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RUPEES ONLY. 1. Proposer s Details Proposer s Full Name: Name of Financing Bank: Full Business (Shop ) Address: Godown Address : Pin code: Telephone No: Mobile No: E-mail address: Date on which insurance is to commence: From To Whether Cover Required required Description of Property Insured Sum Insured in INR Section 1- Shop Cum Godown a) Building (Of Class A Construction only) b) Contents within Shop-cum-godown (Excluding Money & Valuables) i) Stock in Trade ii) Furniture, Fixtures & Fitti.

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