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Professional Indemnity Insurance

through HFPA
is the Professionals Choice

Insurance
Application Form

NOTE TO APPLICANT:
THERE ARE 2 SHEETS IN THIS EXCEL SPREAD SHEET

Relevant professional qualifications are required:
.
Activities Covered: Biokinetics, Personal Training, Group Fitness activities, Natural Health Therapies. Martial Arts and Sports Coaching by special application, swimming.
Broker: L.S.G
Territorial limits: Worldwide subject to S A jurisdiction, but excluding
USA & Canada. 
Excess: R1500 on each and every claim.

Important points to note:

bullet On this policy the excess on each claim is only R1500.  Participation in this scheme could save you a great deal of money in the long term.
bullet We offer additional benefits, Read about these on the Proposal Form and let us know if there is anything else we can do for you.

Please ensure that the form is completed correctly, incomplete applications cannot be processed and will be returned to sender. Post or fax your completed, signed application form together with copy of your deposit slip. (Proof of payment is required WITH application)

Please DO NOT send copies of Certificates.  The Application Form is a legal document so your main qualification should be stated on this document.  Should there ever be a claim against you, you would be required to produce your qualification certificate.

We will organise immediate insurance cover for you and you will receive confirmation through the post.  (If you would prefer us to fax confirmation to you please request this with your application, giving clear details and fax number). 

We will register your application with our broker based on the information provided in your Proposal Form.  Please note that should your CPR or qualification certificate expire during the term of this insurance the onus is on you to renew / validate your certificate with the relevant institution.

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