Marine Cargo – Individual Cover ← BackThank you for your response. ✨ INSURED NAME(required) CONTACT PERSON(required) MOBILE NUMBER(required) EMAIL ID(required) COMPLETE ADDRESS (required) DESCRIPTION OF GOODS(required) BRAND NEW SECOND HAND FRAGILE OTHER IF OTHERS, PLEASE CLARIFY(required) DESCRIPTION OF PACKING(required) CONTAINERIZED NON-CONTAINERIZED TYPE OF CONVEYANCE(required) BY VESSEL BY AIR BY LAND DETAILS OF VESSEL OR AIR CONVEYANCE 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 DATE OF VOYAGE (FROM) (YYYY-MM-DD)(required) DATE OF ARRIVAL (TO) (YYYY-MM-DD)(required) SAILING DATE (YYYY-MM-DD) SUM INSURED(required) BASIS OF VALUATION(required) CIF + 10% C&F + 10% FOB + 20% EX-WORKS + 20% OTHERS IF OTHERS, PLEASE SPECIFY COVER OR RISKS TO BE INSURED AGAINST(required) ICC (A) + War & SRCC (Sea) ICC (C) + War & SRCC (Sea) ICC (C)+ND War & SRCC (Sea) Total Loss Only (Sea) ICC (AIR)+War & SRCC Airfreight (Ordinary) Only All Risks Land Transit + War on land Land Transit Clause (Ordinary) Only PLEASE PROVIDE CLIENT LOSS RECORD FOR THE PAST 3-5 YEARS(required) OTHER DETAILS 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) Submit Δ Share this:Tweet Share on WhatsApp (Opens in new window) WhatsApp More Email a link to a friend (Opens in new window) Email Like Loading...