PRINTABLE VERSION (.PDF) Τhe files marked with an * are optional for the submission of the from. 1Details of the proposer Full name Business activity Address* Post code* Area* V.A.T. no.* Tax office* Telephone no* Fax* Εmail 2 Details of the insurable risk Location (full address) off the property Brief technical description of the premises (in general) Main framework Roof Number of floors Use of premises Year built Description of the property to be insured Exact locatiion of the property to be insured within the premises Total surface Is it privately owned or rented property---Privately ownedRented Is the properly renovated? Security measures Valid fire security certificate Fire detectiion and fire prevention system installed Sprinkler Alarm system Security doors and locks Guard/theft security Others Insured values Values of buildings and infrastructures Values of fixtures & fittings: Value of machinery Value of office & other equipment Value of goods - raw materials Loss of income - Business interruption Loss history Insured period From To Loans or other financing Notes I hereby declare that the above statements and particulars are true and that I have not suppressed or misstated any material facts and Iagree that this proposal form and any supplementary information sheet(s) attached hereto shall be the basis of any relevant insurancepolicy issued.Submiting the form does not bind the proposer nor the insurer to proceed with this insurance coverage.