INSURANCE QUOTATION
Please complete all relevant sections of this form.
Policyholder Details
Full Name:
Natural Person (if applicable)
Passport Number (or ID Number for Cypriots):
Date of Birth:
Legal Person (if applicable)
Registration Number:
Date of Incorporation:
Country of Incorporation:
Ancoria Life Policy Details
The Ancoria Life Policy is a single premium policy, with an option for regular premium payments.
Please indicate the premium frequency below, by filling the applicable table(s).
Premium Payment Currency:
EUR
SEK
Single Premium Payment (if applicable)
Add row
Amount
Currency
Fund
(Select fund)
Ancoria Asia Consumer Fund
Ancoria Balanced Fund EUR
Ancoria Conservative Fund EUR
Ancoria EUR Interest Account
Ancoria Emerging Markets Debt Fund
Ancoria Emerging Markets Equity Fund
Ancoria Global Equity Fund EUR
Ancoria Growth Fund EUR
Ancoria/Carnegie Asia
Ancoria/Carnegie Corporate Bond
Ancoria/Carnegie Small Cap Fund
Ancoria/Carnegie Strategy
Ancoria/Carnegie Sweden
China
Commodity
Europe Fund
Global Growth
High Dividend Sweden
India
Japan
Model Portfolio Aggressive
Model Portfolio Balanced
Money Market Fund EUR
Money Market Fund GBP
Money Market Fund SEK
Money Market Fund USD
Real Estate
Savings Fund
Thailand
USA
Regular Premium Payment (if applicable)
Add row
Amount
Currency
Payment Frequency
Fund
Annually
Semi-annually
Quarterly
Monthly
(Select fund)
Ancoria Asia Consumer Fund
Ancoria Balanced Fund EUR
Ancoria Conservative Fund EUR
Ancoria EUR Interest Account
Ancoria Emerging Markets Debt Fund
Ancoria Emerging Markets Equity Fund
Ancoria Global Equity Fund EUR
Ancoria Growth Fund EUR
Ancoria/Carnegie Asia
Ancoria/Carnegie Corporate Bond
Ancoria/Carnegie Small Cap Fund
Ancoria/Carnegie Strategy
Ancoria/Carnegie Sweden
China
Commodity
Europe Fund
Global Growth
High Dividend Sweden
India
Japan
Model Portfolio Aggressive
Model Portfolio Balanced
Money Market Fund EUR
Money Market Fund GBP
Money Market Fund SEK
Money Market Fund USD
Real Estate
Savings Fund
Thailand
USA
Submit