21 November 2019, Thursday

Get a Quote Online
Online Casco (Motor Own Damage) Insurance Proposal Form

INFORMATION OF THE INSURED
Name / Title *
Turkish Identity Number / Tax Number *
Gender *
Date of Birth *
Occupation *
Phone *
E-Mail *
Address *


VEHICLE INFORMATION
Class *
Type of Usage *
Make *
Model * The value of Casco Insurance
Year of the Model *
Value of the Vehicle * TL The value of Casco Insurance
License Plate Number *


COVERAGE INFORMATION
Voluntary Financial Responsibility (İMM) * TL
Personal Accident Coverage * TL
Treatment Coverage *

 
   

* ( Required fields to be filled )
Online Traffic Insurance Proposal Form

INFORMATION OF THE INSURED
Name / Title *
Turkish Identity Number / Tax Number *
Gender *
Date of Birth *
Occupation *
Phone *
E-Mail *
Address *


VEHICLE INFORMATION
Class *
Type of Usage *
Make *
Model * The value of Casco Insurance
Year of the Model *
Value of the Vehicle * TL The value of Casco Insurance
License Plate Number *
Registration License Number *

     

* ( Fields required to be filled )
Online Homeowner (Residential) Insurance Proposal Form

INFORMATION OF THE INSURED
Name / Title *
Turkish Identity Number / Tax Number *
Phone *
E-Mail *


INFORMATION OF THE RESIDENCE
Type of Construction *
Construction Type *
Age of Property *
Type of Property *
Owner/ Renter *
Type of Usage *
Cost of Building * TL
Building (m2) *
Cost of Furniture * TL
Cost of Glass * TL
Electronic Equipment Insurance TL
Valuables TL
DASK *
Open Address of the Property *

 
* ( Fields required to be filled )
Online WorkPlace Insurance Proposal Form

INFORMATION OF THE INSURED
Name / Title *
Turkish Identity Number / Tax Number *
Phone *
E-Mail *


INFORMATION OF THE WORKPLACE
Type of Business *
Building Layout *
Construction Year *
Owner / Renter *
Office Space (m2) *
Cost of Building * TL
Cost of Decoration * TL
Cost of Machine * TL
Inventory Stock * TL
Cost of Goods * TL
Cost of Glass * TL
Workplace Security Measures
Open address of the Business *

 
* ( Fields required to be filled )
Online Health Insurance Proposal Form

INFORMATION OF THE INSURED
Name *
Turkish Identity Number *
Gender *
Size * cm
Weight * kg
Daily Cigarette Usage *
Alcohol Consumption *
Medications Taken Daily
Current and Past Health Conditions
Date of Birth *
Place of Residence *
Solicited Coverage *
Phone *
E-Mail *
Previous Health Insurance *
Address *


 
    
* ( Fields required to be filled )
Online Travel Health Insurance Proposal Form

INFORMATION OF THE INSURED
Name *
Turkish Identity Number *
Phone *
E-Mail *
Date of Birth *
Gender *
Country to be visited *
Travel Departure Date *
Travel Return Date *
Address *

 
    
* ( Fields required to be filled )
Online DASK Proposal Form

INFORMATION OF THE INSURED
Name / Title *
Turkish Identification Number *
Phone *
E-Mail *


PROPERTY INFORMATION
Type of Construction *
Age of Property *
Usage Type of the Property *
Damage Condition of Property *
Usage Type of the Property *
Gross Square Meter of Property M2 *
City Block, Map Section, Parcel
Full address of the Property *

* ( Fields required to be filled )







 






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