Yachts Insurance Form

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Jachtų draudimas

Galite atsisiųsti jachtos siūlomo draudimo formą pdf, odt arba doc formatuose. Prašome atsidaryti formą, užpildyti ją ir išsiųsti ją elektroninio pašto adresu:
office@marine-broker.com

Naudingos nuorodos

Nautima Insurance
Pantaenius Insurance
Yachts sale and purchase
Baltic Open Regatta
Baltsails
Sailing Latvia
Baltic ports map

Naudingi dokumentai

Žemiau galite atsisiųsti failus PDF formate:

please, fill in form in english only, fields marked * required

1. Owner Details

Name:

Surname:

Personal ID:

Address:

Telephone:

e-mail:

Also the yacht will be steered by
(name, surname, ID):

2. Mortgage Details

Name:

Address:

3. Yacht's Parameters

Name:

Manufacturer:

Flag:

Model/Type:

Year of Build:

Sail Area:

Lenght:

Breadth:

Hull Material:

Engine:

Hull Reg.No.:

Engine No.:

Winter Location:

Engine Power:

Summer Location:

Engine Type
(diesel/petrol):

Navigation Region:

Yachts Value:

Value of
outboard engine:

Personal effects:

Trailer:

Start of cover (date):
Claim for the last 3 years:

Comments or special remarks:

I hereby confirm all information provided is correct.