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Home Insurance Allianz

Detalle diseño

Description of the Insured Risk

1. Mortgage Do you have a mortgage?
     No    Yes

2. About the insured risk Address Postal code City/town State/county

3. Type of building VThe building is built of fireproof materials, such as brick, cement, iron and others with similar charasteristics.

4. Premises/ Home Insured Building area (m2) House type Building year House use

5. Security components
Alarm connected to the Security System Service

Sums Insured

Dwelling replacement value (€  ) Furniture (€  ) Jewelry (€  )

Policy holder

Name First Name NIF/CIF or passport number Birth date      
Address City or Town Postal Code Country
E-mail Telephone

Effective date

Effective date        

El responsable de tratamiento de sus datos personales es Riesgos Especiales Correduría de Seguros SA cuya finalidad es la contratación de pólizas de seguros y la gestión de las mismas. Tiene derecho a acceder, rectificar y suprimir los datos, como se explica en la información adicional en garantía de Privacidad.
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