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Applicant Details

Beneficiaries

Insurance Details

Local Insurer Responses

Supporting Evidence

Declaration

Format: XX-XXXXX-X-X
Please provide a name.
Please provide a valid percentage.
Please select a country.
Please provide an address.
3% of Gross Premium
Please provide a valid percentage.
Percentage of Sum Insured that is applicable to Fire Service Levy
0.06% of Sum Insured
Applicable only to Material Damage and Business Interruption covers only

Please upload responses from the local insurers.

DOC, DOCX, JPEG, JPG, PDF and PNG files are allowed up to 12MB each

Your insurance contract is to be arranged or effected wholly or partly with an unlicensed offshore insurer that is not licensed under the Insurance Act 1998 to conduct insurance business in the Fiji Islands. Such insurers are not subject to the provisions of the Insurance Act and are not supervised by the Reserve Bank of Fiji.

It is a matter for your consideration whether you should obtain further information from the insurance intermediary involved, on such matters as:

  1. the name and postal address of the insurer;
  2. country of incorporation of the insurer and whether that country has a scheme of financial supervision of insurers;
  3. paid up capital of the insurer and its financial position; and
  4. which country's laws will determine disputes under the contract.
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