Marine Cargo Insurance Application Form
Applicant Information
Name of Applicant
Address
Contact Person
Contact Number
Email
Cargo Details
Description of Cargo
Packing
Quantity
Weight (Kg/Tons)
Cargo Value (in USD)
Voyage Details
From (Port/Place of Origin)
To (Port/Place of Destination)
Transit Places (if any)
Mode of Conveyance
Sea
Air
Land
Multimodal
Vessel/Flight Name (if known)
Expected Date of Sailing/Flight
Other Information
Previous Claims (if any)
Additional Information