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I.T Proposal Form - Brooklyn Underwriting

Information Technology And Telecommunications Liability Proposal Form Acting as Underwriting agent for Allianz Insurance Limited Information Technology and Proposal Form Duty of Disclosure Important information What is Proposal ? This Proposal tells us information, which we need to know in order to decide whether to offer you insurance, the premium to be charged, and any deductibles to apply to any claim and whether any special conditions should be imposed on the policy. How to complete this Proposal 1. Read the important notices below (in particular the duty of disclosure notice) before completing this Proposal . 2. Before completing this Proposal , you should ask each entity or person to be insured under this insurance about the questions and declarations to be completed on their behalf. 3. Where provided, please tick the box that indicates your response. Answer each question in the Proposal fully, accurately and clearly.

Information Technology and I.T Proposal Form Duty of Disclosure Important information What is Proposal? This proposal tells us information, which we need to know in

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