BUSINESS INSURANCE FORM
Kasra A.Ş.
Name of Company
:
Nature of Business
:
Proposer's
Name
:
Surname
:
E-Mail
:
Daytime Telephone
:
(
)
Mobile Telephone
:
(
)
Fax
:
(
)
Others
:
Office Building
Types of Construction
:
Concrete
Semi-Concrete
Woode/Timber
Code of the City
:
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
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31
32
33
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61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
Ownership
:
Owner
Tenant
Area fo the Flat m2
:
Number of Storeys
:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Amount to be Insured
Actual Value of the Building
(Excluding the land value)
:
TL
Actual Value of the Contents
:
TL
Is "Glass / Window Breakage Risk" Required?
:
Yes
No
Is "Safe Contents Risk" Required?
:
Yes
No
If the volume of the business is high and complicated, would you like to receive a call from one of our representatives?
Yes, we'd like a representative to call us.
Other Questions (if any) :
