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Personal Details

Policyholder's Name:

NIE number:

Street address:

ZIP code:

Contact Telephone:

Email:

Details of the property:

Square Meters: (Including Terrace)

Year of construction:

Location:

Use of residence:

Type of property;

Is there any wood in the structure of the building:

Security: Bars on the windows Security door Alarm system Security guard

Value of Contents:

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