{"id":434,"title":"Professional Indemnity for Chartered Accountants","purpose":"proposal","insurer":{"slug":"icici-lombard-general-insurance","name":"ICICI LOMBARD General Insurance Company Limited"},"source_pdf":"https://www.icicilombard.com/docs/default-source/default-document-library/professional-indemnity-for-chartered-accountants-commercial.pdf","sha256":"852bfd0f9e5378826903f2e9382b88be3ad06a622f12a5a6b235214d94a761e0","pages":5,"collected":"2026-10-20","instructions":{"about":"This form is for proposing insurance coverage under the Professional Indemnity policy for Chartered Accountants. The applicant or proposed insured fills it.","notes":["PEP means Politically Exposed Persons as defined in the form."],"title":"Professional Indemnity for Chartered Accountants","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"Politically Exposed Person (PEP) Declaration","fields":[{"help":"Select Yes or No","type":"choice","label":"Are you or any of the proposed applicants/beneficial owner a PEP* or Family member/Close relatives/Associates of PEP?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Describe the relationship and position held by the PEP","type":"text","label":"If yes, please give details (Nature of relationship and position held by PEP):","options":[],"required":null,"pdf_field":""}],"filled_by":"applicant"},{"title":"Consent for KYC Verification","fields":[{"help":"Tick to give consent for KYC verification","type":"checkbox","label":"I/We hereby give my/our consent to the Company to verify and obtain my/our identity/address proof as well as the identity /address proof of the Insured / Beneficial Owner through Central KYC Registry or UIDAI or through any other modes for the purpose of undertaking KYC.","options":["Consent given"],"required":null,"pdf_field":""}],"filled_by":"applicant"}],"deadlines":[],"applies_to":"Professional Indemnity insurance for Chartered Accountants","attachments":[],"declarations":["Consent is given to the company to verify identity and address proofs through Central KYC Registry, UIDAI or other modes."],"dropped_labels":0},"pdf_fields":null,"fillable_pdf":false,"send_to":[],"how_to_use":"Ask the user for each field in order, in plain words; never invent an answer. Labels are as printed. If fillable_pdf is true, pdf_fields gives the PDF's own field names so the file can be filled directly. The printed form decides if anything differs.","url":"https://indiainsurances.com/forms/icici-lombard-general-insurance/434-professional-indemnity-for-chartered-accountants"}