointment

To whom it may concern,

Effective …, I appoint Insurance HQ Pty Ltd (Authorised Representative of Oracle Group (Australia) Pty Ltd, AFSL No. 363610) as our insurance broker to manage our insurance policy (s) listed below for …

The policy number (s) for Insurance HQ Pty Ltd to manage are as follows:

Insurer: …

Policy Number: …

I authorise Insurance HQ Pty Ltd to take over the administration and management of the listed policies from the date of singing this document.

This appointment replaces any existing appointment in place between … and any other insurance broker.

Yours faithfully

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