EApps

Additional Information

Warning (2) : Attempt to read property "applying_choice" on null [in /var/www/dq/httpdocs/plugins/Applications/templates/EApps/additional_info.php, line 78]

Code

            'type' => 'hidden',

            'value' => $financialApplyingChoice->applying_choice,

        ]

/var/www/dq/httpdocs/vendor/cakephp/cakephp/src/View/View.php /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/View/View.php, line 1188
Cake\View\View->_evaluate() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/View/View.php, line 1145
Cake\View\View->_render() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/View/View.php, line 785
Cake\View\View->render() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Controller/Controller.php, line 705
Cake\Controller\Controller->render() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Controller/Controller.php, line 509
Cake\Controller\Controller->invokeAction() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Controller/ControllerFactory.php, line 139
Cake\Controller\ControllerFactory->handle() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Controller/ControllerFactory.php, line 114
Cake\Controller\ControllerFactory->invoke() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Http/BaseApplication.php, line 332
Cake\Http\BaseApplication->handle() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Http/Runner.php, line 86
Cake\Http\Runner->handle() /var/www/dq/httpdocs/plugins/SystemMetrics/src/Middleware/MetricsTrackingMiddleware.php, line 54
SystemMetrics\Middleware\MetricsTrackingMiddleware->process() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Http/Runner.php, line 82
Cake\Http\Runner->handle() /var/www/dq/httpdocs/src/Middleware/OrasesRequestAuthorizationMiddleware.php, line 59
App\Middleware\OrasesRequestAuthorizationMiddleware->process() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Http/Runner.php, line 82
Cake\Http\Runner->handle() /var/www/dq/httpdocs/vendor/cakephp/authorization/src/Middleware/AuthorizationMiddleware.php, line 116
Authorization\Middleware\AuthorizationMiddleware->process() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Http/Runner.php, line 82
Cake\Http\Runner->handle() /var/www/dq/httpdocs/vendor/cakephp/authentication/src/Middleware/AuthenticationMiddleware.php, line 87
Authentication\Middleware\AuthenticationMiddleware->process() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Http/Runner.php, line 82
Cake\Http\Runner->handle() /var/www/dq/httpdocs/src/Middleware/CaseInsensitiveUrlMiddleware.php, line 44
App\Middleware\CaseInsensitiveUrlMiddleware->process() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Http/Runner.php, line 82
Cake\Http\Runner->handle() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Routing/Middleware/RoutingMiddleware.php, line 118
Cake\Routing\Middleware\RoutingMiddleware->process() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Http/Runner.php, line 82
Cake\Http\Runner->handle() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Routing/Middleware/AssetMiddleware.php, line 69
Cake\Routing\Middleware\AssetMiddleware->process() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Http/Runner.php, line 82
Cake\Http\Runner->handle() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Error/Middleware/ErrorHandlerMiddleware.php, line 115
Cake\Error\Middleware\ErrorHandlerMiddleware->process() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Http/Runner.php, line 82
Cake\Http\Runner->handle() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Http/Middleware/CsrfProtectionMiddleware.php, line 159
Cake\Http\Middleware\CsrfProtectionMiddleware->process() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Http/Runner.php, line 82
Cake\Http\Runner->handle() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Http/Middleware/HttpsEnforcerMiddleware.php, line 95
Cake\Http\Middleware\HttpsEnforcerMiddleware->process() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Http/Runner.php, line 82
Cake\Http\Runner->handle() /var/www/dq/httpdocs/src/Middleware/MaintenanceMiddleware.php, line 86
App\Middleware\MaintenanceMiddleware->process() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Http/Runner.php, line 82
Cake\Http\Runner->handle() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Http/Runner.php, line 67
Cake\Http\Runner->run() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Http/Server.php, line 103
Cake\Http\Server->run() /var/www/dq/httpdocs/webroot/index.php, line 40
[main]

Warning (2) : Attempt to read property "applying_choice" on null [in /var/www/dq/httpdocs/plugins/Applications/templates/EApps/additional_info.php, line 81]

Code

    );

    if (in_array($financialApplyingChoice->applying_choice, ['Life Insurance', 'Both'])) {

        ?>

/var/www/dq/httpdocs/vendor/cakephp/cakephp/src/View/View.php /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/View/View.php, line 1188
Cake\View\View->_evaluate() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/View/View.php, line 1145
Cake\View\View->_render() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/View/View.php, line 785
Cake\View\View->render() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Controller/Controller.php, line 705
Cake\Controller\Controller->render() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Controller/Controller.php, line 509
Cake\Controller\Controller->invokeAction() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Controller/ControllerFactory.php, line 139
Cake\Controller\ControllerFactory->handle() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Controller/ControllerFactory.php, line 114
Cake\Controller\ControllerFactory->invoke() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Http/BaseApplication.php, line 332
Cake\Http\BaseApplication->handle() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Http/Runner.php, line 86
Cake\Http\Runner->handle() /var/www/dq/httpdocs/plugins/SystemMetrics/src/Middleware/MetricsTrackingMiddleware.php, line 54
SystemMetrics\Middleware\MetricsTrackingMiddleware->process() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Http/Runner.php, line 82
Cake\Http\Runner->handle() /var/www/dq/httpdocs/src/Middleware/OrasesRequestAuthorizationMiddleware.php, line 59
App\Middleware\OrasesRequestAuthorizationMiddleware->process() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Http/Runner.php, line 82
Cake\Http\Runner->handle() /var/www/dq/httpdocs/vendor/cakephp/authorization/src/Middleware/AuthorizationMiddleware.php, line 116
Authorization\Middleware\AuthorizationMiddleware->process() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Http/Runner.php, line 82
Cake\Http\Runner->handle() /var/www/dq/httpdocs/vendor/cakephp/authentication/src/Middleware/AuthenticationMiddleware.php, line 87
Authentication\Middleware\AuthenticationMiddleware->process() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Http/Runner.php, line 82
Cake\Http\Runner->handle() /var/www/dq/httpdocs/src/Middleware/CaseInsensitiveUrlMiddleware.php, line 44
App\Middleware\CaseInsensitiveUrlMiddleware->process() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Http/Runner.php, line 82
Cake\Http\Runner->handle() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Routing/Middleware/RoutingMiddleware.php, line 118
Cake\Routing\Middleware\RoutingMiddleware->process() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Http/Runner.php, line 82
Cake\Http\Runner->handle() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Routing/Middleware/AssetMiddleware.php, line 69
Cake\Routing\Middleware\AssetMiddleware->process() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Http/Runner.php, line 82
Cake\Http\Runner->handle() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Error/Middleware/ErrorHandlerMiddleware.php, line 115
Cake\Error\Middleware\ErrorHandlerMiddleware->process() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Http/Runner.php, line 82
Cake\Http\Runner->handle() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Http/Middleware/CsrfProtectionMiddleware.php, line 159
Cake\Http\Middleware\CsrfProtectionMiddleware->process() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Http/Runner.php, line 82
Cake\Http\Runner->handle() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Http/Middleware/HttpsEnforcerMiddleware.php, line 95
Cake\Http\Middleware\HttpsEnforcerMiddleware->process() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Http/Runner.php, line 82
Cake\Http\Runner->handle() /var/www/dq/httpdocs/src/Middleware/MaintenanceMiddleware.php, line 86
App\Middleware\MaintenanceMiddleware->process() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Http/Runner.php, line 82
Cake\Http\Runner->handle() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Http/Runner.php, line 67
Cake\Http\Runner->run() /var/www/dq/httpdocs/vendor/cakephp/cakephp/src/Http/Server.php, line 103
Cake\Http\Server->run() /var/www/dq/httpdocs/webroot/index.php, line 40
[main]

Do you plan to reside or travel outside of the U.S.? NoYes

Please indicate location, frequency, for work or pleasure, date of departure, length of stay

Within the past five years, have you been charged with or convicted of any motor vehicle violations or had your driver's license suspended or revoked? NoYes

Please provide details of the violation and/or penalty

In the past 10 years, have you ever pled guilty to, pled no contest to, or been convicted of a felony or misdemeanor? NoYes

Please provide details

Within the last three years, have you participated, or do you plan to participate in piloting any type of aircraft or hang gliding? NoYes

Please provide details

Within the last three years, have you participated, or do you plan to participate in mountain or rock climbing, scuba diving, contact martial arts, motor vehicle racing, parachuting or skydiving or other hazardous activities? NoYes

Please provide details

Have you used tobacco, nicotine, or any nicotine delivery system in any form in the last 12 months? NoYes

Please provide details

Did you quit? NoYes

When did you quit?

Are you now, or do you intend to become a member of the U.S. Armed Forces or have you received military orders or been placed on alert? NoYes

Please provide details

Do any of the following apply?

Your professional or occupational license or certification has ever been suspended, revoked, restricted, inactivated, surrendered, or the like.
There is a pending investigation or complaint concerning you with a regulatory, governmental, or other entity that oversees your profession.
You have been disbarred; or
You have ever been fined or sanctioned by an entity that oversees your profession.

NoYes

Please provide details

R. Barry Page

(228) 875-5545
Email me

We value your privacy. Due to the confidential nature of the questions being asked, we limit the amount of time that we maintain your information. Once you complete the questionnaire, your answers are delivered securely to your agent, who will complete your official application and send to you securely for your review and signature.

Please call your agent, R. Barry Page at (228) 875-5545 with any questions. Thank you for working with us on your coverage.

Ashford Advisors is an independent agency authorized to offer products of The Guardian Life Insurance Company of America (Guardian), New York, NY and its subsidiaries, and is not an affiliate or subsidiary of Guardian. The Guardian Logo is a registered service mark of Guardian, used with permission.

Pre-Application Questionnaire

Additional Information