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Custom Bonds Quotation
1
Personal Details
2
Risk Details
Personal Details
Proposer Type
Individual
Corporate
Government
Public Organisations
Associations
NGO
Staff
Proposer First Name
Proposer Middle Name
Proposer Last Name
Mobile No.
Email Address
Which Bunna Insurance S.C. branch do you want to be served from?
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ADG-ADDISU GEBEYA
ADM-ADAMA
AGO-AFRICA AVENUE
ARK-ARAT KILLO
ARM-ARBA MINCH
AYT-Ayer Tena
BHD-BAHIR DAR
BOL-BOLE
DBM-DEBRE MARKOS
DEB-DEBRE BIRHAN
DES-DESSIE
DRD-DERE DAWA
GEJ-GERJ
GON-GONDER
HAW-HAWASSA
HAY-HAYAHULT
HOF-HEAD OFFICE
JIM-JIMMA
KAL-KALITY
KAZ-KAZANCHIS
KER-KERA
KOL-KOLFE
LEB-LEBU
LID-LIDETA
MAN-MAIN
MEG-MEGENAGNA
MES-MESHUALEKIYA
MKL-MEKELLE
MRS-MERKETO SEBATEGNA
PIA-PIAZZA
PRM-Premium
SAR-SARIS
SEM-SEMERA
SHS-SHASHEMENE
SMT-SEMIT
STD-Stadium
SUM-AYAT
TEH-TEKLEHAIMANOT
WLD-WOLDIYA
WLS-WELLO SEFER
WSO-Wolaiyta
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Period of Insurance
StartDate
EndDate
Validity Period In Days
Bond Type
Select Bond Type
CB17: Particular Customs Bond for the Settlement of Customs duty and Taxes on Duty free imported vehicles without payments of customs duties and Taxes
CB18: General Customs Bond for Transit Good in Ethiopia
CB19: Particular customs bond for the Re-exportation of temporarily imported goods delivered without payment of duty and taxes
CB20: Particular customs bond for transiting goods in Ethiopia
CB6: General bond for security of warehoused goods
Bond Value
Sign Date
Authority or Employer Details
Employer Name
Employer Tin
Employer Address
Vehicle/Machinery Details
Vehicle/Machinery Details
1
Description of Goods
Plate No./Serial No.
Model No.
Engine No.
Chassis No.
Year of Manufacture
Goods Details
Description of Goods
Bill of Lading Type
Select Bill of Landing Type
Air Bill of Lading No.
Rail Bill of Lading No.
Truck Bill of Lading No.
Others
Bill of Lading No.
Container No.
Document Type
Select Document Type
Proforma Invoice No.
Commercial Invoice No.
Purchase Contract No.
Sales Contract No.
Reference No.
Others
Selected Document Number
Document Date
Transit Departure Place
Transit Destination Place
Temporarily Imported Goods
Warehouse Information
Description of Goods
License Number
Region
Zone / Sub city
Woreda / District
Kebele
House No.
Do you have any other policies with Bunna Insurance S.C.?
If yes, please provide policy number
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Office Timing: Mon - Fri 8:00 AM - 5:00 PM Sat : 8:00 AM - 12:30 PM
