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Eastern Cape
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Name:
Address:
Cell No:
Tel No:
Fax No:
Email:
ID No:
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LOSS/DAMAGE OCCURANCE
Date and Time of loss/damage:
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01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
00
05
10
15
20
25
30
35
40
45
50
55
When was loss/damage discovered?:
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
00
05
10
15
20
25
30
35
40
45
50
55
LOSS/DAMAGE PLACE
Place where loss/damage occurred:
(a)Were premises occupied?:
(b)By Whom?:
If not occupied when last occupied?:
Purpose of occupation: e.g. Office Space
CAUSE OF LOSS/DAMAGE
Describe fully how the loss or damage occurred stating how (if applicable) entry was gained to the premises:
If loss/damage caused by another party give name and address:
PREVIOUS LOSS/DAMAGE
Have you previously suffered a loss/damage?:
If so, give details:
If insured, provide name of insurer:
POLICE
Police Station:
Reference Number:
Date Reported:
OTHER INTEREST
Has any other party an interest in the insured property, e.g. Credit agreement:
If so, give name and interest:
OTHER INSURANCE
Is there any other insurance covering this loss?:
If so, give name of insurers:
VALUE
Estimated total of all the property, insured under the policy:
When last valued?:
PAYMENT METHOD
Name of bank:
Account Holder:
Branch Code:
Type of account:
Account number:
DECLARATION
I/We solemnly declare that I/we have suffered loss of or damage to the property enumerated and that the said property was in/my possession immediately prior to the said loss/damage which occurred in the circumstances described above.
Signature:
QTY
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Date Acquired
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Amount Claimed
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