Private Pleasurecraft 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 Mast Construction
Number of Spreaders Mast Length Meters
Is racing required ? Y/N Max Distance required for one race NM


General Details
Has the vessel been professionally built? Y/N
Where is the vessel kept
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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