Marine Certificate

Insured Information

Open Policy No.

Assured Code

Assured Name

Address

Mobile

E-mail Address

Trade License No.

ShipmentDetails

Risk Location

Transit Type

Packing Type

Type of Cargo

ShipmentMode

ShipRestrictedArea

Approx. Sailing Date

Goods Description

ShipCommodityType

Voyage / Port From

Voyage / Port To

Final Destination

Basis of Valuation

Valuation Basis %

Invoice No

Invoice Date

Invoice Currency

Invoice Currency Rate

Invoice Value

Sum Insured FC

Sum Insured LC

LC No

LC Amount

Bank

Beneficiary

Vessel

Information Summary