Marine Cargo Insurance Declaration Form
1. Insured Details
Name of Insured
Address
Contact Person
Contact Number
Email
2. Voyage & Shipment Details
Shipment Date
Voyage / Flight No.
From (Place of Origin)
To (Destination)
Mode of Transit
Sea
Air
Land
Multimodal
Type of Packing
3. Cargo Details
Description of Goods
Quantity
Gross Weight (kg)
Measurement (m³)
Marks & Numbers
Invoice Value/Amount to be Insured
4. Additional Information
Remarks / Instructions
Date of Declaration
Declared By