PRINTABLE VERSION (.PDF) Τhe files marked with an * are optional for the submission of the from. 1 Details of the proposer Full name Address* Post code* Εmail Telephone no* Fax* V.A.T. no* Tax office* 2 Additional details Full address of the home Brief technical description of the property Main framework Roof ---TerraceTiled roof Number of floors Year built Property’s use Brief description of the home Floor Total surface (sq.m.) Year of renovation (pipes, etc.) Renewable source of energy Security measures Burglary alarm system Security door / locks Other Insured values Value of the building Value of content Type of home Main homeHoliday house Insured period From To Mortgage (amount in €) Payment method ---AnnuallyTwo (2) installments Notes For the insurance of the content a detailed list of the objects to be covered and their values is required. Object of art and paintings with their respective values must also be declared separately. 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.