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Field(s) marked with* are mandatory 
 
 Is your home owned or rented?*
   What is the Covered area in sq ft?*   
   What is the cost of construction in Rs. per Sq.ft?*
 Value of Building for Insurance:
 
 Insurance covers only the cost of construction and not the market value of your house.  
 
 What is the value of contents in your home:
   Furniture, Fixtures & Fittings:  
   Domestic Appliance including Electrical & Electronic Appliance:  
   Clothes & Linen:  
 Value of Contents for Insurance :  
 
 What is the Value of Jewelry that you keep at Home?
No.s Value /Piece
(Rs.)
Total
(Rs.)
   Chains(including Chains, Malas, Mangalsutras):
   Earring:
   Rings(including Nose Rings):
   Bangles:
 Value of Jewelry for Insurance:  
 
The maximum value of jewelry that can be insured is Rs. 0
  (20% of the value of Contents for Insurance or Rs. 2,00,000 whichever is lesser)
 
 
 Total Value for Fire, Floods, Riots and Earthquake Insurance:  
 Do you want to cover Contents and Jewelry against Burglary?  
 Do you want to cover terrorism?  
   
 
     
 
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