CARI (CONTRACTOR’S ALL RISKS INSURANCE)

APPLICATION FORM

PRINCIPAL
Name: Occupation:
Date of Birth: Postal Address:
Contact No. Email address:

CONTRACTOR
Name:
Address:

CONTRACT WORKS
a) Project Description:
b) Project Site/Location:
c) Construction Type: ORDINARY Total area of completed structure:

*contract document attached to this form

TOTAL CONTRACT PRICE
a) Project Cost
b) Sum Insured

PROJECT DURATION
Commencement: □ Contract
Completion date: □ Maintenance

PROJECT SPECIFICATION

*specification document attached to this form

Signed by Date:
Signature
(Full Name)