Boubyan Takaful Insurance Company

Applicant Name:*

Business:

Fax Number:

Mobile Number:*

Email Id :*

Contact Person:*

Phone Number :

Address:

Avenue Number :

MARINE HULL INFORMATION

Policy From Date:*

Owner Name:*

Place of Construction:*

Type of Construction:*

Make & No of Engines:

Over All Length:*

Third Party Liability Limit:*

Geographical Limits :*

Policy To Date:*

Name of SS / MV / Boat:*

Year of Construction:*

Registration Number:*

H.P:

Tonnage:

Purpose Of Vessel Used :*

Sum Assured:*

Charges Details
S.No	Charges Description	Mandatory / Optional	Charges
1.	Policy Fees	Mandatory	1.500 K.D

Validation Code:

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