Online Cyber Renewal Questionnaire

Name of insured

Phone

(###)

###

####

Main Address

Sector of work

Number of employees

Company website

Annual revenue for last financial year

Select your currency

Cover limit

500 000

1 000 000

2 000 000

3 000 000

Does the insured have operations globally? YES/NO?

Does the insured collect personal information globally? YES/NO?

Types of data processed

Personal Health Information

Payment Information

Peronsally identifiable information

Passport, ID card or drivers licenses

In each category of Data Processed selected, are these less than 250,000 uniquely identifiable individuals in each category? YES/NO?

If NO how much Data is held?

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Policy Coverage

Our policy form provides the following covers:

Ransomware
-

Network security and privacy
-

Social engineering
-

Business interruption and system failure
-

Cyber extortion
-

Bricking (IT system replacement)
_

Professional indemnity for IT
companies and professionals
-

Special rates for SME professionals
-

Unlimited cyber retroactive coverage
-

Platform access to retrieve
quotes and bind policies