Marine Cargo Insurance

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Name of Assured

Address

Contact Number

Cargo Details

Policy Type

Nature of Business

Full Description of Cargoes

What are the security measures to protect the cargo during shipment

Amount of cargo per shipment/per truck

Annual Aggregate Limit

Term of Insurance

Frequency of shipment per truck

Annual Carrying Turnover

No. of Trucks to be used during shipment (owned, leased or hired trucks)

Other Informations

Sum Insured

Estimated Time of Departure (ETD)

Estimated Time of Arrival (ETA)

Name of Vessel and full description of trucks to be used

Sales / Commercial Invoice / Bill of Lading and Packing List (if any)

Cargo Description

Are all cargoes of brand new units

Please provide breakdown

Usual Route

Port of Origin

Port of Destination

Final Destination

Mode of Transportation

No. of Trucks to be used during shipment (owned, leased or hired trucks)

Limit per Truck

Make

Type

Plate Number

Motor Number

Serial Number

Name of Vessel

Name of Aircraft

Mode of Packing

Others (Please specify)

Other Details

Mortgagee

Previous Insurer

Note: Please provide the previous and outstanding claims record including details for the past five (5) years of operation

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Marine Cargo Insurance

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