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Marine Hull Third Party Liability
Marine Hull Third Party Liability
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PERSONAL DETAILS
Applicant Name:
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Business:
Fax Number:
Mobile Number:
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Email Id :
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Contact Person:
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Phone Number :
Address:
Avenue Number :
MARINE HULL INFORMATION
Policy From Date:
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Owner Name:
*
Place of Construction:
*
Type of Construction:
*
Wooden
Steel
Fibre Glass
Make & No of Engines:
Over All Length:
*
Third Party Liability Limit:
*
Geographical Limits :
*
Policy To Date:
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Name of SS / MV / Boat:
*
Year of Construction:
*
Registration Number:
*
H.P:
Tonnage:
Purpose Of Vessel Used :
*
Pleasure
Commercial
Sum Assured:
*
10,000 K.D
30,000 K.D
50,000 K.D
100,000 K.D
CHARGES DETAILS
Charges Details
S.No
Charges Description
Mandatory / Optional
Charges
1.
Policy Fees
Mandatory
1.500 K.D
SECURITY CODE
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