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Custom Bonds Quotation
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Personal Details
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Personal Details
Proposer Type
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Proposer First Name
Proposer Middle Name
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Which Berhan Insurance S.C. branch do you want to be served from?
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ADM-ADAMA BRANCH
ARK-ARAT KILLO BRANCH
ARM-ARBA MINCH BRANCH
AYT-AYAT BRANCH
BDR-BAHIR DAR BRANCH
BEK-BEKLOBET BRANCH
BGR-BISRATE GEBRIEL BRANCH
BOL-BOLE BRANCH
DSS-DESSIE BRANCH
GOF-GOFA BRANCH
HAY-HAYAHULET BRANCH
HOF-HEAD OFFICE
HSN-HOSAENA BRANCH
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JIM-JIMMA BRANCH
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KAZ-KAZANCHIS BRANCH
KER-KERA BRANCH
LBU-LEBU BRANCH
LID-LIDETA BRANCH
MAN-MAIN BRANCH
MEG-MEGENAGNA BRANCH
MER-MERKATO BRANCH
MKL-MEKELLE BRANCH
OLP-OLYMPIA BRANCH
PZZ-PIAZZA BRANCH
RAS-RAS BRANCH
SAR-SARIS BRANCH
SHE-SHERA TERA BRANCH
SHM-SHASHEMENE BRANCH
THM-TEKLE HAIMANOT BRANCH
WSD-WOLAITA SODO BRANCH
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Period of Insurance
StartDate
EndDate
Validity Period In Days
Bond Type
Select Bond Type
CB17: Particular Customs Bond for the Settlement of Customs duty and Taxes on Duty free imported vehicles without payments of customs duties and Taxes
CB18: General Customs Bond for Transit Good in Ethiopia
CB19: Particular customs bond for the Re-exportation of temporarily imported goods delivered without payment of duty and taxes
CB20: Particular customs bond for transiting goods in Ethiopia
CB6: General bond for security of warehoused goods
Bond Value
Sign Date
Authority or Employer Details
Employer Name
Employer Tin
Employer Address
Vehicle/Machinery Details
Vehicle/Machinery Details
1
Description of Goods
Plate No./Serial No.
Model No.
Engine No.
Chassis No.
Year of Manufacture
Goods Details
Description of Goods
Bill of Lading Type
Select Bill of Landing Type
Air Bill of Lading No.
Rail Bill of Lading No.
Truck Bill of Lading No.
Others
Bill of Lading No.
Container No.
Document Type
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Proforma Invoice No.
Commercial Invoice No.
Purchase Contract No.
Sales Contract No.
Reference No.
Others
Selected Document Number
Document Date
Transit Departure Place
Transit Destination Place
Temporarily Imported Goods
Warehouse Information
Description of Goods
License Number
Region
Zone / Sub city
Woreda / District
Kebele
House No.
Do you have any other policies with Berhan Insurance S.C.?
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