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1、律師職業(yè)責(zé)任保險-投保書SOLICITORS9PROFESSIONALLIABILITYINSURANCE一PROPOSAL?本投保書必須經(jīng)rh投保人授權(quán)的主任、合伙人及管理人的確認(rèn)、簽章并注明H期。Thisproposalmustbereviewed,signed,stampedanddatedbyadulyauthorizedPrincipal,PartnerorDirector.?請回答該表中的所有問題。若填寫位置不足,請另附公司信紙作答。Youmustanswerallthequestionsinthisfoim
2、.Ifmorespaceisrequiredtoansweraquestion,continueonyourletterhead??簽署木投保書并不代表投保人購買木保險合同SigningthisproposaldoesnotbindtheApplicanttocompletethisinsurance.有關(guān)投保人的資料DetailsofApplicant1.律師事務(wù)所名稱NameoftheLawFirm地址PrincipalAddress聯(lián)系人ContactPerson電話號碼傳真號碼TelephonenumberFax
3、number電郵地址網(wǎng)址E-mailaddressWebsite2.貴所成立時間Whenwasyourfirmestablished?3.貴所是否曾更名或曾收購、合并其它律師事務(wù)所或其它業(yè)務(wù)?Hasyournameeverbeenchanged,orhaveyoupurchasedormergedwithanyotherpracticeorbusiness?□是Yes□否No若有,請另附公司信紙?zhí)峁┰敿?xì)信息,包括該被并購方的名稱、并購時間、新增律師的數(shù)忖及被并購業(yè)務(wù)的收入情況。Ifyes,pleaseattachdeta
4、ilsincludingthenameofanypracticeofwhichthisPracticeisasuccessor,thedateofsuchtransaction,thenumberofsolicitorsemployedandthefeeincomeofthepreviouspractice1.請說明貴所各分支機構(gòu)及職責(zé)(如需要包含于承保范圍屮的)Pleaselistanybranchofficc(s)(forwhichcoverisrequired)togetherwithdetailsofthePar
5、lncr(s)responsibleforeachone2.貴所以下成員人數(shù):Whatisthenumberofyour:主任、副主任、合伙人及管理人Principals,DeputyPrincipals,partnersordirectors律師Lawyers咨詢師Consultants實習(xí)律師LocumPractitioners法律助理LegalAssistants其他工作人員Otherstaff合計Total3.請?zhí)峁┵F所主任、副主任、合伙人、管理人及其他主要專業(yè)人員的資歷Whatarethequalificati
6、onsofyourPrincipals,DeputyPrincipals,Partners,Directorsorotherkeyprofessionalpersonnel?姓名Name執(zhí)業(yè)資格Qualifications獲得資格年份YearQualified在貴所擔(dān)任主任、副主任、合伙人或管理人的年資YearasPrincipal,DeputyPrincipal,PcirtnerorDirectorofThisPractice在其它律所擔(dān)任主任、副主任、合伙人或管理人的年資YearasPrincipal,DeputyP
7、rincipal,PartnerorDirectorofPreviousPractice有關(guān)業(yè)務(wù)的資料7.DetailsoftheBusiness請?zhí)峁┵F所本年度及上一年度的總收入Pleaseprovideyourtotalfeeincomeofthecurrentyearandthepastyear:木年度(預(yù)測)Currentyear(est)上一年度Pastyear8.貴所本年度及上-?年度涉外業(yè)務(wù)收入的比例。涉外業(yè)務(wù)指包含海外公民、海外注冊的實體、海外訴訟標(biāo)的或海外當(dāng)事人因素的業(yè)務(wù)。就本提問而言,“海外”包括港、
8、澳、臺。Whatarethepercentagesofthetotalfeeincomeofthecuirentyearandthepastyearcomingfromforeignbusiness?Foreignbusinessmeansbusinesscomesfromanoverseascitizenorreg