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For Individuals
For Corporate
Proposal Details
Proposer's Full Name *
Proposer's Business Address *
Proposer's Emirates *
Office Tel No (971 XXXXXXXX)
Phone
Email ID *
Mobile # * (971 XXXXXXXXX)
Phone
Law / Jurisdiction - UAE *
Territorial Limit *
Proposer's Remarks
Business Details
Business Insured Name *
Nature of Business at Insured Premises *
Address of insured premises *
Business Area *
Business City *
Business Tel No (971 XXXXXXXX)
Phone
Business Email ID *
Business Mobile # * (971 XXXXXXXXX)
Phone
Business Website
Policy Period
From *
To *

Total Number of Days:

365
Declarations
Are you taking anyone or more from the given fire protection measures:(Sprinkler, Extinguisher, Hose Reel, Alarm, Smoke Detectors)?
Are you taking anyone or more from the given Security measures: (Grills / Roller Shutters, 24 Hour Security, Burglar Alarm, CCTV Recording)?
Does your business utilize the insured premises for warehousing purpose?
Does your business engage in any manufacturing activities?
Are the insured premises, namely floors, external walls and roof are constructed 100% Reinforced Cement Concrete (RCC) or 100% of bricks/tile/concrete?
Have you ever had a proposal for insurance or renewal declined by an insurance company?
Have you had any incidents causing loss or damage and/or actual insurance claims in the last 3 years?
Trade License
Click the button below to upload Trade License
Allowed file type (.pdf,.docx,.doc,.xlsx,.xls,.jpg, .jpeg,.png)
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