NSIA Insurance

BUY PUBLIC LIABILITY Policy

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Instructions
1. Please fill the form fields and upload all the necessary documents.
2. You will be required to pay a certain amount based on your sum insured and other factors that will form your premium.
3. Upon successful payment of premium, Policy Documents and certificates are automatically generated and sent to you via email.
4.Kindly check your spam/junk email inbox as well.
5.Please note: Upload file limit is 1MB.

Personal Information

Company Name *

Address *

RC Number

E- mail address *

Mobile No *

Means Of Identification Number of One Director *

Utility Bill *

Name of Agent

Insurance Details

Limit Per Occurrence *

Aggregate Limit *

Nature Of Job *

Premium*

Frequency of payment

Upload Requirements

Means Of Identification*

Utility Bill*

The data collection may be via hard copies or online forms, validated via JSON WEB TOKEN (JWT). The data will not be accessed by any third party without your consent and any breach of this Policy can be addressed legally within the year the breach was reported.