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Northside House, 5th Floor,

69 Tweedy Road,
Bromley, BR1 3WA,
Kent,
UK

Private Medical Insurance Declaration For Approved Consultant

All consultants working on Client projects MUST be in possession of a valid and adequate Private Medical
Insurance (PMI) policy which should also provide cover for repatriation to home country and where
required, emergency evacuation insurance before attending the Clients work location.
If you do not currently have a PMI, repatriation and if applicable emergency evacuation policy in place you
will need to obtain these before signing and returning this declaration. Proof of insurances must be
provided at the request of CommsResources and failure to comply with such a request can invalidate your
contract.
If you have a valid and adequate private medical, repatriation and emergency evacuation (if applicable)
Insurance policy in place, please sign the declaration below.

[ ]
I confirm that I have valid and adequate private medical, repatriation and emergency
evacuation and general travel insurance policies in place to cover me for the duration of this contract.

Signature:

...............................................................

Name:

............................................................... (Approved Consultant)

Date:

..............................................................

COMMSRESOURCES LTD
Registered in England 2630522
VAT Registration No. 927 2866 91

CONTACT DETAILS
Tel: +44 (0) 20 8313 6600
Fax: +44 (0) 20 8313 6601

E-CONTACTS
mail@commsresources.com
www. commsresources.com

COMMSRESOURCES an ICT Employment Business. Registered Address: Northside House, 5th Floor, 69 Tweedy Road, Bromley, Kent BR1 3WA, UK

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