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  • Marine Cargo Insurance Proposal Form: Insured Information's

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    Abdulla Hassan
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    This document is a marine cargo insurance proposal form submitted by Life Support Pvt. Ltd. for a shipment of pharmaceutical items worth $30,315.40 from Mauritius to India by air. It provides details of the insured company, contact person, goods, voyage, clauses and conditions. The form seeks insurance coverage under Institute Cargo Clause A, B and C as well as Institute War and Strike Clauses.

    Original Description:

    Original Title

    Cargo Application

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    This document is a marine cargo insurance proposal form submitted by Life Support Pvt. Ltd. for a shipment of pharmaceutical items worth $30,315.40 from Mauritius to India by air. It provides details of the insured company, contact person, goods, voyage, clauses and conditions. The form seeks insurance coverage under Institute Cargo Clause A, B and C as well as Institute War and Strike Clauses.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    13 views1 page

    Marine Cargo Insurance Proposal Form: Insured Information's

    Uploaded by

    Abdulla Hassan
    This document is a marine cargo insurance proposal form submitted by Life Support Pvt. Ltd. for a shipment of pharmaceutical items worth $30,315.40 from Mauritius to India by air. It provides details of the insured company, contact person, goods, voyage, clauses and conditions. The form seeks insurance coverage under Institute Cargo Clause A, B and C as well as Institute War and Strike Clauses.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    MarineCargoInsuranceProposalForm

    InsuredInformations
    Date:

    FEBRUARY 28, 2013


    .............................................................................

    Companyname:

    LIFE SUPPORT PVT. LTD


    .............................................................................

    Bankname(IfbyLC):

    MAURITUS COMMERCIAL BANK


    .............................................................................

    Contactperson:

    ABDULLA HASSAN
    ...............................

    Contactno: 7794168
    ...........................

    ShipmentDetails
    PHARMACUTICAL ITEMS
    Descriptionofgoods/Subjectmatter:................................................................
    ......................................................................................................
    ......................................................................................................

    USD 30,315.40
    Valueofgoods/Suminsured: ......................................................................
    AIL/LS/61/2013
    Invoiceno: .................................................

    26.02.2013
    Invoicedate: .......................

    Marks&numbers: ...................................................................................
    Billofladingno:............................................

    Billofladingdate:....................

    Anyotherinformation:...............................................................................
    GoodscontainerizedYesNo
    Basisofvaluation:CIFCNFFOB

    VoyageDetails
    Voyage(country/Port):

    INDIA
    ..........................................................................

    Iftransit(Country/Port): ...........................................................................
    Sailingon/about:

    ............................................................................

    Vesselname/Aircraft:

    ...........................................................................

    ModeofTransport:SeaAir

    ClausesandConditions

    InstituteCargoClause(A)InstituteWarClause
    InstituteCargoClause(B)InstituteStrikeclause
    InstituteCargoClause(C)OtherClauses

    SignedforandonbehalfoftheProposer/Assured

    Forofficeuseonly
    Rate:

    ................

    Exchangerate:..........

    Policyno:

    ...............

    Excess/deductible:
    Confirmedby:

    ...............

    Confirmeddate:

    ...............

    ...............

    Premium:..
    #0406S.T.O.TradeCentre,OrchidMagu,Male,RepublicofMaldives.Tel:3324612,Fax:3325035.
    Email:info@alliedmaldives.com,Website:www.alliedmaldives.com.

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