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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?
Select
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
Period of Insurance
Insurance Start Date
Insurance End Date
Cover Section
Occupation Name
Select
(Wood working machinery)
Millwright
Accountant
Actuary
All trades involving the use of wood working machinery.
Architect
Architect (supervising site)
Artist
Auctioneer
Author
Baker and confectioner (supervising only)
Baker of Confectioner (working)
Banker
Barrister
Basket maker
Black smith ( excluding shoeing )
Blacksmith (Shoeing)
Boat builder (excluding woodworking machinery)
Book binder
Brewer (working)
Broker (stock, ship, Cotton, etc.)
Builder (Supervising only
Builder (excluding woodworking machinery)
Builder (working excluding)
Builders Clerk
Butcher (Including slaughter house work)
Butcher (excluding slaughterhouse)
Carpenter, joiner and cabinet maker (Working excluding wood working Machinery)
Chauffer (private car)
Chemist (experimenting)
Clergyman
Clerk
Clerk of works
Coast Guard officer
Commercial Traveler
Company Director (Administration Duties)
Cooper
Cooper smith
Corn, hay and straw dealer
Dairyman (delivering)
Dental surgeon
Druggist (not experimenting)
Dyer
Editor
Electrical Engineer (Working)
Electrotyper
Engineer (not experimenting)
Engineer - General Mechanical working (Excluding Electrical working)
Engineer - Civil (Supervising only)
Engineer - Electrical (Supervising only)
Engineer - General Mechanical (Supervising only)
Engraver
Farm Bailiff Manager ( supervising and occasionally working )
Farm Bailiff or Manager (working)
Farmer
Farmer (working)
Freight Agent
Furniture remover (Working)
Game keeper
Gardener
Gasfitter
Glazier
Gunsmith
Hotel Proprietor or Manager ( working including cellar)
Hotel Proprietor or Manager (working excluding cellar work)
Insurance Officials
Jeweler (shop only)
Jeweler (working)
Licensed Victualler
Lithographer
Livery stable Keeper
Mason (supervising only)
Mason (working)
Motor (Supervising only)
Motor Driver (Commercial Vehicle)
Motor Driver (private car)
Painter and Decorator (Supervising only)
Painter and Decorator (Working)
Painter and Decorator (supervising and occasionally working)
Photographer (normal risk)
Physician
Plasterer
Plasterer (working )
Plumber
Plumber (working )
Police superintendent
Potter
Quarry master(Supervising only)
Restaurant Proprietor (working)
Restaurant proprietor ( supervising only)
Saddler
Schoolmaster
Secretary
Shipwright
Shopkeeper (Including use of tools)
Shopkeepers (Excluding are of tools)
Silversmith
Slater (supervising only)
Slater (working)
Solicitor
Stereo typer
Stone cutter
Surgeon
Surveyors
Tailor (Supervising only)
Tailor (working)
Testing
Tool Maker
Veterinary Surgeon
Wheelwright (excluding wood working machinery)
watchmaker
Monthly Salary
Cover Type
Select Cover Type
Capital Benefits basis
Estimated Annual Earnings basis
Basic Premium
Benefits
Additional Benefits:
Medical Expenses Due to Illness
Eye Frame
Eye Glass
Denture
Pregnancy
Boarding & Lodging
Extension to worldwide ?
Are you engaged in any of the activities / occupations mentioned below?
Football
Small Game hunting
Big Game Hunting
Water Skinning
Motor cycling exceeding 10cc
Auto-cycling and mechanically assisted pedal cycles not exceeding 100cc
Mountaineering
POLO
Steeple chasing winter sports
Motor Cycling Not Exceeding 10cc
Racing of any kind
Swimming
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Office Timing: Mon - Fri 8:00 AM - 5:00 PM Sat : 8:00 AM - 12:30 PM
