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MOTOR INSURANCE
Compulsory Third Party Liability Insuranceu0026nbsp;(CTPL)
Proposal Forms
FAQ
Contact Us for Quality Services andu0026nbsp;Partnerships
Marine Hull
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Thank you for your response. ✨
COMPANY NAME
(required)
COMPANY COMPLETE ADDRESS
(required)
TELEPHONE NUMBER
(required)
EMAIL ID
(required)
CONTACT PERSON OF THE COMPANY
MOBILE NUMBER OF THE CONTACT PERSON
(required)
DETAILS OF SHIP MANAGEMENT
(required)
SHIP MANAGEMENTS COMPLETE ADDRESS
(required)
SHIP MANAGEMENTS – CONTACT DETAILS
(required)
CONTACT PERSON
(required)
MOBILE NUMBER
(required)
NAME OF VESSEL
(required)
EX-NAME
(required)
TYPE OF VESSEL
(required)
CLASS
(required)
ISM CODE
(required)
YES
NO
GROSS TONNAGE
(required)
FLAG
(required)
IMO NUMBER
(required)
YEAR OF BUILT
(required)
NET TONNAGE
(required)
PORT OF REGISTRATION
(required)
SELF-PROPELLED
(required)
YES
NO
TRADING AREA TO WHICH VESSEL IS PUT INTO OPERATION
(required)
NAME OF CAPTAIN AND YEARS OF EXPERIENCE
(required)
NAME OF CHIEF ENGINEER AND YEARS OF EXPERIENCE
(required)
NO. OF CREW MEMBERS
(required)
NAME OF PREVIOUS INSURER
(required)
NAME OF P&I CLUB
(required)
LOSS RECORD OF THIS VESSEL FOR THE LAST 5 YEARS OR AT LEAST 3 YEARS
(required)
VALUE OF VESSEL TO BE INSURED
(required)
REQUIRED PERIOD OF INSURANCE (FROM)
(required)
YYYY-MM-DD
REQUIRED PERIOD OF INSURANCE (TO)
(required)
YYYY-MM-DD
Select one
(required)
Select an option
HULL AND MACHINERY AS PER CLAUSE 280
TOTAL LOSS + COLLISION + GENERAL AVERAGE + SALVAGE CHARGES + SUE & LABOR (CL. 284)
TOTAL LOSS ONLY INCLUDING SALVAGE CHARGES AND SUE AND LABOR AS PER CLAUSE 289
P&I CLUB LIABILITY
Select one
(required)
Select an option
NEW OPERATION
1-5 YEARS
5-10 YEARS
OVER 10 YEARS
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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