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Proposer Type
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Proposer First Name
Proposer Middle Name
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Mobile No.
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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
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SHM-SHASHEMENE BRANCH
THM-TEKLE HAIMANOT BRANCH
WSD-WOLAITA SODO BRANCH
Cover Type
Cash In Safe
Cash in Transit Between Town
Cash in Transit Within Town
Insurance cover period
Start Date
End Date
Risk Details
Is it for single transit?
Single Transit Details
Single Transit
1
Money In Transit From Location
Branch/Location
Region/City
Zone/Sub City
Woreda/District
Kebele
House No.
Physical Address
Money In Transit To Location
Branch/Location
Region/City
Zone/Sub City
Woreda/District
Kebele
House No.
Physical Address
Money in Transit Amount
Vehicle Details
Vehicle Plate Number
Security Guard Number
Remove
Total sum insured of Single Transit
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Excel
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Aggregate Transit Details
Aggregate Transit
1
Money In Transit From Location
Branch/Location
Region/City
Zone/Sub City
Woreda/District
Kebele
House No.
Physical Address
Money In Transit To Location
Branch/Location
Region/City
Zone/Sub City
Woreda/District
Kebele
House No.
Physical Address
Money in Transit Amount
Estimated Annual Carry
Vehicle Details
Vehicle Plate Number
Security Guard Number
Remove
Total Sum insured of Aggregate Transit
Total Sum Estimated Annual Carry
Do you want to upload Aggregate transit details excel?
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Excel
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Cash In Safe Details
Cash In Safe
1
Risk Address
Branch/Location
Region/City
Zone/Sub City
Woreda/District
Kebele
House No.
Physical Address
Money in the Insured’s premises during business hours.
Money in the Insured’s premises out of business hours securely locked in cabinet/ drawer
Money in the hands of and or at the residences of the Insured’s principals or authorized employees
Money in the hands of sales persons/drivers and /or other employees authorized to collect sales money/proceeds
Money in locked safe or strong rooms
ATM Limit
Damage to safe or strong-room
Safe Details
Maker's Name
Maker's Number
Maker's Description of safe
Age of safe
Weight
Dimensions
Where it is securely fixed the structure of the building?
How is it fixed?
Where are the keys kept when the premises containing the safe are not occupied?
Remove
Total Cash In safe Amount
Total Money in the Insured’s premises during business hours
Total Money in the Insured’s premises out of business hours securely locked in cabinet/ drawer
Total Money in the hands of and or at the residences of the Insured’s principals or authorized employees
Total Money in the hands of sales persons/drivers and /or other employees authorized to collect sales money/proceeds
Total Money in locked safe or strong rooms
Total Cash ATM Limit
Total Damage to safe or strong-room
Do you want to upload cash in safe excel?
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Excel
* Allowed file formats (xlsx)
Calculation Type
Pro Rata
Short Period
Submit
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