• SHORT TERM INSURANCE

    Personal Lines Questionnaire
  • Privacy Statement

    In order to provide you with a quote, Netsure Financial Consultants has to process your personal information. Netsure Financial Consultants will share your personal information with other insurers, industry bodies, credit agencies and service providers. This includes information about your insurance, claims and premium payments. Netsure Financial Consultants does this to provide insurance services, prevent fraud, assess claims and conduct surveys. Netsure Financial Consultants will treat your personal information with caution and has put reasonable security measures in place to protect it.
  • PRE-QUOTE Questions:

    In order to provide quotes please complete
    • Personal & Contact Details 
    • PERSONAL & CONTACT DETAILS:

      Please Complete in Full
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      Pick a Date
    • Employment Information 
    • EMPLOYMENT INFORMATION:

      Please Provide details of your Employment
    • Insurance & Claims History (Required) 
    • EXISTING INSURANCE:

      Please Provide details of your Insurance History
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    • CLAIMS HISTORY:

      Please provide in full
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    • Browse Files
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    • Product Lines and Policy Information 
    • PRODUCT LINES AND POLICY INFORMATION:

      The more product lines you add the better the premium
    • Personal Motor 
    • PERSONAL MOTOR

      Car/Vehicle/Motorbike/Trailer & Caravan Insurance -Please Provide details in full
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    • Personal Household Contents 
    • PERSONAL HOUSEHOLD CONTENTS

      Household Contents Insurance - Please Provide details in full






    • Personal Building 
    • PERSONAL BUILDING

      Building Insurance - Please Complete Contents Section for Building Details - Insured property (at risk address as stated in the schedule)
    • BUILDING REFERS TO:

      The following, including: - Buildings (private residence and private outbuildings) - Fixtures and fittings belonging to the owner of the building while in or on the structures - Fixed recreational and ornamental structures - Paved and surfaced areas (including driveways) of brick, concrete, asphalt, synthetic grass or stone (not gravel) - Boundary and other walls, gate posts, gates (including all the machinery related to the gates), fences (other than hedges); - Tennis courts; - Swimming pools, spa baths, saunas and associated machinery and equipment, but not including movable swimming pools; - Satellite dishes; - Lightning conductors or masts; - Fixed electric generators; - Borehole machinery supplying water solely for domestic purposes; - Septic tanks. 



    • Personal All Risks 
    • PERSONAL ALL RISKS

      Portable Possessions - Please note that items that leave the house like cell phones, laptops, tablets, jewellery, electronic items and any other personal effects should be specified under the All Risks Section in order to be covered.
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    • Submit Request for Quote 
    • NETSURE FINANCIAL CONSULTANTS

      Thank you for choosing Netsure Financial Consultants to assist with your insurance needs. At Netsure, we pride ourselves in offering our customers responsive, competent and excellent service.
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