Household Insurance Form

   

Name(Insured):

*
   

CPR Number

*
   

Address

   

Mobile

*
   

Email

*
   

Fax

   

Nationality

         

Cover required from

DD MMM YYYY

     
   

Purpose of insurance

 

Insuring your building

Sum insured to include the HOME and domestic buildings , garges, swimming pools, tennis courts, patios, terraces, drives, footpath, walls, gates, hedges, and fences and including fixtures fitting at the same site.

   
         

Insuring your Possessions

Cover includes fire, theft, flood , storm/hall, leakage of any water apparatus , impact damage. Cover includes Riot, Strike, Malicious Damage, Sabotageand Terrorism

   
           

Insuring the Contents

Cover appllies whilst outside your home in the Kingdom of Bahrainand/or worldwide. This cover provides loss or damage by fire or theft and accidental loss or damage to personal belongings. Such items may include jewellery , watches, cameras, binoculars and musical / sports equipment etc.

   
           

Insuring your Boats

Cover provides accidental loss or damage to your boat and third party liability up to BD 50,000 arising out of the ownership or use of the Boat.

   
           

In addition to any other details supplied to the insurers I , the undersigned, also declare that all the details outlined in this proposal are an integral part of the proposed moton vehicle insurance policy and are true to the best of my knowledge and belief.