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P&I Insurance

* Registration of owner / insured:
* Names and addresses of other insured persons:
* Document type:
* The main business registration / all insured registration:
* Ship name:
Ship type:
* Ship's classification:
* Gross tonnage / power:
* Flag:
* Port of registry:
* The number or call:
* Navigation area:
* Construction time:
* IMO ship identification No:
* Site of construction:
* Insurance liability 1:
* Limit of liability 1:
* Deductible 1:
* Insurance liability 2:
* Limit of liability 2:
Deductible 2:
* Insurance liability 3:
* Limit of liability 3:
* Deductible 3:
* Insurance liability 4:
* Limit of liability 4:
* Deductible 4:
* Insurance liability 5:
* Limit of liability 5:
* Deductible 5:
* Insurance liability 6:
* Limit of liability 6:
* Deductible 6:
* Insurance period:
* Place of indemnity:
* Total Premium:
* Past loss record:
* Deductible:
* Payment and term:
* Special agreement:
* Name and address of applicant:
* Contact information:
* Contact name:
* Insured authorized signature:
* Insurance time: