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Yacht & Motor Boat Insurance Quotation
Personal Details
Name & Surname
*
Date of Birth
*
Date Format: MM slash DD slash YYYY
Email
Phone
Mobile
Preferred Mode of Communication
*
Phone
Email
Where do you live / Address
*
Qualification
*
None
TM Nautical Licence
Yacht Master (Offshore)
RYA
Other
Please specify
Current Insurers
Boat Details
Name of Boat / Registration Number
Value to be insured
Please insert value of vessel incl. entire
Currency
EUR
GBP
USD
Boat Type
Sailing Yacht
Motor Yacht
Speedboat
Powerboat
Jetski
RIB
Other
Please specify
*
Boat Make and Model
Professionally Built
*
Yes
No
Length (in Metres)
Speed (In Knots)
Material of Hull
*
Unknown
Aluminium
Carbon
Ferrocement
Fibre-Glass Reinforced Plastic (GRP)
Wood
Steel
Other
Please specify
*
Year of Built
Do you have a tender?
Yes
No
Engine Type
*
Inboard
Outboard
Third Choice
Number of Engines
Engine Manufacturer
Fuel
Petrol
Diesel
Power of Engine HP/KW
Risk Details
Usage
Private Pleasure Purpose
Skipper Charter
Bareboat Charter
Other
Please specify
Will you be towing water skiers?
*
Yes
No
Do you require racing risk extension (Sailing Yachts Only)?
*
No
Yes
Specify replacement value of sails/mast/rig
Cruising Area
*
Maltese Territorial Waters
Maltese and Italian Territorial Waters
Full Mediterranean Waters
Mediterranean Waters not east of 35 degrees east
Mooring Location
Type of mooring
*
Marina
Jetty
Swinging
Fore and Aft
Other
Please specify
Will your boat be laid up between 1st October and 31st May?
*
Yes
No
Have you made any claims in the past 5 years on any boat?
*
Yes
No
How many years no claims bonus do you have on a boat policy held in your name?
*
None
1
2
3
4
5 or more
How many years experience have you had in this type of boat?
*
None
1
2
3
4
5 or more
Additional Information
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