Particulars of Insured
Name: Age:
Gender: NRIC No.:
Occupation: Contact No:
Employer:
Address:
Postal Code:
Email address:
Driving Licence/Cert No:
Years of Experience:
Particulars of boat
Vessel's name:
Registration No:
Type of craft: Gross Tonnage:
Make & Model:
Dimension: Maximum Passenger Capacity:
Territorial Limits:
Mooring/Storage Place: Year Built:
Particulars of engine/outboard motor
Model/Type:
Power Hp/kw: Year of Manufacture:
Particulars of covers required
Period of Insurance: From to
Market value of hull and equipment to be insured: S$
Market Value of engine/outboard motor: S$
Types of coverage:
| Motor | Motor Coverage | Motor Premium | Different Car Types | Motor Exclusions | Motor Product Page | Marine | Marine Coverage | Marine Exclusions | Marine Cargo Product Page | Contact |