Proposer Details • Provide information on the Proposer

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Please provide the legal title of proposer

INDIVIDUAL(S)ENTITY
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Please specify whether the named proposer is a Private Individual(s) or Entity/Company/Committee

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If different to proposer name

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Please provide the full business or residential address of the policy proposer

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You can get an Eircode using the Eircode finder, HERE

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YESNO
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Add a different risk address if required

YES
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Details of Policy • Is it an Annual Activity or Single Event

ANNUALSINGLE
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Single is for a particular once off event. Annual relates to organisations that would have an annually renewable policy.

Trade/Activity note(s)

•   All cover in relation to the Proposer running a Kids Activity Camp is excluded under this policy.

•   All cover relating to the operating of own studio, premises or from private home is excluded.

•   Mountain walks are restricted to Pre-existing Way Marked Trails. The use of specialist mountaineering equipment is Excluded.

Annual Policy

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Please provide previous or current insurer if applicable or enter "n/a"

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If you have been trading/established for less than 1 year we will require evidence of your experience in the trade.

YES
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YESNO
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Claims free for this or any other insurances by this proposer whether insured or not

Risk Information

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YESNO
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YESNO
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