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3 GREAT REASONS TO CONTACT EXPAT:
1.
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broker- answering to our clients in accordance with our
code of conduct
2. Over 40 years of
local knowledge
.
3.
Personal service
- faceless business is not good business.
Marine Insurance
Please fill in the following form and submit to us,
our professional Technical Representative will contact you within 24 hours.
Please note that until you receive confirmation from our
Technical Representative, you will not be insured.
Contact Details
First Name:
Mr.
Ms.
Mrs.
Last Name:
HKID or Passport:
Email:
Contact No:
Mobile No:
Fax No:
Contact Address:
Vessel Details
Name of Vessel:
Type of Vessel:
Make & Model of Vessel:
Vessel Length:
(mtrs/ft)
Beam:
(mtrs/ft)
Hull Material:
Year of Manufacture:
Date of last Survey:
Type of Engine:
Inboard
Outboard
Number of Engines:
1
2
3
4
Make & Model of Engines:
Are any of the engines turbo charged?
---
Yes
No
If so how many:
1
2
3
4
Total Engine Horse Power:
Type of fuel used:
Petrol
Diesel
Maximum Vessel speed:
(knots)
Does the Vessel need dinghy cover?
---
Yes
No
Number of fire
extinguishers on board:
Type of extinguisher:
Mooring location
in Hong Kong:
How many months of the year will the Vessel be used for sailing?
---
1
2
3
4
5
6
7
8
9
10
11
12
Do you require water skiers liability?
---
Yes
No
Will the Vessel be used for racing, if yes is and extension in needed?
---
Yes
No
Do you want cover for mast spars, sails and rigging whilst racing?
---
Yes
No
If so, please state value:
Area of navigation:
Hong Kong waters
Hong Kong and Macau waters
Other:
Insurance Coverage
Type of cover required:
Comprehensive
Third Party Liability
Required coverage on
hull and machinery:
Vessel purchase
price & year:
Required coverage for
third party liabilities:
Is the Vessel under mortgaging/financing?
---
Yes
No
If "Yes", with who:
Do you qualify for any no claims discount?
---
Yes
No
If you have answered "Yes",
please state how much and insurer:
Will the Vessel be chartered?
---
Yes
No
If chartered will it be?
Skippered
Unskippered
Maximum number of
people allowed
onboard:
Previous Insurer:
Proposers Information
Number of years
experience as a skipper:
Do you ever sail alone?
---
Yes
No
Have you claimed on marine insurance before?
---
Yes
No
Have you been declined insurance?
---
Yes
No
If you have answered "Yes" to any of the
above two questions, please state when and why:
Declaration
I/We warrant that the above statements are true in every respect and no material facts have been withheld or suppressed. I/We further warrant that if such statements and particulars given in writing have been completed by persons other than the proposer he/she shall be deemed to have been the agent for the purpose of filling in the proposal. I/We agree that this declaration shall from the basis or the contract between me/us and the Insurance Company.
By clicking the 'Submit' button,
you are accepting the terms and conditions of this website.
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