Hull

protects ship owners and other with an interest in vessels and the like against the expenses that might be incurred in repairing or replacing such property if it’s damaged, destroyed, or lost because of covered peril.

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Your Resident Country *

Your Resident Currency *

Corporate Information

Company Name *

Activity Of The Company *

Title*

First Name*

Last Name*

Occupation *

Mobile *

Email *

Address *

Website

Hull Data

Type Of Vessel

Vessel Name

Use Of The Vessel

Hull Model

Hull Year Built

Hull Construction

Engine Model

Engine Year Built

Port Of Registeration

Remarks

We hereby acknowledge and confirm that all the submitted data above are correct and We did not hide any information related to the risk to be insured. And We authorize Brokerage Insurance Brokerage in executing this insurance request with the concerned insurance company and facilitate the policy issuance, renewals and claims follow-up and communicate specific information about us and our account to third parties if needed, in accordance with the privacy policy. We also accept that this insurance application and approval be the basis of the contract and an integral part of the insurance policy.