PI Insurance Proposal Form Medical Malpractice Pharmacists bonnici
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222, The Strand, Gzira GZR1022, Malta
Triq Ta' L-Ibrag, Ibrag STJ03, Malta
You have requested a quote for our Home Insurance cover. We will first ask you a few additional questions to determine whether the specific product we offer in this category aligns with your demands and needs.
Is the property left unoccupied for more than 90 consecutive days?
Are your premises protected by an alarm and subject to an annual maintenance contract?
Do you have other current policies with Bonnici Insurance Agency / Mapfre Middlesea plc?
Have you or any members of your family usually residing with you suffered any loss or damage from any cause within the past 5 years?
I / We do not have a pre-existing Medical Condition
I / we acknowledge that Bonnici Insurance Agency Ltd (BIA) and / or Mapfre Middlesea plc (MMS) may process the personal data that I/we provide in accordance with the Data Protection Act (Cap 440) and with the Data Protection Policy of the Company.
SMEProfessional IndemnityFire and PerilsTheftCommercial VehicleMarine CargoMoneyEmployers LiabilityPublic LiabilityElectronic EquipmentHoteliers CombinedGroup HealthContractors “All Risks”Group Personal AccidentBusiness TravelGroup Life
I/we acknowledge that Mapfre Middlesea plc (MMS) may process the personal data that I/we provide in accordance with the Data Protection Act (Cap 440) and with the Data Protection Policy of the Company.
I/we acknowledge that I/we have a right to request to and rectification of such data as processed by MMS. Any such request must further be signed by myself as the applicant/joint assured/joint holder to whom the personal data relates.