Marine Insurance Enquiry Form
In collaboration with MGG Networks
Company Name
*
City/ Country
*
Contact Person
*
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Commodity Description
*
Voyage - From / To
*
Will a Transhipment Port be involved? If YES, pls name.
*
Please tick what is applicable
*
FCL cargo
GPG cargo
Bulk cargo
Other cargo
Sea Transit
Air Transit
Land / Trailer Transit
EXW terms of sale
CIF terms of sale
CFR terms of sale
FOB terms of sale
Other terms of sale
Value of Cargo (EUR/USD)
*
Cost of Carriage (EUR/USD)
*
Other Duties / Levies/Fees (EUR/USD)
*
Details of previous losses or claims made in the last 3 years (insert NIL if not applicable)
*
Attach any documents / photos that may assist with this enquiry
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