Application form

ASSOCIATION INTERNATIONALE DES ASSUREURS DE LA PRODUCTION AGRICOLE
INTERNATIONALE VEREINIGUNG DER VERSICHERER DER LANDWIRTSCHAFTLICHEN PRODUKTION
ASSOCIAZIONE INTERNAZIONALE DEGLI ASSICURATORI DELLA PRODUZIONE AGRICOLA
INTERNATIONAL ASSOCIATION OF AGRICULTURAL PRODUCTION INSURERS
Application form for admission of a new member
To:
AIAG (IAHI)
International Association of Agricultural Production Insurers
Seilergraben 61 – CH-8001 Zurich
P.O.Box – CH-8021 Zurich
Switzerland
We apply for admission as a member of the AIAG (IAHI).
The board of AIAG, in accordance with the statutes, decides on the admission of a full or subscribing member to AIAG.
Enclosed questionnaire regards itself as part of the membership application.
The statutes of the AIAG are available. We have read the conditions and accept them.
Place, date
Legally-binding signature and company stamp
Data for application for admission:
Full name
of company
Address
Telephone
Mobile
@Mail
Internet
Others
continued on page 2
Sekretariat:
Seilergraben 61 • CH-8001 Zürich
Telefon +41(0)44 257 22 11
Postfach • CH-8021 Zürich
Fax +41(0)44 257 22 12
[email protected]
www.aiag-iahi.org
ASSOCIATION INTERNATIONALE DES ASSUREURS DE LA PRODUCTION AGRICOLE
INTERNATIONALE VEREINIGUNG DER VERSICHERER DER LANDWIRTSCHAFTLICHEN PRODUKTION
ASSOCIAZIONE INTERNAZIONALE DEGLI ASSICURATORI DELLA PRODUZIONE AGRICOLA
INTERNATIONAL ASSOCIATION OF AGRICULTURAL PRODUCTION INSURERS
Application form for admission of a new member, page 2
1 Offers your company the following insurance as direct insurer
a)
b)
a)
b)
a)
b)
on its own account?
a) insurance for agricultural crops*) and/ or
b) livestock insurance
2 Takes over your company reinsurance contracts for
a) insurance for agricultural crops*) and/ or
b) livestock insurance?
3 If neither point 1 even 2 apply, in what form is your business
interested or involved in the insurance of agricultural crops*)
and/ or livestock insurance?
4 Does your company engage in insuring on the basis of
a) free competition, or b) monopolize the insurance industry?
5 How long has your company existed?
6 How long has it been engaged in the a) insurance of agricultural crops*)
a)
b)
a)
b)
a)
b)
and/ or b) livestock insurance?
7 Direct premium written for a) insurance of agricultural crops*)
and/ or b) livestock insurance?
8 Which items are principally insured?
(which plants, e.g. fruites, vine, pigs or poultry, green-houses)
9 In which countries or parts of a country are a) agricultural crops*)
and/ or b) livestock insured by your company?
10 What perils, in addition to hail, are also insured in crop insurance*)?
11 If other perils are also insured in addition to hail,
what is the percentage of the average annual loss sum
attributed to hail in crop insurance*)?
12 Which national or international insurance organisations
does your company belong to?
13 Could you please enclose the following, each in its currently valid version, in one of AIAG's languages:
□
□
Satzungen oder Statuten
terms & conditions insurance (voluntarily)
□
□
most recent business report
Presentations (voluntarily)
14 Comments
*) including special crops such as wine, fruit, vegetables, ornamental plants or crops in greenhouses