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Claims

Resources

Support

KYC Company

KYC Profile Form (Company)

Welcome to Pioneer's Download section. Here you'll find our Claim Form, KYC & Proposal Form.

Company KYC Form

Have you received a copy of the registration certificate?
Has a copy of the Trade license (if applicable) been received?
Has a copy of the E-TIN (if any) been received?
Premium payment method
Beneficial Owner of the Policy:
In case of a company, details of the controlling shareholder and 20% or more sole shareholder
Name
Relation
Risk assessment of the policyholder institution

INSTRUCTIONS FOR COMPLETION OF THIS FORM

মন্তব্য অংশে বিষয়ীভেদমূলক (subjective) বিবেচনায় পলিসি গ্রহীতা প্রতিষ্ঠানের ঝুঁকি সম্পর্কে আলোচনাক্রমে মন্তব্য করতে হবে। প্রতিষ্ঠানের ঝুঁকি নিরূপণের ক্ষেত্রে ব্যবসায়ের প্রকৃতি, অর্থের মাত্রা, ব্যবসায়ের এলাকা, ব্যবসায়ের আকার, হিসাবের প্রকৃত সুবিন্যস্ততা যথাযথসহ অন্যান্য বিশেষ দিক বিবেচনায় নিয়ে উচ্চ বা নিম্ন ঝুঁকি সম্পন্ন হিসেবে শ্রেণীকরণ করতে হবে। উচ্চ ঝুঁকিপূর্ণ হলে নিয়মিত তদারকি করতে হবে।

In the comments section, subjective judgment must be applied to discuss the risks associated with the policyholder’s institution. When assessing risk, factors such as the nature of the business, amount of funds, business location, business size, the accuracy and organization of financial records, along with other relevant considerations, should be evaluated to classify the institution as high-risk or low-risk. If the institution is identified as high-risk, regular monitoring must be conducted.

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Headoffice

Rangs Babylonia (5th Floor),
246 Bir Uttam Mir

Shawkat Sarak,

Tejgaon, Dhaka-1208,

Contact

Tel: 02226603484-91, 16684(H)

Fax: 02226603496

M: piclho@pioneerinsurance.com.bd

The information on this website is for general purposes only and is not a substitute for professional advice. Pioneer Insurance PLC (“Pioneer Insurance”) strives for accuracy but does not guarantee the completeness or reliability of the content. Insurance products and services are subject to specific terms, conditions, and eligibility requirements, which may vary. All applications for insurance are subject to underwriting approval. We are not responsible for third-party websites linked to this site. By using this website, you agree to the terms and conditions, and any disputes will be governed by the laws of Bangladesh.

'AAA' Rating for 9th Consecutive Year

© 2025 Pioneer Insurance PLC. All rights reserved. No part of this website may be reproduced without prior written permission from Pioneer Insurance.

Privacy Policy

Legals

Get an insurance

quote to get started!

Contact us today to experience the difference of working with a trusted insurance provider.

Caring for you, forever

Headoffice

Rangs Babylonia (5th Floor),
246 Bir Uttam Mir

Shawkat Sarak,

Tejgaon, Dhaka-1208,

Contact

Tel: 02226603484-91, 16684(H)

Fax: 02226603496

M: piclho@pioneerinsurance.com.bd

The information on this website is for general purposes only and is not a substitute for professional advice. Pioneer Insurance PLC (“Pioneer Insurance”) strives for accuracy but does not guarantee the completeness or reliability of the content. Insurance products and services are subject to specific terms, conditions, and eligibility requirements, which may vary. All applications for insurance are subject to underwriting approval. We are not responsible for third-party websites linked to this site. By using this website, you agree to the terms and conditions, and any disputes will be governed by the laws of Bangladesh.

'AAA' Rating for 9th Consecutive Year

© 2025 Pioneer Insurance PLC. All rights reserved. No part of this website may be reproduced without prior written permission from Pioneer Insurance.

Privacy Policy

Legals

Get an insurance

quote to get started!

Contact us today to experience the difference of working with a trusted insurance provider.

Caring for you, forever

Headoffice

Rangs Babylonia (5th Floor),
246 Bir Uttam Mir

Shawkat Sarak,

Tejgaon, Dhaka-1208,

Contact

Tel: 02226603484-91, 16684(H)

Fax: 02226603496

M: piclho@pioneerinsurance.com.bd

The information on this website is for general purposes only and is not a substitute for professional advice. Pioneer Insurance PLC (“Pioneer Insurance”) strives for accuracy but does not guarantee the completeness or reliability of the content. Insurance products and services are subject to specific terms, conditions, and eligibility requirements, which may vary. All applications for insurance are subject to underwriting approval. We are not responsible for third-party websites linked to this site. By using this website, you agree to the terms and conditions, and any disputes will be governed by the laws of Bangladesh.

'AAA' Rating for 9th Consecutive Year

© 2025 Pioneer Insurance PLC. All rights reserved. No part of this website may be reproduced without prior written permission from Pioneer Insurance.

Privacy Policy

Legals