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MOTOR INSURANCE
Compulsory Third Party Liability Insuranceu0026nbsp;(CTPL)
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Contact Us for Quality Services andu0026nbsp;Partnerships
Marine Land Transit – Annual Cover
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Thank you for your response. ✨
INSURED NAME
(required)
COMPLETE ADDRESS
(required)
TELEPHONE NUMBER
(required)
EMAIL ID
(required)
CONTACT PERSON
(required)
MOBILE NUMBER
(required)
DETAILS OF BUSINESS ACTIVITY
(required)
DESCRIPTION OF GOODS
(required)
BRAND NEW
SECOND HAND
FRAGILE
OTHERS
IF OTHERS, PLEASE CLARIFY DESCRIPTION AND GOODS
(required)
DESCRIPTION OF PACKING
(required)
CONTAINERIZED
NON-CONTAINERIZED
DETAILS AND REGISTRATION NUMBERS OF OWNED VEHICLES AND TYPE OF VEHICLES
(required)
IF TRANSPORTED BY LAND, PLEASE PROVIDE NAME OF TRANSPORTER
ADDRESS OF TRANSPORTER
TELEPHONE NUMBER OF TRANSPORTER
DOES THE TRANSPORTER HAVE HAULIER’S LIABILITY INSURANCE POLICY?
YES
NO
IF YES, PLEASE PROVIDE HAULIER’S LIABILITY INSURER AND POLICY NUMBER
GEOGRAPHICAL AREA
(required)
ESTIMATED ANNUAL CARRYINGS
(required)
MINIMUM VALUE PER SHIPMENT
(required)
MAXIMUM VALUE PER SHIPMENT
(required)
BASIS OF VALUATION
(required)
COVER OR RISKS TO BE INSURED AGAINST
(required)
Land Transit Clause (Ordinary) Only
LOSS RECORD FOR THE PAST 3-5 YEARS
(required)
OTHER DETAILS OR ANY SPECIFIC REQUIREMENTS, PLEASE CLARIFY
We hereby declare that the statements made by us in this online questionnaire are, to the best of our knowledge and belief, complete and true and we hereby agree that this online questionnaire forms the basis and is part of any policy issued in connection with the above proposed risks.
(required)
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