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Home Quotation
If you would like to obtain a quotation, please fill in the following details: -
Surname: * Name: *
ID Card No: * E-mail: *
Tel No: * Mobile No: *
Address of property to be insured: *

Section 1 – Building
What is the Sum Insured based on the rebuilding cost?

Section 2 – Contents
1. What is the Sum Insured of all your contents?
(This amount must be based on the full replacement value as new )
2. What is the current amount of valuables included in the above question?
(No one Single valuable item must be worth more than Lm 1,000)

Section 3 – Personal Belongings including valuables items
1. Would you like to cover specified personal belongings including valuables?
Yes
No
2. If yes, please state value:

Other Information
1. Do you have other policies with us or with Middlesea Insurance p.l.c?
Yes
No
2. Are you a shareholder of Middlesea Insurance p.l.c?
Yes
No