Proposal Form
Proposers Name
Tel No
Postal Address
Post Code
Business Premises
(If different from above)
Post Code
Tel No
Business Description
Period of Insurance
 
2. Please state GROSS annual turnover for the past 5 years
YearGross Annual Turnover
  
£
  
£
  
£
  
£
  
£
  
 
£
 
3. Please state the maximum estimates GROSS annual payments to all employees and other persons for the coming year. Figures should include overtime, commission, bonuses, value of board and lodging, housing, accommodation and any other payments in kind or money (excluding directors fees), but without deduction of Income Tax, National Insurance or pension contributions.
No of EmployeesWork at your premises £Work away £
a) Clerical and non-manual managerial staff
b) Employees using woodworking machinery
c) All other employees (including labour only sub-contractors or labour masters
or persons supplied by them, self-employed persons or persons borrowed or hired)
   Please specify below main types of work
d) Partners and sole proprietors
   Please specify below type of work
   
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Registered in England: Number 608819
Authorised and Regulated by the Financial Services Authority
Registered Office:
Lygon House, 50 London Road, Bromley, Kent. BR1 3RA