Crop - Open field Quotation

Personal Details

Insurance Company

First Name / Corporate Name

Last Name

Mobile No.

Email Address

Which FBBI branch do you want to be served from?

Period of Insurance

Insurance Start Date

Insurance End Date

Describe your business or occupation

Farm Details

Location Details

LR No.

Village

Town

County

No of Years of Farming Experience of Proposer

Crop Details

Type of Crop

Variety

Past historical production

Year

Production per acre

Unit of measure

Add

Long Term Average Yield per year:

Planting Date

Harvesting Date

Area(in acre)

Planting Distance in cms (Plant to Plant)

Planting Distance in cms (Between Rows)

Agreed price per unit of measure

Age (for perennial only)

Market Supplied

Local

Export

Rate

Did you suffer from any loss in the past 10 years?

Year

Crop

Area Planted (In Acre)

Area Destroyed (In Acre)

Cause/Perils

Please Specify(In case of other selected)

Remove

What do you consider to be the biggest threat to your crops?

Is there any active risk management implemented in the farm?

Perils

1. Fire

2. Pests

3. Disease

4. Hail

5. Excess Rainfall

6. Windstorm

7. Drought

8. Frost

Do you wish to indicate beneficiaries for your estate?

The liability of the Company does not attach until the proposal has been accepted, post germination inspection done by an appointed and approved agronomist and the premium paid.