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Commercial Vessel Insurance Application Form
Your Personal Details
Name
Address
Day Time Phone Number
Fax Number
Email Address
Your Vessel Details
Vessel Name
Builder
Year Built
Length
Meters
Design of Vessel
Construction Material of Hull
Type of Engine/s
Manufacturer of Engine/s
Sum Insured
Size of Engine/s
HP
If vessel is a sailing yacht
Type of Rig
Number of Spreaders
Mast Construction
Mast Length
Metres
General Details
Use of Vessel
Survey Category
Is Vessel in survey to carry fare paying passengers?
Y/N
Number of fare paying passengers carried
Has the vessel been professionally built?
Y/N
Where is the vessel kept
Home Port
Have you submitted any insurance claims in the last 5 years?
Y/N
Ever had any insurance refused or cancelled?
Y/N
Been convicted of any criminal offence in the last 5 years?
Y/N
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