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General Information

Name of Company
Website Address
Number of Years Business has been active
Do you have a subsidiary ?
Please give a 50 word brief on your company and it's activities

Please provide annual turnover for the last 3 years (In INR)

2017 - 2018(Ay)
2016 - 2017(Ay)
2015 - 2016(Ay)

General and Public Liability

Please give details of the activities that require coverage
Do you handle and use gases, pressure-storage, explosive, hazardous substances, asbestos, toxic, radioactive materials and hydrocarbons?
Describe the type of Alarm systems that you have employed on premises
Do you need to cover the premises in India and abroad?
Please indicate availability of service organization in case of such accidents
Are provisions made for supply of energy, water etc in an emergency?
Will you or your employees come into contact with any industrial dust of known harmful nature (eg. Asbestos, silica, cotton, radioactive materials)?
Does your facility discharge any effluent waste or waste material?