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The rates & regulations of Tariff Advisory Committee's All India Fire Tariff (The property proposed for insurance is not covered until the proposal is accepted and premium paid) OFFICE DETAILS Branch office Code Broker/Agent Name Code PROPOSER DETAILS 1. Name of the Proposer Plot No/Door No. Building Name Road Area City Pincode District State Phone 2. Address of the Proposer E-mail Id 4. Financial interests 1. 2. 3. 4. 5. 6. 7. 8. 5. Coinsurance Details Building Name Area.

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