Property Insurance Proposal Form

I/we hereby declare through this Proposal Form that the facts, details, information and answers has been given with proper reading and understanding. All the details are correct and true. I/we hereby agree that the Insurance Policy will be cancelled if any facts, details, information and answers is found incorrect /untrue. I/we agree that the facts, details, information and answers mentioned in the proposal shall be the basis of this contract and this declaration shall be the basis of Insurance Contract between two parties.

Property Insurance Prosposal Form

Material Facts and Details of Information

a) Proposer (Individual) Details:

b) Details of owner of property to be insured:

c) Details of Organisation taking collateral property to be insured

d) Period of Insurance

e) Details of Location of the property to be insured

Surrounding Property

East

West

North

South

f) Details of Building or Land owner having property to be insured

g) Details of the Building keeping the property to be insured

h) Possession of Property to be insured (please mention one of following):

Details of the property to be insured

Type of Policy

In case of Declaration or Floating Declaration Insurance;

Other Materials Facts Related Questions

Declaration

Locations of stocks stored	Details of stock	Sum insured