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Professional Indemnity
Insurance Application


AON
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Professional Indemnity
Insurance Application


AON

Physical Address

This can be a residential or business address.

Postal Address

This can be a residential or business address.

Professional Assessment

Please select all applicable to you

Insurance Declaration

Please select all applicable to you

Kindly note that if your entity consists of more than 4 employees, this policy will only cover you, and not your entity. For entity cover, kindly contact AON directly.

Business Activity

Approximate percentage of estimated gross income accruing from various activities

your business activities declared below must add up to 100%

Activity Percentage
Auditing Fees:
Accounting and Secretarial:
Taxation only:
Management Consultancy:
Other Consultancy:
Share Registration:
Executors and Trusteeship:
Voluntary Liquidations:
Insolvencies, Compulsory Liquidations, Judicial Management & Receiverships:
Deceased Estates:
Sequestrations:
Curatorships:
Business Recovery:
Other Activities:
Please ensure that all activities add up to 100%
Activities cannot be below 0%

Insurance Declaration

I declare the following

Application Completed

Pending Feedback

Application Completed!

Thank you for your application, your application is currently being reviewed by the underwriter.