Please enter the following details to see your quote estimate
1.Name of Company
6.Number of Years Business has been active
7.Do you have a subsidiary?
8.Please give a 50 word brief on your company and it's activities
9.Do you envisage any major changes to the business over the next 12 months?
10.Please provide annual turnover for the last 3 years (In INR)
Information Security Details
11.Number of Online Customers
12.Revenue from Online Customers
13.How much business comes from repeat customers(%)
14.Please provide details of the largest annual fee for any one client
15.How much business comes from
16.How much revenue(%) comes from the following application of the software?
17.What are the industries/markets your product/services are used in?(% of revenue)
18.Do you have a formal info security policy?
19.Limit of Liability
Previous Insurance Detail
20.Do you have an existing policy?
21.Have you ever had policy denied?
Perilwise and Perilwise logo are registered trademarks of Perilwise Insurance Broking Pvt Ltd • All Rights Reserved 2017
Icons created by Linector and Freepik from flaticon