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  • Fire Insurance Proposal Form: Head Office: ةيروهمجلا ةينميلا

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    alsady35
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    This document is a fire insurance proposal form from UIC in Yemen. It notes that submitting the form does not mean insurance is approved or effective until the proposal is approved and premium is paid. The form requests information about the applicant and property to be insured. It asks questions about previous fire losses and security measures in place.

    Original Description:

    Original Title

    استمارة طلب تأمين من الحريق

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    This document is a fire insurance proposal form from UIC in Yemen. It notes that submitting the form does not mean insurance is approved or effective until the proposal is approved and premium is paid. The form requests information about the applicant and property to be insured. It asks questions about previous fire losses and security measures in place.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    6 views1 page

    Fire Insurance Proposal Form: Head Office: ةيروهمجلا ةينميلا

    Uploaded by

    alsady35
    This document is a fire insurance proposal form from UIC in Yemen. It notes that submitting the form does not mean insurance is approved or effective until the proposal is approved and premium is paid. The form requests information about the applicant and property to be insured. It asks questions about previous fire losses and security measures in place.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    NOTE: Submitting a proposal form does not necessarily mean that insurance is

    effective unless we approve the same and premium is paid.

    UIC
    Fire Insurance Proposal Form ‫استمارة طلب تأمني من احلـــريق‬
    : :

    : :

    : :

    : :

    : :

    : :

    : :

    2. No  Yes  .2
    ** **
    3. No  Yes  .3

    ** **

    Version no. FR/PF/1/2016


    No  Yes 

    No  Yes 

    No  Yes 
    Version date 1.1.2016

    Republic of Yemen ‫الجمهورية اليمنية‬


    TAIZ ‫تــعـز‬ ADEN ‫عــدن‬ HODEIDAH ‫الحديدة‬ MUKALLA ‫المكال‬ IBB ‫إب‬
    HEAD OFFICE: ‫المركز الرئيسي‬ P.O Box. 6295 P.O Box. 80169 P.O Box. 3876 P.O Box. 50644 P.O Box. 70456
    Zubairy St. Al Saeed Commercial Building
    Tel. (04)215012 Tel. (02)222555 Tel. (03)206485 Tel. (05)305051 Tel. (04)458000
    Sana’a Yemen (R.Y) P.O. Box : 1883
    FAX: (04) 215145 FAX: (02) 240972 FAX: (03) 206486 FAX: (05) 304845 FAX: (04) 457751
    Tel :+ 967 -1- 555 555
    Fax :+ 967 -1- 214 012 uicyemen@uicyemen.com www.uicyemen.com

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