Summary & Confirmation HCI

Summary and Confirmation

Personal Information

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Insurance Details and Payment

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Summary

Household Contents Insurance

Insurance Provider: Adcuri

Plan

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Living Space

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Sum Insured

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Glass Cover

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Start Date

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Personal Information

First Name:

Last Name:

Gender:

Nationality:

Birthdate:

Email:

Previous Household Insurance:

Street:

House No.:

Postal Code:

City:

Insured Address Same as Current:

Insured Street:

Insured House No.:

Insured Postal Code:

Insured City:

Payment Information

IBAN:

BIC:

Bank Name:

Payment Frequency:

I confirm that I have received and reviewed the insurance conditions, General info & data protection, Notice §19(5) VVG, Consent to Email contact and Important notes. By providing payment details and confirming payment, you authorise Barmenia (parent company of Adcuri) to collect payments via direct debit.

Please confirm you have reviewed the documents and authorised payment.