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College Insurance and University Insurance

YOUR DETAILS
Contact name
Name of College/University
Address of College/University
Telephone number
Email address
Website address (if applicable)
Renewal / Due Date
D   M   Y
Current broker
Current insurer
Current premium banding £
YOUR COLLEGE/UNIVERSITY
Do you cater for students with special needs?
Yes
No
Number of students - Residential
Number of students - Non Residential
Age range of students
Description of College/University
Number of clerical staff
Number of teachers/classroom assistants
Number of other employees
YOUR CLAIMS HISTORY
If there has been any loss, damage, injury or liability in the past 5 years in respect of the risk to be insured please provide details below:
 
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Northern Counties LLP Limited Liability Partnership is authorised and regulated by the Financial Services Authority.
Copyright - 2009 NCi - Northern Counties. All Rights Reserved.
Registered Office: NCi House, Lowreys Lane, Low Fell Gateshead, Tyne & Wear, NE9 5JB.
Registered in England No.OC340977 The New Name of Northern Counties Guarantee Corporation Ltd
Established in 1928. FSA Firm Ref No: 496583