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Monday 06th of February 2012    

ประกันภัยเพื่อการพาณิชย์

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Home Commercial Insurance
Thai Commercial Insurance
This form is designed for Home and Building Insurances.

The asterisk (*) is mandatory field.
Name (*)
Please type your full name.
Business Name (*)
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E-mail (*)
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Contact Telephone Number
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Address
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Business Ocupation (*)
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if other, please specify
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Years of trading in the premise (*)
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Have your business been insured before (*)
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If yes what is your previous insurer
Invalid Input please write your previous insuer

Covers details
Stock
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Fitting & Fixture
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Building (Rebuilding Cost)
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Internal Decorations
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Do you use deep fat fryer
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If yes, how old is it
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Value of the fryer
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How many storage does the building have
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Claim History
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Has the building got flat roof
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If yes, what is % of the total groud floor
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What construction material is the building build of
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Are you the sole occupant of the building other than offices and private dwelling
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if no, please state the other type of business trading in the building
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Do you have those security in the premise
Have your business been insured before (*)
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Shutter
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Alarm
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If yes, bell only
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Have your business been insured before (*)
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...............or connect to central station
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Additional message to us
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Please contact me by
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