TI Brokers is a proud member of the Insurance Institute of South Africa

Sectional Title Scheme - Quote Request

Personal Information


General

Have you as the Insured; or your spouse, or any person that may be living with you, or any other person that may at any
time drive any of the vehicles stated in this policy in any capacity?


Excess


Domestic Buildings Section


R

If THATCH (including thatch lapa), please note that the thatch application has to accompany this proposal

Please provide any details of any claims or losses suffered by you during the past five years, whether insured or not

DATE

DESCRIPTION

AMOUNT

R
R
R

SETTLED

Household Contents Section


R

If THATCH (including thatch lapa), please note that the thatch application has to accompany this proposal

Please provide any details of any claims or losses suffered by you during the past five years, whether insured or not

DATE

DESCRIPTION

AMOUNT

R
R
R

SETTLED

Personal Liability Section

Limit of Liability is R3 000 000 (three million rand) which is automatically added to your policy


All Risk Section

Please specify any items that should be specified under the all risk section


DESCRIPTION

MAKE

MODEL

SERIAL NUMBER

VALUE

Please provide any details of any claims or losses suffered by you during the past five years, whether insured or not

DATE

DESCRIPTION

AMOUNT

R
R
R

SETTLED

0

Valuation


Address
Mowbray, Fourways Golf Park, Roos Street,
Fourways, Gauteng,
South Africa
Telephone
+27 10 600 9999
Trading Hours
08:30 to 16:30
email
insurance@tibrokers.biz

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