PROFESSIONAL INDEMNITY - ERRORS & OMISSIONS INSURANCE POLICY

(CHARTERED ACCOUNTANTS/FINANCIAL ACCOUNTANTS/MANAGEMENT

CONSULTANTS/LAWYERS/ADVOCATES/SOLICITORS/COUNSELS)

S C H E D U L E

Attaching to and forming part of Professional Indemnity

Policy No.___
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| Name of the Insured __________________________________
|
| Address _______________________________________________
| _______________________________________________
|
| Description of the
| Profession/Business ___________________________________
|
|
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TERRITORIAL LIMITS : ANYWHERE IN INDIA
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POLICY PERIOD : From _________(time of) __________ (date)

To 12.00 midnight of ____________ (date)

INDEMNITY LIMITS : Any One Act RS._________________
Any One Year Rs._______________

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RETROACTIVE DATE
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COMPULSORY EXCESS : 1/2% OF LIMIT OF INDEMNITY FOR ANY ONE YEAR
STATED ABOVE SUBJECT TO MINIMUM OF RS.
5,000/- AND MAXIMUM OF RS. 1,00,000/-.
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VOLUNTARY EXCESS : (% LIMIT OF INDEMNITY PER ANY ONE ACCIDENT)
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PREMIUM RS.
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Date of completed proposal form
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IN WITNESS WHEREOF the undersigned being duly authorised by the

Company and on behalf of the Company has hereunto set his/her at
............. this ............day of ...........19 .

For The ................Co. Ltd.

Authorised Signatory

Address of Policy Issuing Office :

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