Property Property Quotation Form Please enable JavaScript in your browser to complete this form.Property Quotation FormSourceReferral PartnerClientSource Name *FirstLastCodePersonal InformationFull Names *FirstLastID NumberMarital StatusSingleMarriedDivorcedWidowedCohabitingGender MaleFemaleContact NumberOccupationEmail *Physical AddressAddress Line 1Address Line 2CityState / Province / RegionPostal Code--- Select country ---AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryProperty InformationWhich Options Best Describe What the Home Is Used For Private ResidenceHoliday HomeBusinessAirbnbSeasonal RentalRental Storage UnitFree-Standing YesNoThird ChoiceBurglar Proof or Security Gates?Burglar ProofSecurity GatesBurglar Proof and Security GatesAlarm System Linked to Armed ResponseAlarm not linked to Armed ResponseNo AlarmFull Time Security YesNoAccess Control?YesNoFence Or Wall Around?FenceWall AroundOpenElectric Fence/ Razor Wire/ Barb Wire? Electric FenceRazor WireBarb WireNone of the aboveRoof TypeTile RoofMetal RoofThatched RoofBricks type Clay bricksCement bricksStock bricksFace bricksFloor TypeConcreteTileWoodCarpetsLaminateVinylClose To River/Dam/Lagoon? RiverDamLagoonOpen FieldNone of the aboveOccupied During the Day?YesNoUnoccupied More Than 7 Working Days?YesNoUnoccupied More Than 3 Consecutive Months? YesNoDoes Your Home Have Any of The Following FeaturesSwimming Pool/s YesNoBorehole/s YesNoElectric Gate/s YesNoGas Stove/s YesNoGeyser/s (Non-Solar) YesNoSolar Geyser/s YesYes Than Physical (Non-Solar) Do You Have a Thatch Lapa? YesNoHas The Thatch Been Treated to Make It Fire ResistantYesNoDo You Have a Lightning Conductor YesNoIs There a Fire Extinguisher in The Lapa YesNoHow Big Is the House (In M2) Excluding the LapaHow Big Is the Lapa (In M2)Insurance HistoryCurrent Insurance Policy NoDate joinedDate EndedPrevious Insurance & DurationPrevious Accidents/Claims (Date)Previous Accidents/Claims (Amount)Additional NotesSubmit Bobo Financial Services (Pty) Ltd Registration No: 2023/982961/07. Is an Authorized Financial Services Provider- FSP#55311 Get a Quote
