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    PERSONAL DATA

    Name*

    Telephone*

    Email*

    Activity*

    Address*

    Type of house*

    Surface in m2*

    Year of construction*

    Number of workers*

    Number of refrigerating chambers*

    CAPITAL TO ASSURE

    Continent Value*

    Value Content*

    Furniture*

    Machinery*

    Stocks*

    CHARACTERISTICS

    Reinforced door*
    SiNo

    Alarm*
    SiNo

    Storefronts with bars*
    SiNo

    Windows with bars*
    SiNo

    Others*

    Comments*

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