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Proposer First Name
Proposer Middle Name
Proposer Last Name
Mobile No.
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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
Risk Details
Insurance Start Date
Insurance End Date
Compensation/ Cover Type
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Workmen's Compensation
W.C. Including to & from work & Residence Extension
Group Accident (24 Hours
Maximum Liability Per Event:
Base’s of Cover
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Named Based
Unnamed Based
Please select method to Fill Employees’ Detail(s)
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UPLOAD FROM EXCEL
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Last Row of Excel
Download Template
Excel
* Allowed file formats (xlsx)
Employee Details
Name of Employee
Working place of the Employee
Position/Job Description'
Occupation
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(a) Bridge Buildings ( up to 20ft in height from road or water level at low rate)
(a) Bridge Buildings(over 20 feets )
Basket makers Employees engaged, in cutting(With warranty 2)
Schools, Colleges and educational establishments (Veterinary colleges) (ii) All other employees
Schools, Colleges and educational establishments (Veterinary colleges) (i) Lecturers engages indoors
(a) Employees engaged, in cutting
(a) Gas holder painting and repairing
(b) All employees not engaged with machinery
(b) All others
(b) Bridge column excluding fitting or repair away from shop or yard
(c) Consulting engineers
(d) Hydraulic machinery and lift and crane making and erecting: excluding erecting fitting or repair away from shop or yard
(d) Hydraulic machinery and lift and crane making and erecting: excluding erecting fitting or repair away from shop or yard (Erecting, fitting or repair away from shop or yard)
(e) Mining machinery: excluding erecting, fitting or repair away from shop or yard
(e) Mining machinery: excluding erecting, fitting or repair away from shop or yard(Fixing or repairing excluding pit sinking and chimney shaft erecting )
(f) Pontoon builders and repairers
(g) sinking and chimney shaft erecting
(h) Engineers not otherwise classified including work away from shop or yard
- All other employees
Abattoirs
Accounting Machine Maintenance Engineers, rate as Typewriter Makers, etc
Advertising constructors
Aerated Water (Mineral water) Manufactures
Agricultural spraying and pest control
Agricultural spraying and pest control(a) Where no chemicals excluded by endorsement no W.26 are used
Agricultural spraying and pest control(b) Where chemicals excluded by End. W.26 are used
All employees engaged in clays or bales getting at depths greater than 20 ft. or in construction, repair or demolition of kiln chimneys
All employees including Clerical and Managers But excluding film production
Aluminum goods Makers
Architects and surveyors.
Asbestos Merchants
Asbestos and fiber sheet manufactures
Assessors (Loss)
Assistant Drivers
Aviation Companies or firms engaged in flying only when no manufacture Is carried on:(I) Pilot and all employees who may at any time be engaged in flying
Aviation Companies or firms engaged in flying only when no manufacture Is carried on:(II) Other employees
Aviation Companies or firms engaged in flying only when no manufacture Is carried on:(III) Indoor staff
Bag Makers (all materials except leather and plastic)
Bakeries and Biscuit factories(a) Employees engaged with machinery
Bakeries and Biscuit factories(b) All employees not engaged with machinery
Bars, beer shops wines and liquor houses
Basket makers All employees not engaged with machinery(With warranty 2 & 5)
Baths, Bathing Pools and Wash houses
Battery Manufactures
Bedding and Mattress Manufactures(a) Excluding wire risk
Bedding and Mattress Manufactures(b) Wire Mattresses
Bill Pastors and Distributors
Blacksmiths and Ferries
Boarding Houses
Body Builder
Book Binders
Bookkeepers
Boot and shoe manufacturers
Bottlers (other than as rated water Manufacturers and cordial Manufacturers)
Box and packing case makers (cardboard and paper)(a) Machinists
Box and packing case makers (cardboard and paper)(b) All other employees
Box and packing case makers (wood)
Braid and lace manufacturers
Brewers including coopers and all processes incidental to the trade, delivery and maintenance.
Bridge Buildings- Erecting, fitting or repair away from shop or yard
Bridge Buildings-Fixing or repairing excluding pit sinking and chimney shaft erecting
Bridge Buildings-Fixing or repairing excluding pit sinking and chimney shaft erecting
Bridge Buildings: Bridge column excluding fitting or repair away from shop or yard
Bridge Buildings: Bridge column & Girder excluding fitting or repair away from shop or yard (With wa
Bridge Buildings: Consulting engineers
Bridge Buildings: Engineers not otherwise classified including work away from shop or yard
Bridge Buildings: Hydraulic machinery and lift and crane making and erecting: excluding erecting fit
Bridge Buildings: Mining machinery: excluding erecting, fitting or repair away from shop or yard
Bridge Buildings: Pontoon builders and repairers
Bridge Buildings: sinking and chimney shaft erecting
Bridge Buildings: sinking and chimney shaft erecting
Brush Manufacturers
Builder Merchants (b) Other employees
Builder Merchants(a) Employees engaged in loading and/or unloading at railway siding of wharf
Builders All employees including carpenters, Joiners, Masons and Laborers(a) Not more than two stories in height where no mechanically driven machinery is used
Builders All employees including carpenters, Joiners, Masons and Laborers(b) Two stories in height and/or where mechanically driven machinery is used
Builders All employees including carpenters, Joiners, Masons and Laborers(c) Hands engaged in girder erecting
Builders All employees including carpenters, Joiners, Masons and Laborers(d) Demolition of buildings not within the provisions of endorsements W.7 and W.25
Builders All employees including carpenters, Joiners, Masons and Laborers(e) Steeple, tower or chimney shaft builders or repairs
Butchers (retail)
Butter Factories
Canneries (a) Tin making
Canneries (b) Other employees
Car park proprietors
Caretakers
Carpenters (as a separate trade)
Carpet and Rug Manufactures
Cartage contractors
Cattle Food Meal Manufactures
Cement works (excluding quarry or mining Risks)
Cheese Factories
Chemical works (converting raw materials in to crude or commercial chemicals in bulk)
Chemists (Manufacturing) Pharmaceutical Supplies
Chemists & Druggists (Manufacturing) Pharmaceutical & Medical Supplies
Chemists Analytical
Chocolate manufacturers (a) Employees engaged with machinery
Chocolate manufacturers (b) All employees not engaged with machinery
Church staff and Religious Bodies
Cinemas: All employees including Clerical and Managers But excluding film production(With warranty 8
Clay pits, Brick and tile makers
Cleaners and Dyers (a) Where Machinery is used
Cleaners and Dyers (b) Where no machinery is used
Clerical Staff
Cloth Mills ( including spinning, waving, bleaching, dyeing, and all other processes incidental to the trade)
Clubs (a) Social all employees
Clubs (b) Sports not otherwise provided for: professionals
Clubs (c) Other employees
Clubs (d) Rifle - all employees
Clubs (e) Golf all employees including caddies
Clubs (f) Flying: Pilots and employees who may at any time fly
Coach, Carriage and wagon Builders and wheelwrights excluding railway coach or wagons.
Coconut Fiber works, Mat makers
Coffee Roasters and Essence Manufacturers
Commercial travelers
Cordial Manufacturers (a) Employees engaged with machinery including bottling
Cordial Manufacturers (b) other employees
Cotton Ginneries, pressing Factories & presses
Cotton Mills and processes including warehouse
Cotton growers with ginnery
Cotton growers without ginnery
Cycle and motorcycle repairers
Daily Laborers
Dairy Farms
Dentists & Dentists Mechanic
Distillers
Dock services (a) Stevedores
Dock services (b) All other employees
Dock, Pier and Wharf construction and repair (a) Construction including blasting
Dock, Pier and Wharf construction and repair (b) Construction excluding blasting
Dock, Pier and Wharf construction and repair (c) Maintenance and repairs
Doctors dispensers and assistants
Domestic servants
Dressmaking(Wholesale)
Drivers
Electrical engineers (not manufacturers), installation and repair of plant fittings and Apparatus including wireless but excluding telephone and telegraph (a) work on the exterior of buildings
Electrical engineers (not manufacturers), installation and repair of plant fittings and Apparatus including wireless but excluding telephone and telegraph (b) All other works
Electricity, Generation and supply undertakings: All employees inside and outside Engineers
Estates ( except cotton Growers with ginnery, wattle Growers and cutters and sisal (b) All others
Estates ( except cotton Growers with ginnery, wattle Growers and cutters and sisal (a) machinist and Drivers
Estates ( except cotton Growers with ginnery, wattle Growers and cutters and sisal (c) Field press
Estates (sugar, Agricultural and stock farms and all others) (a) Machinists and Drivers
Estates (sugar, Agricultural and stock farms and all others) (b) All others
Explosive dealers including Drivers and attendants
Feather manufacturers, dressers and merchants
Fire Brigades
Fish curers & Traders
Forwarding, landing and shipping Agents (a) Employees received or delivering from or vessels and/or docks
Forwarding, landing and shipping Agents (b) Stevedores
Forwarding, landing and shipping Agents (c) Delivery
Forwarding, landing and shipping Agents (d) other employees
Forwarding, landing and shipping Agents (e) Tally clerks
Foundries- ''see steel and iron Founders''
Fruit (citrus) Sorters, packers, Refiners or Manufactures- Rate as '' All other Estates''
Furniture Dealers proprietors
Furniture Manufacturers (a) Felling sawing and carting of trees
Furniture Manufacturers (b) Other employees
Furriers (wholesale) (a) Excluding handling of raw
Furriers (wholesale) (b) Including handling of raw skins
Furriers (wholesale) (c) Delivery
Furriers (wholesale)Excluding handling of raw (skins)
Gas manufacturers and suppliers: All others
Gas manufacturers and suppliers: Gas holder painting and repairing
Glass bevellers, silverers, embossers, gilders, decorators and sign writers (b) Including erection of signs
Glass bevellers, silverers, embossers, gilders, decorators and sign writers(a) Excluding erection of signs
Glaziers(a) Residences, offices and shops (height not exceeding 30 ft.)
Glaziers(b) Other risks
Goldsmiths, Jewelers & Silversmiths
Grain, flour hay, straw, fodder and seed merchants and storages contractor ( All other workers) 1. Where machinery is used
Grain, flour hay, straw, fodder and seed merchants and storages contractor (All other workers) 2. Where no machinery is used
Grain, flour hay, straw, fodder and seed merchants and storages contractor(a) Elevator employees
Grain, flour hay, straw, fodder and seed merchants and storages contractor(b) Loading and discharging
Grain, flour hay, straw, fodder and seed merchants and storages contractor(c) Carting and delivery
Granite and Marble Worker
Gravel, Sand and Murran pits:
Grindstone and millstone makers not in connection with quarries
Ground and maintenance staff
Groundnuts- Rate as Estate-All other employees
Hairdressers
Haulage contractors (including driver and vehicle attendants)
Hide Merchants and Dealers
Hosiery (stockings)manufacturers
Hospitals, Asylums, Nursing Mission or Training Homes
Ice dealers and manufacturers
Import and Export Merchants
Indoor staff
Insurance agencies and brokers(a) Canvassers and inspectors and surveyors
Insurance agencies and brokers(b) Other employees
Jewelers, goldsmith and silversmiths (Manufacturing)
Laundries Including Receiving Office Employees(a) Where Machinery is used
Laundries Including Receiving Office Employees(b) Where no machinery is used
Laundries Including Receiving Office Employees(c) Delivery
Locust destroyers
Machinery and scrap-metal dealers(a) Buyers, salesmen and showroom assistants
Machinery and scrap-metal dealers(b) Dismantling, breaking up and demolition
Machinery and scrap-metal dealers(c) Warehouses including delivery
Machinery and scrap-metal dealers(d) All other work
Machinery and scrap-metal dealers: All other work
Machinery and scrap-metal dealers: Buyers, salesmen and showroom assistants
Machinery and scrap-metal dealers: Dismantling, breaking up and demolition
Machinery and scrap-metal dealers: Warehouses including delivery
Maltsters
Marble works
Match manufacturers
Meat market (wholesaler) (b) All others (excluding slaughter men)
Meat market (wholesaler)(a) Salesmen and buyers
Meat market (wholesaler)(c) Slaughter men
Mechanics
Messengers and porters
Metal polishers
Metal workers excluding tin, steel plate and sheet metal works(a) Bell founders
Metal workers excluding tin, steel plate and sheet metal works(b) Brass founders
Metal workers excluding tin, steel plate and sheet metal works(c) Metal spinners
Metal workers excluding tin, steel plate and sheet metal works(d) Pewterers
Metal workers excluding tin, steel plate and sheet metal works(e) Tin refiners
Metal workers excluding tin, steel plate and sheet metal works(f) Type founders
Metal workers excluding tin, steel plate and sheet metal works(g) Workers in zinc (not melting or rolling)
Metal workers excluding tin, steel plate and sheet metal works(h) Workers in zinc (including melting or rolling)
Metal workers excluding tin, steel plate and sheet metal works(i) Matters of gas and water fittings, German silver and white metal articles, valves, hinges, and other small metal parts
Metal workers excluding tin, steel plate and sheet metal works:
Millers, corn, rice and wheat
Mineral water manufacturers
Mines(a) Alluvial not more than 20 ft. deep
Mines(b) Underground; where no blasting is done
Motor Garages and show rooms(b) All Others
Motor Garages and show rooms: Motor Salesman, Buyers& Showroom Assistants(with warranty 2 & 16)
Motorcycle makers and repairers
Nail makers
Newspaper proprietors
Nurses
Office Cleaners, care takers
Oil Mills
Oil and petroleum importers (including distribution)
Omnibus and motor-coach proprietors (b) other employees
Omnibus and motor-coach proprietors(a) drivers and conductors and mechanics
Painters and decorators (as a separate trade) not builders of ship painters, scrapers and scalers (a) work in connection with cash holders, towers, steeples, bridges, viaducts, blast furnaces, and any work in connection with roofs of railway stations over 30 ft. in height and of airplane sheds over 30ft in height
Painters and decorators (as a separate trade) not builders of ship painters, scrapers and scalers (b) all other work
Paper Manufacturers
Parquet floor cutting
Perfume manufacturers
Petrol pump stations and car parks (not connected with garages)
Photographers and photographic Dealers (a) Delivery
Photographers and photographic Dealers (b) All others
Plastic Good Makers
Plumbers, hot water and sanitary engineers
Printers, Lithographers and book binders
Quarries excluding mines (a) where no blasting is done
Quarries excluding mines (b) where any blasting is done
Restaurants
Roofing and floor surfacing (Work on jobs) (i) Tile, mosaic and tessellated paviors
Roofing and floor surfacing (Work on jobs) (ii) Slaters and tiler
Roofing and floor surfacing (Work on jobs) (iii) Parquet floor laving
Roofing and floor surfacing (Work on jobs)(iv) Thatching
Roofing and floor surfacing (a) Manufacturing
Sack Makers
Saw Mills:All other employees(With warranty 2 & 17)
Schools, Colleges and educational establishments (Other schools) (i) Teaching staff
Schools, Colleges and educational establishments (Other schools) (ii) All other employees
Schools, Colleges and educational establishments (b) Technical schools, and employees
Sewer and road contractors (a) Open trench work only where no blasting and tunneling is done where the depth in any part exceeds 10ft.
Sewer and road contractors (b) All other work
Shop attendant, indoor salesmen
Shops and Retail Stores (a) Shop attendant, indoor salesmen
Shops and Retail Stores (b) All other employees
Silversmiths
Slaughter men
Small ware manufacturers (Braid, Laces and cords)
Soap Makers (Toilet) where re-melting and perfuming only are done
Soap Makers, meters and boilers
Stationers( Whole sale)
Stationers(Manufactures)
Steel and Iron-Founders not engaged in work otherwise rat (a) Where any casting exceeds 14kgs. in weight
Steel and Iron-Founders not engaged in work otherwise rated: Where no casting exceeds 14kgs in weigh
Steel and iron rolling mills
Stone and slate dressing and stone crushing and breaking yards (a) Where not carried on bay a quarry proprietor
Stone and slate dressing and stone crushing and breaking yards (b) Where carried on by a quarry proprietor, provided the yard is not within 1 mile of the quarry.
Surveyors
Tailors
Tannery
Telephone installation repairs. Maintenance or operation (a) Work outside Building
Telephone installation repairs. Maintenance or operation (b) All other work (excluding operators)
Telephone installation repairs. Maintenance or operation (c) Operators
Textile Manufacturers
Theatres, music and dance halls and exhibition (a) Performers (other than actors, vocalists, instrumentalists and dancers)
Theatres, music and dance halls and exhibition (b) All other employees
Timber Merchants (b) All other employees
Timber Merchants:Felling, Sawing & Transporting of Trees
Tin and steel plate and sheet metal work (excluding metal boxes, drums and furniture) (a) Where no mechanically driven machinery is used
Tin and steel plate and sheet metal work (excluding metal boxes, drums and furniture) (b) Where any mechanically driven machinery is used
Tire repairers and vulcanizers or manufacturing
Tobacco, cigar and cigarette Manuf (Where any Mechanically driven Machinery is used)
Tobacco, cigar and cigarette Manuf(Where no Mechanically driven Machinery is used)
Transporters
Typewriter makers, dealers and repairers and requisite supplies
Umbrella Manufacturers
Vinegar Manufacturers
Warehouses (Excluding Cold Storage)(All other employees including delivery):-Bonded and Tobaccos
Warehouses (Excluding Cold Storage)(All other employees including delivery):-Machinery and Metal
Warehouses (Excluding Cold Storage)(All other employees including delivery):-Others
Warehouses (Excluding Cold Storage)(a) Hands in warehouses receiving or delivering from or to trucks
Warehouses(Bonded and Tobaccos)
Warehouses(Machinery and Metal)
Warehouses(Others)
Watch men
Water supply under-takings
Welders
Where insured has no machinery, excluding clays or blaes getting at depths greater than 20 feet
Window Cleaners
Woodmen & Foresters
Woodworking Machinists
Zinc Works
canvasser
No Of Employees
Type of Income
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Daily
Weekly
Monthly
Annually
Estimated Salary (Per Employee)
Estimated Annual Salary (Per Employee)
Total Annual Earnings
Maximum Liability(Per Employee)
Compensation Type
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Workmen's Compensation
W.C. Including to & from work & Residence Extension
Group Accident (24 Hours
Occupation Description
Vehicle Registration No.
Number of staff earning monthly salary less than ETB 2500?
Name of The Project
Additional Details
Do you Require to Extend:
The Scale of Benefits beyond the standard Limit?
Extensions:
Death Benefit:
Medical Benefits:
Additional Benefits:
Bandits, Shifta, Guerilla (BSG)?
Territorial Extensions?
Eritrea
Sudan
Kenya
Somalia
South Sudan
Other East African Countries
Djibouti
Other
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