Marine Insurance India

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Policy Type
Do you want to *
Name of Assured * Contact Person
Address1 Address2
City State/Province
Country Zip/Postal Code
E-mail * Phone No. *
Nature of Business *
Commodity Details *
Other Commodity    
Commodity Type *
Transit Type
Inland Transit Overseas Transit
Cover Type *
Transportation Details
Mode of Shipment *
Containerised *
Packing *
Limit Per Consignment (Rs) *  
Transshipment *
Amount Insured *
Currency Type *
Other Details
Annualised Estimated Turnover  
Excess opted per Policy  
Insurance Claims for last 3 years % to premium
Year Losses* Paid* Outstanding Deductible applied?
Yes   Amount No
Yes   Amount No
Yes   Amount No
Term Of Cover (Basis Of Valuation) *
Add on Cover
Loading Cover
Liquid Cargo Container cover
Extension for storage risk at port (in Days)       
Tentative Rate you are looking for         
Insurance Companies preference, if any
Notes/Comments, if Any