Your Progress

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Your Details

Please answer ALL questions. (Those marked with a * are mandatory)

Are you a private owner or a company representative?

Private owner Company representative

Company Name *

Title

Specify Title *

First Name *

Last Name *

Address *

Nationality *

Contact Number

Your Email *

Date of Birth *

Occupation

Boating Experience (years)

Relevant Qualifications

Boat Details

Please answer ALL questions. (Those marked with a * are mandatory)

Name of Vessel

Type or Class *

Make and Model

Construction Material

Specify Material

Country of Registration / Flag

Year Built *

Is vessel a conversion *

Yes No

Conversion Details *

Length

Date boat purchased *

Price paid *

Currency * Other Currency

Specify Currency *

Engine and Cruising Area

Please answer ALL questions. (Those marked with a * are mandatory)

Make and Model (engine)

Power (HP) Fuel, Year, and serial number for outboard engines. Theft cover for outboards will not apply without a serial number.

Are outboards permanently locked to transom or stored in locked premises when not in use?

Yes No

Maximum designed speed of vessel (Knots)*

(If over 17 Knots please note the contents of the speed boat clauses)

Cruising Area *

Mooring

Please answer ALL questions. (Those marked with a * are mandatory)

Where is the vessel moored *

Type of mooring *

Vessel laid up from

Vessel laid up to

Where is the vessel laid up

Is the vessel laid up ashore or afloat

Ashore Afloat

Sums Insured

Please answer ALL questions. (Those marked with a * are mandatory)

Please enter whole numbers only, no commas or decimals (e.g. for £8,945.15, please enter 8945, or a 0 (zero) if not required.

Select your currency * Other Currency

Specify Currency

Hull/Machinery/Gear/Equipment only *

Tender/Dinghy/Liferaft

Outboard Motor

Trailer

Personal Effects (Maximum £250 (or equivalent currency) any item unless specified)

Navigation Equipment (Maximum £250 (or equivalent currency) any item unless specified)

Mast/Spars/Sails/Standing and Running Rigging (If racing risk required)

Total (excluding Third Party Liability level)

0%

Your Details

Boat Details

Engine and Cruising Area

Safety

Mooring

Cover Required

Sums Insured

Supporting Documents

Additional Information & Declarations