Date of Birth
Sailing qualifications and experience.
The Yacht's Details
Name of the vessel
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Builder
Model
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Year built
Material
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LOA in Metres
Beam in Metres
Draft in Metres
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Make/model of Engines
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Number and HP of Engines
Max speed
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Where registered
Home Port
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Which Marina
On a mooring?
Yes
No
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If your boat lies on a mooring, please supply full details here, including location of the mooring and who is responsible for it's
maintenance.
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Cruising area
Do you race the yacht ?
Yes
No
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Is the vessel offered for charter ?
Yes
No
If yes to either of the above, please enter full details here.
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Value of the vessel including all equipment.
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Value of personal belongings.
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For how many years have you had continual yacht insurance?
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Have you had any claims in the last 4 years
Yes
No
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If the answer to the last question is 'yes', please
provide details below.
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Third Party Liability Insurance
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The information given above is true to the best of my knowledge.
Please prepare me a quote based upon this information.
True
False
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