Export Insurance Certificate
Certificate No.
Date of Issue
Insured (Exporter)
Consignee (Importer)
Insurer
| Policy Number |
|
| Type of Cover |
|
| Sum Insured |
|
| Currency |
|
| Voyage / Route |
|
| Conveyance |
|
| Departure Date |
|
| Arrival Date |
|
| Goods Description |
|
| Packing Details |
|
| Marks & Numbers |
|
| Total Packages |
|
| Additional Information |
|
This is to certify that the above shipment is insured according to the policy and conditions stated.
Insurer's Authorized Signature
Stamp