Home
      About Us
      Our Team
      Our Mission
      Our Services
   - Direct Insurance
   - Re-insurance
   - ART Solutions
      Career
      PIS in Press
      Contact Us

 

      Medical Insurance

      Motor Insurance

      Home Insurance

      Life Insurance
      Fire Insurance

      Travel Insurance

      Personal Accidents

      Domestic Servants

      Third Party Liability

 Yachts & Pleasure Boats
 

 Shop Owners & Retailers

  Banks & Other

  Financial Institutions

  Contractors

  Engineering's Offices

  Hospitals & Clinics

  Restaurants

  Hotels & Apartments

  Marine Insurance

  Commercial Building

  Cargo Companies

  Factories

  Other Business Activates

  Sabotage & Terrorism

  Group life, Medical Insur.

  Group Personal Accidents
 

Fire and Special Perils Insurance

 

Please fill in the following form. Should you find any difficulties, just fill in fields marked with asterisk (*). Our sales team will contact you shortly.

 

 

* Full Name  
       
  CR/CPR No  
       
  Postal Address  
       
* Tel  
       
* Mobile  
       
  Fax No.  
       
* E-mail  
       
  Occupation:  
     
  Period of Insurance                 From      

                                                To     

 
     
  The Building    
  Situation: Flat/House No. Bldg.No.
    Block No. Area
         
  Construction: Walls Roofs
    Floors Ceilings
    Number of Stories Year of Construction
    Occupied as Owned by
    Year of Renovation if any  
         
  Interests to be covered   Sum to be Insured
 

1)

   Building, Fixtures, Fittings and Decoration B.D.
  2)   Furniture, Household & Personal Effects B.D.
  3)   Gold and Silver articles, jewellery, watches, furs, cameras and binoculars (please list separately all items with individual values) B.D.
  4)   Machinery and Plant B.D.
  5)   Stock in Trade consisting of the Proposer’s own or held by him in trust or in commission for which he is responsible. B.D.
           
  6)   Other items, if any, as per details mentioned below:    
    (A)  Debris Removal B.D.
    (B)  Architects & consultants fees B.D.
    (C)  Loss of rent:    
      (i)  for alternative accommodation B.D.
      (ii)  If legally liable to pay as tenant to the owner of the building B.D.
      (iii)  If receivable (in respect of building rented out) B.D.
           
      Rent per month B.D.
     

Number of Months for which rent is to be covered

  

 

Home | About us | Contact us

© 2010 Protection Insurance Services. All Rights Reserved.