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Request a Quote 

Note: Fields marked with a red asterisk* should always be complete.

Select Insurance Type

Customer Information

Gender *:
Mobile # *
Date of Birth*

Vehicle Information

Is your vehicle registered?*:

Insurance Policy


Policy Type?*:
Include Driver?*:
Include Passenger?*:
Have you made a claim in the last year?
AED

Customer Information

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Gender*
Mobile #*
Date of Birth*
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Contact Person :
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Contact Person Mobile #*
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Marital status *:
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Emirate of Residency *:
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I am*:
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I live in*:
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I want to cover my:
AED
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AED
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AED
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I am travelling*:

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I want to cover*:

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Family Members Details (if any)

Name
Date of Birth
Relationship
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  • {{ errors.first('day') }}
  • {{ errors.first('month[]') }}
  • {{ errors.first('year[]') }}
  • {{ errors.first('Spouse[]') }}
Boat details*:
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Use of Boat/Yacht*:

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AED
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My company is based in*:
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Number of employees*:
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I need:
Census List:
Drag & drop file here
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Click below button to download sample Census list.
My company is into*:
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{{ errors.first('SpecialtyDesigned_MycompanyisintoOther') }}
{{ errors.first('SpecialtyDesigned_ExactLocation') }}
Interest & Sum Insured: (Enter only as per requirements)
AED
{{isCheck(formData.SpecialtyDesigned_OnBuilding) ? '' : errors.first('SpecialtyDesigned_OnBuilding')}}
AED
{{isCheck(formData.SpecialtyDesigned_OnFurniture) ? '' : errors.first('SpecialtyDesigned_OnFurniture')}}
AED
{{isCheck(formData.SpecialtyDesigned_Stock) ? '' : errors.first('SpecialtyDesigned_Stock')}}
AED
{{isCheck(formData.SpecialtyDesigned_RentPayable) ? '' : errors.first('SpecialtyDesigned_RentPayable')}}
AED
{{isCheck(formData.SpecialtyDesigned_GrossProfit) ? '' : errors.first('SpecialtyDesigned_GrossProfit')}}
AED
{{isCheck(formData.SpecialtyDesigned_SignBoards) ? '' : errors.first('SpecialtyDesigned_SignBoards')}}
{{ errors.first('SpecialtyDesigned_history') }}
{{ errors.first('SpecialtyDesigned_ThirdParty') }}
Workmen Compensation?
AED
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Fidelity Guaranty Employee Dishonesty Cover?
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AED
{{ errors.first('SpecialtyDesigned_DishonestyCoverLimit') }}
Personal accident?
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AED
{{ errors.first('SpecialtyDesigned_accidentLimit') }}
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Occupancy*:
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{{ errors.first('PropertyOccupancyOther') }}
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Interest & Sum Insured: (Enter only as per requirements)
AED
{{isCheck(formData.PropertyOnBuilding) ? '' : errors.first('PropertyOnBuilding')}}
AED
{{isCheck(formData.PropertyOnFurniture) ? '' : errors.first('PropertyOnFurniture')}}
AED
{{isCheck(formData.PropertyPlantMachinery) ? '' : errors.first('PropertyPlant&Machinery')}}
AED
{{isCheck(formData.PropertyOnOfficeEquipment) ? '' : errors.first('PropertyOnOfficeEquipment')}}
AED
{{isCheck(formData.PropertyStock) ? '' : errors.first('PropertyStock')}}
AED
{{isCheck(formData.PropertyRentPayable) ? '' : errors.first('PropertyRentPayable')}}
AED
{{isCheck(formData.PropertySignBoards) ? '' : errors.first('PropertySignBoards')}}
{{ errors.first('PropertySafetyfeature') }}
{{ errors.first('Property_history') }}
Dully filled/stamped Proposal form *:
Proposal form
Trade license*:
Trade license
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Civil defense certificate :
Civil defense certificate
Photos (if available) :
Photos
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{{ errors.first('PropertyFile_photo[]') }}
Click below button to download sample 'Property All Risk Proposal Form'.
I Need Third Party Liability Cover:
AED
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I Need Business Interruption Cover:
AED
{{ errors.first('PropertyBusinessIntruptionCover') }}
{{ errors.first('FireAlliedExactlocation') }}
{{ errors.first('FireAlliedBusinessactivity') }}
Occupancy*:
{{ errors.first('FireAlliedOccupancy') }}
{{ errors.first('FireAlliedOccupancyOther') }}
{{ errors.first('FireAlliedConstructionDetails') }}
Interest & Sum Insured: (Enter only as per requirements)
AED
{{isCheck(formData.FireAlliedOnBuilding) ? '' : errors.first('FireAlliedOnBuilding')}}
AED
{{isCheck(formData.FireAlliedOnFurniture) ? '' : errors.first('FireAlliedOnFurniture')}}
AED
{{isCheck(formData.FireAlliedlantMachinery) ? '' : errors.first('FireAlliedlant&Machinery')}}
AED
{{isCheck(formData.FireAlliedOnOfficeEquipment) ? '' : errors.first('FireAlliedOnOfficeEquipment')}}
AED
{{isCheck(formData.FireAlliedStock) ? '' : errors.first('FireAlliedStock')}}
AED
{{isCheck(formData.FireAlliedRentPayable) ? '' : errors.first('FireAlliedRentPayable')}}
AED
{{isCheck(formData.FireAlliedSignBoards) ? '' : errors.first('FireAlliedSignBoards')}}
{{ errors.first('FireAlliedSafetyfeature') }}
I Need Third Party Liability Cover:
AED
{{ errors.first('FireAlliedThirdParty') }}
I Need Business Interruption Cover:
AED
{{ errors.first('FireAlliedBusinessIntruption') }}
I need burglary cover as well:
AED
{{ errors.first('FireAlliedBurglary') }}
{{ errors.first('FireAllied_history') }}
Dully filled/stamped Proposal form *:
Proposal form
Trade license*:
Trade license
{{ errors.first('FireAlliedFile') }}
{{ errors.first('FireAlliedFile_trade') }}
Civil defense certificate:
Civil defense certificate
Photos:
Photos
{{ errors.first('FireAlliedFile_civil') }}
{{ errors.first('FireAlliedFile_photos[]') }}
Click below button to download sample 'Contractor All Risk Proposal Form'.
{{ errors.first('BusinessInterruptionExactlocation') }}
{{ errors.first('BusinessInterruptionBusinessactivity') }}
Occupancy*:
{{ errors.first('BusinessInterruptionOccupancy') }}
{{ errors.first('BusinessInterruptionOccupancyOther') }}
AED
{{ errors.first('BusinessInterruptionEstimatedAnnual') }}
AED
{{ errors.first('BusinessInterruptionLimitofindemnity') }}
{{ errors.first('BusinessInterruptionPeriodofindemnity') }}
Property All Risk Proposal Form *:
Drag & drop file here
{{ errors.first('claim_BusinessInterruptionFile') }}
Click below button to download sample 'Property All Risk Proposal Form'.
Download
{{ errors.first('ContractorsRisk_Exactlocation') }}
I Need*:
{{ errors.first('ContractorsRisk_INeed') }}
{{ errors.first('ContractorsRisk_Nameofprincipal') }}
{{ errors.first('ContractorsRisk_Nameofcontractor') }}
{{ errors.first('ContractorsRisk_Fulldescription') }}
{{ errors.first('ContractorsRisk_Estimatedcontact') }}
{{ errors.first('ContractorsRisk_Maintenanceperiod') }}
Sum Insured:
AED
{{isCheck(formData.ContractorsRisk_Value) ? '' : errors.first('ContractorsRisk_Value/price') }}
AED
{{isCheck(formData.ContractorsRisk_Value) ? '' : errors.first('ContractorsRisk_ValueofMaterials') }}
AED
{{isCheck(formData.ContractorsRisk_ValueofConstruction) ? '' : errors.first('ContractorsRisk_ValueofConstruction') }}
AED
{{isCheck(formData.ContractorsRisk_PrincipalExisting) ? '' : errors.first('ContractorsRisk_PrincipalExisting') }}
AED
{{isCheck(formData.ContractorsRisk_RemovalofDebris) ? '' : errors.first('ContractorsRisk_RemovalofDebris') }}
AED
{{isCheck(formData.ContractorsRisk_ThirdParty) ? '' : errors.first('ContractorsRisk_ThirdParty') }}
{{ errors.first('ContractorsRisk_history') }}
If annual cover required, answer below: -
AED
{{ errors.first('ContractorsRisk_Estimatedannual') }}
AED
{{ errors.first('ContractorsRisk_Estimatednumber') }}
AED
{{ errors.first('ContractorsRisk_Maxvalueofanyoneproject') }}
AED
{{ errors.first('ContractorsRisk_Minvalueofanyoneproject') }}
Dully filled/stamped proposal form*:
Proposal form
Trade license*:
Trade license
{{ errors.first('ContractorsRisk_File') }}
{{ errors.first('ContractorsRisk_File_trade') }}
Award Contract :
Award Contract
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Click below button to download sample 'Contactors All Risk Proposal Form'.
Download
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{{ errors.first('Contractors_Machinerydetails') }}
Tonnage*:
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AED
{{ errors.first('Contractors_Suminsured') }}
{{ errors.first('Workmen_Businessactivity') }}
{{ errors.first('Workmen_Numberofemployees') }}
AED
{{ errors.first('Workmen_EstimatedAnnual') }}
{{ errors.first('Workmen_Employeework') }}
{{ errors.first('Workmen_history') }}
WC list of employees*:
Insurance file
Trade License*:
Trade License:
{{ errors.first('Workmen_file') }}
{{ errors.first('Workmen_file_trade') }}
Click below button to download sample 'Workmen Compensation Template'.
Download
{{ errors.first('ThirdParty_Businessactivity') }}
{{ errors.first('ThirdParty_Locationstocover') }}
AED
{{ errors.first('ThirdParty_EstimatedAnnual') }}
AED
{{ errors.first('ThirdParty_Limitofliability') }}
Third Party Liability Proposal*:
Third Party Liability file
Trade License *:
Trade License
{{ errors.first('ThirdParty_file') }}
{{ errors.first('ThirdParty_file_trade') }}
Click below button to download sample 'Third Party Liability Proposal'.
Download
{{ errors.first('proposer_name') }}
Mobile #*
Fidelity Insurance Document*:
Insurance Document
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Click below button to download sample 'Fidelity Insurance Document'.
Download
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My company is in*:
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{{ errors.first('ProfessionalIndemnity_MycompanyisinOther') }}
AED
{{ errors.first('ProfessionalIndemnity_EstimatedAnnual') }}
AED
{{ errors.first('ProfessionalIndemnity_EstimatedAnnualfees') }}
AED
{{ errors.first('ProfessionalIndemnity_Limitofliability') }}
{{ errors.first('ProfessionalIndemnity_history') }}
Professional Indemnity Document*:
Indemnity Document
Trade License* :
Trade License file
{{ errors.first('ProfessionalIndemnity_file') }}
{{ errors.first('ProfessionalIndemnity_file_trade') }}
Click below button to download sample 'Professional Indemnity Document'.
Download
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{{ errors.first('Hospital/Clinic') }}
{{ errors.first('Limitofliability') }}
{{ errors.first('MedicalPractice_history') }}
Medical practice license: *
Medical Practice License
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{{ errors.first('Nameandaddress') }}
{{ errors.first('shipper') }}
AED
{{ errors.first('Interesttobe') }}
AED
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{{ errors.first('Portofarrival') }}
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Cover required*:
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Invoice Copy *:
Invoice Copy file
Bill of Lading *:
Bill of Lading
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{{ errors.first('BillOfLading') }}
{{ errors.first('Describeyour') }}
{{ errors.first('Tradeactivity') }}
{{ errors.first('Numberofemployees') }}
{{ errors.first('Limitrequiredforeach') }}
{{ errors.first('GroupLife_history') }}
{{ errors.first('terms') }}

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