Business Insurance Proposal 1Tell us about yourself2Give us details on your insurance policy3Declare this proposal Your DetailsName of Insured(Required) First Surname Occupation(Required) Agent(Required) Email(Required) Physical Address(Required) Postal Address(Required) Period of insurance from(Required) DD slash MM slash YYYY Period of insurance until(Required) DD slash MM slash YYYY Policy OptionsStep 1: Download Policies Document on this link Step 2: Fill in the document and save Step 3: Reupload the filled, saved file in the field below (Policies Document)Policies Form Upload(Required)Accepted file types: pdf, Max. file size: 64 MB. DeclarationDeclaration(Required) Click here to accept declaration belowI declare that the answers in this proposal are full and true and that I have withheld no information whatever that may tend in any way to increase the Company’s risk or influence their decision regarding this proposal and i undertake to exercise all ordinary and reasonable precautions for the safety of the property proposed for insurance I agree that this proposal and declaration shall be the basis of the contract between me and Lidwala Insurance Company (private)Limited and I agree to accept a Policy subject to the usual conditions endorsed thereon. The insurance does not commence until acceptance has been confirmed by the Insurer.Date(Required) DD slash MM slash YYYY
