ROCS Group – One Group

New York: 5:29 am | Malta: 11:29 am | Sydney: 7:29 pm

Passport number
ID card number
Name
Surname
Telephone Number
Mobile Number
Workplace Telephone Number
Email address

Details of property to be insured
House Number/Name
Street
Town
Post Code

What is the sum to be insured based on the rebuilding cost of your property? This must represent the rebuilding cost not the selling / market price.


Details of the contents of the property to be insured
What is the sum insured of all your contents?


What is the current amount of valuables included in the above question? (No one Single valuable item must be worth more than Lm 1,000)


Personal Belongings including valuables items
Would you like to cover specified personal belongings including valuables?	Yes	No

Other Information
Do you have other policies through ROCS Co. Ltd or with Middlesea Insurance p.l.c?
Yes	No

Are you a shareholder of Middlesea Insurance p.l.c?
Yes	No

Additional notes/comments

	Development House, St. Anne Street, Floriana. FRN9010	ROCS House, 19-23,Main Street, Mellieha MLH2310
	T: +356 2152 4123 F: +356 2152 3869 E: insurance@rocsgrp.com

Home About ROCS Group Careers Legal Contact Us Site Map		insurance invest travel media retail property
Copyright ©2008 ROCS Group Ltd. All Rights reserved		designed and developed by: