董(监)事及高级职员责任险投保单
Proposal for Directors’ & Officers’ Liability Insurance
1、 本投保单共计12页，请以中文/英文作答。
This Proposal has 12 pages. Plea fill in the Proposal by using either Chine or English.
2、 若填写位置不足，请另附其它纸张回答。
If you need additional space for any questions, plea attach a parate sheet of paper.
3、 华泰对投保单各项填写内容，除作为承保及相关保险处理程序上的参考外，不另作其它
用途，并予以保密。
The information provided in the Proposal will only be ud for underwriting and related process, and it will be treated confidentially.
4、 随本投保单请附以下资料:
Plea attach the following information:
i. 最近一期的年报及已审会计报表;
The latest Annual Report and Audited Accounts for the Company;
ii. 如果有，请提供贵公司最新之季报或半年报;
The last Interim Statement (if applicable);
iii. 贵公司在最近的十二个月之内，曾经对外公开的证券发行报告或说明书;
Any Offer Document / Listing Particulars publish车前草的功效与作用及食用方法
ed in the last 12 months;
iv. 在公司备忘录或组织章程中，有关于董、监事或重要主管责任的相关补偿规定;
The Indemnity P建设银行开户行查询
rovisions in the Company’s Memorandum and Articles of Association;
v. 如贵公司已进行或将会进行管理层收购，或是一家新创公司，请提供含财务分析及预测的商业计划
For management buy-outs / start up business, plea enclo a copy of the business plan including any financial projections
5、 注意事项:
Attention:
. 在完成下列的问题之前，请先参阅第10、11页的重要注意事项
Before completing this proposal plea read the important notice on page 10 & 11;
ii. 请据实回答全部的问题，并可依问题之要求以“是”或“不是”回答
Plea answer all questions. When required, answer either “Yes” or “No”;
iii. 本投保单应于征询被保险人后详细填写
This proposal should be answered after detailed enquiry of all persons to be covered;
iv. 签署本投保单并不代表投保人购买本保险合同
Signing this proposal does not bind the Propor to complete this insurance.
第一部分: 投保人/投保公司资料
Part I: Propor Details
1. 投保人/投保公司的名称:
Name of the Propor: _________________________________________________________________________
投保人/投保公司的注册地址
Address of the Propor: _________________________________________________________________________
网址Website: ______________________
联系人Contact person: ______________________
电话Tel: ______________________
传真Fax: ______________________
电邮E-mail: ______________________
2. 贵公司所经营的业务性质, 贵公司经营目前业务已有多久
What are the business activities of the Company? How long has the Company continually carried on business?
__________________________________________________________________________________________________
__________________________________________________________________________________________________
3. 贵公司曾使用过的商号及使用期限
Under what names, and between what dates, was the business of the Company previously carried on?
__________________________________________________________________________________________________
__________________________________________________________________________________________________
4. 贵公司为
Is the Company:
(a) 公募Public / 私募Private
(b) 如果是上市公司，在哪个交易所挂牌
Listed on which stock exchange(s) if it is a listed company?
______________________________________________________________________________________________
(c) 是否知悉任何已在进行中或已在计划中的股权收购或购并
Aware of any acquisition, tender offer or merger pending or under consideration?
Yes No
(d) 是否知悉任何有关其它公司收购贵公司的提议
Aware of any proposal relating to its acquisition by another company?
&nb育人目标
sp; Yes No
(e) 贵公司是否计划下一年度在国内或国外进行募资
Intending a public offering of curities within the next year in China or elwhere?
Yes No
若4(c) 至4(e) 的答案为“是”，请提供详细资料
If YES on 4(c) to 4(e), plea provide details.
__________________________________________________________________________________________________
__________________________________________________________________________________________________
5. 请列出贵公司之子公司的名称和经营的业务性质
Plea provide the name and the business activities of the subsidiary companies?
__________________________________________________________________________________________________
__________________________________________________________________________________________________
6. 在最近的五年中
During the last five years has:
(a) 贵公司或子公司是否并购过其它公司
Any acquisition or merger taken place involving the Company or any subsidiary?
Yes No
(b) 贵公司是否出售过旗下子公司或者宣布子公司停止营业
Any subsidiary company been sold or cead trading?
