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Home Insurance

Name & Surname*

Address of residence to be Insured*


Postal Address*


Phone*

Mobile number*

I.D Card No.*

Email address*

Buildings Sum Insured*

Contents Sum Insured*

Unoccupancy Period not more than:*

All Risks Sum Insured:*

Cover Required on All Risks:

Maltese Islands*

Europe*

Worldwide*

Claims Past 5 Years*

Description of claims*

Date and time of quotation

I have read and accept the Terms and Conditions