Personal Details
Risk Details
General Policy Details
Please provide below information on any insurance claims you have reported in the last 3 years
I do hereby declare that the above answers are true, that I have withheld no information whatever that might tend in any way to increase the company’s risk, or to influence the decision of the company regarding the proposal and I undertake to exercise all ordinary and reasonable precautions for the safety of the said property. I agree that this declaration shall be held to be of promissory nature and shall form the basis of the Contract between me and BUNNA INSURANCE S.C. and I am willing to accept the company’s Standard policy.
I/we do hereby confirm that I/we have authorized Berhan Insurance S.C. to share my/our credit information and to access my/our credit profile from Credit Reference Bureau (C.R.B)