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This type of insurance covers the assured’s animal in the event of death of any such animal as a result of any accident, illness or disease manifesting itself, during the policy period as per terms & conditions but not exceeding the limits specified in the Schedule in respect of such animal.

This insurance covers cows, sheep, goats and camels against the following risks:

Mortality, diseases and accidents

Robbery in the case of closed farms)

Abortion (Subject additional premium)

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Your Resident Country *

Your Resident Currency *

Corporate Information

Company Name *

Activity Of The Company *

Title*

First Name*

Last Name*

Occupation *

Mobile *

Email *

Address *

Website

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Description of the farm site insurance topic

Owner address

Farm address

Name and address of tenant

Name

Address

Live Stock Data

Number of stables / fields and number of animals

The value of the animal

The total value of animals per cylinder

Remarks

We hereby acknowledge and confirm that all the submitted data above are correct and We did not hide any information related to the risk to be insured. And We authorize Brokerage Insurance Brokerage in executing this insurance request with the concerned insurance company and facilitate the policy issuance, renewals and claims follow-up and communicate specific information about us and our account to third parties if needed, in accordance with the privacy policy. We also accept that this insurance application and approval be the basis of the contract and an integral part of the insurance policy.