CFDG Membership Form

Title:

Your Name: *

Company Name: *

Nature Of Business

Current Position: *

Business Address: *

Town: *

Postcode: *

Country: (if not UK)

Telephone Number: *

Email Address: *

Date Of Birth:

How Long Have You Worked In A Risk/Insurance Department?

Name & title of person to whom you report:

What Responsibility Do You Hold Within Your Company?

Time Spent On Risk Management/Insurance

Do you provide services outside your Employer's group? *

Yes
No

Areas of Particular Interest

Material Damage/Business Interruption Insurance
Employers' Liability/Public Liability Insurance
Directors' & Officers' Liability Insurance
Enterprise Risk Management
Risk Appetite/Capacity
Corporate Governance
Project Risk Management
Reputation Risk
Operational Risk
Environmental Exposures & Liabilities
Catastrophe Exposures Inc Terrorism
Professional Indemnity/E&O Insurance
Insurance Programs For International Exposures
Compliance Issues Such As IPT/Contract Certainty etc
Historical Liabilities Inc Mesothelioma/Asbestos etc
Reform Of Insurance Contract Law
Handling Personal Injury Claims
BS & ISO Risk Management Standards
Corporate Social Responsibility
Implications Related To Climate Change
Supply Chain & Outsourcing Risks
Business Continuity Planning
IT Risks Inc Disaster Recovery Planning
Mergers & Acquisitions

Where Did You Hear About Us?

Mobile Number

Personal Email Address

(please supply so we can keep in touch with you if you leave your current company)

Are You Happy To Be Contacted By 3rd Parties?

Yes
No

(From time to time AIRMIC uses third parties to undertake projects, surveys and member communications. This involves passing your contact information to such third parties. We will not use this information for marketing purposes).

Airmic