Household Contents Insurance Personal Information

Questionnaire

Personal information

Insurance details & payment

Summary

Household Contents Insurance

Insurance Provider: Adcuri

Plan

Premium

Living Space

99 m²

Sum Insured

69966 €

Glass Cover

Not included

10.84 €

130.08 € per year

Personal Information

First Name:

Last Name:

Gender:

Nationality:

Birthdate:

Postal Code:

City:

Street:

House Number:

Is the address above the one to be insured?

Yes No

Email Address:

Have you had household contents insurance in Germany in the past three years?

Yes No

Please answer this question.

Please fill in all required fields.