Home Loans Buildings Insurance - Demands & Needs Form

Customer Details

Name*

First Last

ID Number*

Email*

Enter Email Confirm Email

Contact Phone Number*

Postal Address*

Street Address Address Line 2 City ZIP / Postal Code Country

Property to be Insured

Address*

Address of property to insure

Street Address Address Line 2 City ZIP / Postal Code Country

Type of Property*

Please specify*

Garage*

Yes
No

Garage Location*

Forming part of residential block
Independent of block

Garage Space*

One-Car
Two-Car

Number of Bedrooms*

One
Two
Three

Level of Finish*

Finish Description:

Basic

Including plumbing/electric installation/one bathroom/ceramic floor tiles, double glazed window/main entrance door and basic kitchen

Medium

including plumbing/electrical installation/all bathroom/suspended ceilings in main areas, ceramic floor tiles, internal doors, double glazed windows/main entrance door and standard kitchen/air conditioning and intruder alarm

High

including plumbing/electrical installation (including intelligent lighting and light fittings)/all bathrooms/wall coverings such as stuccos/suspended ceilings through all areas/gres/marble floor tiles, internal doors, double glazed windows/main entrance door and kitchen/air conditioning and intruder alarm, CCTV and high end kitchen

PVs Installed*

Yes
No

Does the property include a lift*

Yes
No

Is the property rented out?*

Yes
No

Is the property occupied for more than 90 days?*

Yes
No

Sum Insured*

Include PVs/Garage/Pool/Landscape/Trees. Do not include land value

General

Why is the insurance requested?*

Bank's representative name*

Bank's representative email*

Enter Email Confirm Email

Terms Accept*

I understand that by completing this form the data will be processed by MIB in line with GDPR and hereby consent that this data (including if needed sensitive data as defined in article 9 of GDPR) are used for the purposes of providing your insurance services.

I also understand that it is my responsibility to secure and hold the necessary consent from any employees, beneficiaries or other third parties direct or indirectly involved in the insurance proposal/arrangements and whose data will be processed by MIB and the providers of insurance and ancillary services.

I have read and accept MIB's Client Terms of Business & Privacy Policy.

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Home Loans Buildings Insurance – Demands & Needs Form

Customer Details

Property to be Insured

General

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