1. Full Name: *
2. Father's Name: *
3. Date of Birth: *
4. AFM: (Greek Tax Number) *
5. Passport Number: *
6. Nationality:
7. Place of Birth:*
8. Profession: *
9. Contact Number: *





Address of the property to cover

10. Street name and number: *
11. Postcode: *
12. Area: *
13. City *





Communication address (if it's the same as above please leave this blank)

14. Street Name and Number
15. PostCode
16. City
17. Are you the owner of the property or renting? OwnerRenting
18. When was the house built?
19. Please state the square meters of the MAIN building
20. Is it an apartment in an apartment block or a detached house?BlockDetached House
21. If it's an apartment, please state the floor:
22. Detached house – how many floors?
23. Was the property built with a legal permit?YesNo
24. Do you live there permanently or is it a holiday house?PermanentlyHoliday House
25. If you are away for more than 90 consecutive days please state the name and number of a person or a maintenance company who will be checking your property in your absence (they will only be contacted in case of a claim)
26. Do you have a pool, storage shed or garage outside:YesNo
27. Pool (please state the square meters)
28. Storage shed (please state the square meters)
29. Garage (please state the square meters)
30. Insurance capital required for the building (Euros) :*
31. Insurance capital required for the contents (Euros) :*
33. The house is made of... * ConcreteStoneConcrete with stone fittingMetalWoodOther
34. Where there any damages in the property in the last 5 years? If yes, please specify dates and description of the damageYesNo
35. When you would like the cover to start?
36. Please mention anything that you would like us to know and cannot be incuded in the fields above:
37. Payment method Bank deposit - Cashe-Banking payment from a Greek bank accounte-Banking payment from an international account (+4 Euros fee)

Please state the name and details of at least two people in Greece who we can get in touch with in case of an emergency. Ideally, please choose people not living with you

38. Name No.1:
39. Name No.2:
40. E-mail No.1:
41. E-mail No.2:
42. Telephone No.1:
43. Telephone No.2:






44. Upload your photos here
    
    

Signature: