Update Your ISKA Insurance Details

ISKA SPECIAL GROUP PACKAGE

EXISTING MEMBER POLICY UPDATE
This is where you can request changes to your Certificate of Currency for example:
*Change of club name
*Add a new branch to your club to include more student coverage
*Add a Landlord Name etc (interested party) for lease agreement

Business Owner's Name

First NameLast Name

Trading As Name

Email

example@example.com

Landlord details - Name - Company & Address if required

Adding a new branch - change of name? student numbers?

I would like more information on

Authorisation To Make Changes - Provide name, club position, club email used

DECLARATION
I/We the undersigned duly decalre that I am an authorised person(s) to make these changes to the above named club.

Signature

Name

FULL NAMEDATED

Once your request has been approved ISKA will update the details and when required, the broker may contact you to discuss details on your application to meet insurer specifications.
Please allow a few days for the changes, as these processes have to be registered with the insurer to maintain Financial Services Licence compliance.

CONTACT FOR FURTHER INFORMATION

Jonathan Gleeson OAM | Managing Director
National Sport Karate Australia & International Sport Karate Association Australia Inc
M: 0401514902 E: jonathan@iska.com.au W: iska.com.au

Form Name - Leads Source (Hidden Field)

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