Qatar Islamic Insurance Company

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Basic

Choose Plan

Additional Details

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Insured Info

Branch

Insured Type

Source Type

Partner Code

Customer Code

Payment Category

Home property details

Qatar/Company ID

Insured Value of home ( QAR)

Select Home materials & contents

Select Home materials & contents

Insured Value of contents ( QAR)

Insured Value of Jewellery ( QAR)

Promo Code

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Information

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Reference No :

Select Your Plan

Information

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Reference No :

Product :

Sum Insured(QAR) :

Commission(QAR) :

Deductible (QAR)

Insured Info

Insured Name

Mobile Number

P.O Box

Email Address

Policy Start Date

Policy End Date

Insured Name Arabic

Nationality

Occupation

Qatar/Company ID Expiry Date

Date of birth

Address

Property Details

Building Type

Building/Flat Name

Zone

Location/City

Street Number

Building/Flat No

Mortgage Bank

Risk Description

Document Upload

Qatar Id

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Information

Fields in red color are mandatory

Reference No :

Premium (QAR) :

Product :

Value(QAR) :

Insured Age :

Code	Name

Code	Name