Professional Indemnity Insurance

1. Is the fee from other than India more than 40%? (required)
YesNo

2.Is the revenue for US/ Canada more than 15%? (required)
YesNo

3. Has any partner, principal, director or staff member ever been subject to disciplinary proceedings for professional misconduct? (required)
YesNo

4. Have any claims for negligence or breach of professional duty been made in the last ten (10) years against the Professional Business Practice or any of their predecessors in business or any prior practice of any of their present or former partners, principals or directors, or have circumstances been notified to insurers that might give rise to a claim? (required)
YesNo

5. Are any of the partners, principals or directors, AFTER ENQUIRY, aware of any claim or circumstances that might give rise to a claim against the Professional Business Practice or any prior practice or any of their present or former partners, principals or directors which matter is not referred to in question (d) above? (required)
YesNo

Your Name

Phone No.

Email

Profession
ArchitectsChartered AccountantsCompany SecretaryInterior DesignersLawyers

*Note: If answer to all the above is “No”, please fill the proposal form & remit premium as per the applicable slab.

Δ