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Fidelity Guarantee Quotation
Personal Details
Proposer Type
Individual
Corporate
Government
Public Organisations
Associations
NGO
Staff
Proposer First Name
Proposer Middle Name
Proposer Last Name
Mobile No.
Email Address
Which Berhan Insurance S.C. branch do you want to be served from?
Select
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
HWS-HAWASSA BRANCH
JIM-JIMMA BRANCH
JKR-JACKROS BRANCH
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
Period of Insurance
Insurance Start Date
Insurance End Date
Employee's Details
1
Position / Role
Limit of Guarantee Per Person
Total No. of Employee
Total Limit of Guarantee
Grand Total Limit of Guarantee
Do you require discount due to voluntary excess benefit?
Please select amount of excess
Select
Excess of ETB 1000
Excess of ETB 500
Excess of ETB 250
Excess of ETB 2000
Submit
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