Marine Cargo Insurance

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Marine Cargo Insurance
Policy Type
Do you want to *
Want To Callback
General
Name of Assured *
Contact Person
Address1
Address2
City
State/Province
Country
Zip/Postal Code
E-mail *
Phone No. *
Nature of Business *
Others
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 *
Via/Transhipment
From-City
To-City
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