Protection and Indemnity (P&I) Insurance Application Form - MNK Re Limited | Lloyd's of London Reinsurance Broker

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Protection and Indemnity (P&I) Insurance Application Form

FACULTATIVE > Marine
SECTION 1 - PRODUCING BROKER
SECTION 2 - VESSEL MANAGER
SECTION 3 - VESSEL OWNER
SECTION 4 – Other Assureds to be named on the policy (ie. Operator, mortgagee)
SECTION 5 – Other Insurance Information
SECTION 6 - Claims Experience
SECTION 7 - Vessel Details
General Information
Blue Card Details
Cargo Details
Crew Information
Third Party Information
SECTION 8 – Cover Requirements
Additional Coverage
YN
YN
 Excl. Absolutely 1/4th
 Excl. upto Hull Value 1/4th
SECTION 9 - Other Vessels Currently Owned / Managed
SECTION 10 - Additional Details
DECLARATION

SIGNATURE
Note: In case you have difficulty in completing the application form, please email amal@mnkre.com or manoj@mnkre.com.
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