Professional indemnity insurance Miscellaneous professions proposal form Instructions Please provide a full answer to every question. Please ensure that all answers are typewritten or printed in block letters within the spaces provided. A principal of the practice must sign and date this form and any separate sheets. 1 Name and address details Practice name (include all names under which you practice)
Main office address Telephone number
Contact e-mail address Postcode: Employer’s Reference Number (ERN) (found on PAYE documents)
Practice website
Date established
List number of branch offices
/
/
Please list on a separate sheet all branch offices including addresses for which you are seeking cover. 2 The firm Please list below your details if you are a sole trader or those of the Partners / Directors / Members of the company. Name of all partners / directors / members
Date of birth /
/
/
/
/
/
/
/
Qualifications
Years in the industry
How long as partner / director/ member of the firm(s)
Please provide a C.V. outlining all relevant experience where any person(s) noted above have been working in the industry for less than 5 years 3 Staff Please advise total number of staff excluding Partners, Directors, Members: Professionally qualified
Unqualified Assistants
All Others
4 Gross fee turnover State the gross fees received for the following years Last Completed Financial Year
Remarks: The RF250R manual does not yet exist, even in German language. The. RF250R manual, once completed, will contain detailed information about field-data, range for certain tags, and information about how to implement the RF250R in a production
n addition to the standard development tools used in software develop- .... A list of all the options and their meanings are presented later in this chapter. You can.
these utilities are not directly related to the software development process but are used as .... In the case of a project with multiple subdirectories, you can have a more sophisticated rule. Taking an .... This option is used to add a blank line be
Chancre and patient history. â Rapid test. â Dark-field microscopy. â Wet mount ... Africa, Middle east, and South east Asia. â Ulcers of skin and mucous and.
t Check payable to « ITO - colloque» t Bank transfer IBAN FR76 3000 3035 0100 0501 2961 754. BIC. SOGEFRPP. Please return this form with your payment to:.
Introduction. â« Formal ..... Early Carnap used the theory of types syntactically for the 'logical construction of the ... Strawson 'On referring' (1950): âThe actual.
Swell is a simple XML to SWF convert tool. It has been developed with Ming and Perl. ..... wordwrap : word wrap [ 0 | 1 ]. - noselect : text is not selectable [ 0 | 1 ].
APPLICATION FOR ADMISSION ... to apply for transfer of credit, please submit your course outline, course structure and grading system to our office together.
I wish to receive Pachacamac's Newsletter/gazette by email (In this case, the mention of your email in the form above is mandatory). The address to send the ...
Oct 29, 2006 - proportional to 1/L. SAT. _DS. E. SAT. _DS ds. 0. I. LV. I. 1 g. 1 r. ⋅. = ...... Despite the fact that the MOSFET original principle came in 1925 (and ...
You want to make sure that it's as truthful as it can be. But at the same time ... blood.â The Look of Love takes it name from the Burt Bacharach song which Imogen Poots as Paul ...... In 2011 Chris embarked on a national tour of his brand new,.
... workshops and showcases, gave life to each area of the 900 square meters space of ... Deux frères musiciens/dessinateurs à l'univers dense et dynamique de ...
I give my consent for Les Petits Grands Lecteurs to take my child in photo or video for advertising reasons related to youth programs (eg, leisure guide). *. I Oui.
www.editions-bim.com. Cello 7 mp ... p poco cresc. A tempo mf p poco ... p f mf mp f f f f f p f mf mp p. 24. 34. 44. 24. 34. 44 ? â. â. â. â ? â. â. â. â ? â. â ?