JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
BGIC - 1. Proposal for Fire Insurance
42 Dilkusha Commercial Area, Dhaka, Bangladesh
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Full Name of Bank
Your answer
Title of Insured
Mr.
Mrs.
M/s
Clear selection
Name of Insured
Your answer
Address
Your answer
Nature of Business
Your answer
Trade Licenses or N.I.D. ?
Trade Licenses
N.I.D.
Clear selection
Trade Licences or N.I.D. number
Your answer
Occupation of the Building
Factory
Manufacturing
Office
Residence
Clear selection
Floor/s of the Building
(a) Ground floor
(b) First floor
(c) Others floor
A. INTEREST COVER
Your answer
B. AMOUNT TO BE INSURED
(a) Building value
Your answer
(b) Machinery Value
Your answer
(c) Furniture and Others
Your answer
(d) Stock-in-Trade
Your answer
(e) Electric Equipment
Your answer
(f) Jewellery
Your answer
C. SITUATION
(a) Name of Building
Your answer
(b) Owner of Building
Your answer
(c) Plot no.
Your answer
(d) Holding no.
Your answer
(e) Name of Street
Your answer
(f) District
Your answer
D. CONSTRUCTION
D. CONSTRUCTION
(a) Walls
(b) Roof
(c) Floor in each storey
(d) Adjoining building
(e) Building within 50 feet
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
