Event insurance

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Type of Insurance

Third Party Liability

Group Personal Accident

Group Personal Accident Insurred Sum

Applicant Type

Is there any need to name the principal, organizer, contractor as the insured? If “yes”, please provide full name.

Total no. day of event

Date of Commencement

Valid for 90 days, inclusive and including setup and dismantling

YYYY

Event ending date

YYYY

Nature of Event

Estimated Number of participants

List out the eldest and youngest participant's age

Location of Risk

Is there celebrity, artist, singer, model, famous star, government member to be involved?

Was similar event organized by the Applicant declined, or had special terms and/or additional premiums imposed for public liability insurance?

Applicant Name

Phone

(###)

###

####

Additional Info

General Insurance

Corporate Insurance

Life Insurance

Other

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