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Yakut Sigorta
Insurance Brokerage
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Company Name
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Line of Business
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Office Telephone
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Fax
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Tax Office
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Tax ID No
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TC Identity No
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If you are a Turkish Citizen
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Address
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What is the position of the insured
Owner
Lease
Mortgage
Other
Insured/Insuree
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Insured/Insuree Address
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INSURANCE VALUE
Building (YTL)
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Machinery (YTL)
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Office Equipment (YTL)
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Contents (YTL)
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Vat Included (YTL)
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Safe (YTL)
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Glass (YTL)
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Relating to Risk Information
1-)
Building Type
Concrete Reinforced
Brick Reinforced
Timber Reinforced
2-)
State the requested risks’ business activity and field
3-)
What is the type of the roof of your place ?
Steel Construction.
Timber Framing
Terrace Roof
Other
4-)
Did you have any claim in the last 5 years ?
Yes
No
If yes why and when ?
5-)
Is your premise in a business building ?
Yes
No
6-)
Any Stock Inside Building
Yes
No
7-)
The stocked merchandises'height from the ground ?
meter
8-)
Have you ever been under flood ?
Yes
No
9-)
Define the area where your premises are.
On-Street
Dwelling Locality
Street
Other
10-)
State the protection measurements taken towards theft.