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From time to time we would like to contact you about other services we may provide. If can consent to monixa.co.uk contacting you for this purpose please let us know how you would like us to contact you (you can select more than one). Please tick those methods you are happy for us to use.

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I have read and accept the privacy policy. I also confirm all the information I have provided is correct. I consent to the processing of my information, and any additional personal data, for my application and continued operation of my contract. This may include sensitive personal data such as health information if required.