argin-left: 9pt; margin-right: 0pt;
" CLASS="Body-0020Text">ELECTRONIC EQUIPMENT INSURANCE

This form can be completed and e-mailed to us as an attachment directly
by going to File on the menu bar

and then clicking  on Send to and then  Mail Recipient addressing it to info@bkic.com

 

:

Name of  Proposer

1

 

:

Address

 

:

Type
of Business

 

:

Address
of the building in which the equipment to be insured and stored

2

 

:

Number
of storeys and floor/s in which equipment are stored/used

3

 
 

Details of construction of the building:

4

 

:

a) Roof

 

:

b) Walls

 

:

c) Flooring

 

5

 
 

NO

 

YES

 
 

:

Has any of the equipment to be insured previously been covered by
other insurance companies?

 
 
 
 
 
 
 
 
 
 
 
 
 

:

If so, which items of th<span dir="LTR"></span><span
dir="LTR" class="Normal--Char" style=" font-size: 9pt;">e specification?

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

:

By
which companies?

 
 
 
 
 
 
 
 

6

 
 

Time:

 

Date :

 

:

State when the insurance is to commence?

 
 
 
 
 
 
 
 
 
 

(Period of insurance to expire at the same date
and time next year)

 

7

 
 

NO

 

YES

 
 

:

Is all the equipment to be insured new?

 
 
 
 
 
 
 
 
 
 
 
 
 

:

If so, which items of the specification are second
hand?