1.   Name of Company:
(detail subsidiary companies if to be included in the insurance)

2.   Address of company:
If more than one, please give each address and indicate registered address

3.   When was the company established?

4.   Are you financially associated with any other companies?
If 'Yes', please give full details

      Yes                      No

5.   During the past five years has the name of the company been changed or has any merger or consolidation taken place?
If 'Yes', please give details

      Yes                      No

6.   a)   The Design and Consulting Department Staff details

      Names of principals
and senior members of staff

Qualification and
dates qualified

Title of position and length of time in such

      b)   Numbers of staff
      1. Principals and senior qualified staff as listed
      2. Other technical and qualified staff
      3. Clerical, typists and others

Home based

Overseas based

Totals: 

c)   Do you use independent specialist consultants?
If 'Yes', please give details

      Yes                      No

d)   Are any persons ever hired from outside agencies on a short term basis?
If 'Yes', please give details

      Yes                      No

7.  Please give details of company's turnover:

     (Please state when financial year ends)

Past financial year

Estimate for current financial year

Home

Overseas

Home

Overseas

a.  Turnover where company designs and constructs from their own designs and provides full technical supervision

b.  Turnover of those departments where company provides design and technical services where no construction is involved by company

c.  Turnover where company constructs from others' designs performed on behalf of the company

d.  Turnover where company constructs from others' design and others' technical supervision performed on behalf of the company

e.  Other turnover not mentioned above, please give brief details

Total turnover for whole group

8.  Please give an approximate percentage split of the disciplines within your design and consulting department:

     Architectural

%

Chemical engineering

%

     Civil engineering

%

Soil engineering

%

     Structural engineering

%

Nuclear engineering

%

     Mechanical engineering

%

Surveying    i.   land

%

     Electrical engineering

                  ii.  quantity

%

     Heating and ventilating
engineering

%

                  iii.  building

%

Others:

9.   Division of work design and reports

a.   Please indicate the approximate percentage of total work of the design and consulting department according to type: (Delete as appropriate)

Approximate percentage
(if none, state 'None')

      Home building

Design only

Design and Construct

1.   Individual dwellings

%

%

2.   Low rise multiple dwellings

%

%

3.   High rise multiple dwellings

%

%

4.   Modular dwellings
(involving repetitive design)

%

%

      Engineering construction

1.   Highways

%

%

2.   Bridges, overpasses, underpasses

%

%

3.   Dams, barbours, jetties, sea defences

%

%

4.   Tunnels, mines

%

%

5.   Railways, airports

%

%

6.   Sewage, water schemes

%

%

      Industrial

1.   Power plants

%

%

2.   Refineries and petro chemical installations

%

%

3.   Manufacturing plants, mechanical plant,

      bulk handling, equipment, silos, chimneys

%

%

4.   Industrialised systems building

%

%

5.   Heating, ventilating, air conditioning

%

%

      Amenities

1.   Hospitals and nursing homes

%

%

2.   Schools and universities

%

%

3.   Hotels and recreation centres

%

%

4.   High rise offices, others

%

%

      General

1.   Feasibility studies, reports, surveys,

      soil, sub-surface testing etc.

%

%

2.   Foundation, underpinning, piling

%

%

3.   Any other specialist activities not detailed

      above, which please specify

      _____________________________

%

%

%

= 100 %

%

= 100 %

b.   Add here a statement of the type of work normally carried out whether consisting of well established techniques or in the nature of new and original thought developments, processes or designs employed.

      State whether and what licensing or similar agreements are in force and the degree to which supervision is exercised by associates.

c.   Have you ever failed to complete a project?
If 'Yes', please explain reason and type of project, etc.

      Yes                      No

10. Please list the countries in which the company provides design and consulting services