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Personal Details

First Name / Corporate Name

Last Name

Mobile No.

Email Address

Which Kenya Orient branch do you want to be served from?

Describe your business or occupation

Financier/ Interested Party

Cruising Range to be covered

Year of purchase of craft

Purchase price of craft in Kenya Shillings

Current Value of the craft Kenya Shillings

Particulars of Vessel to be Insured

ship must comform to Lloyd’s Register of Shipping standards and/or Kenya Maritime Authority standards and any other governmental regulating bodies to ensure that the vessel has necessary structural strength for assigning a load line, and the issuing of a safety construction certificate.

Type of construction

Give particulars of lighting and heating appliances

Is copper tubing used throughout?

Dimensions (in Length)

Dimensions (in Beam)

Dimensions (in Draft)

Engine Horsepower (HP)

Maximum designed speed of vessel

Unit of maximum designed speed of vessel

Type of fire extinguishers and number carried

Hand-held fire extinguishers

Dry chemical powder extinguishers

Vaporising liquid extinguishers / Argonite extinguishers

Fire suppression systems

Do you allow others to navigate the craft in your absence?

Date Pilot’s test was first passed

Purpose for which craft will be used

Average Experience in years

Limit of Indemnity for any one accident

Third party (other than passengers)

Number of passengers

Maintainence Of The Vessel (Laid up, mooring, overhaul)

Location where craft is laid up

While laid up who is responsible for the craft’s safe custody?

Will the craft be removed from water when laid up?

Location where craft is moored while in commission

Please give full details of mooring

While laid up who is responsible for the craft’s safe custody?

Who last overhauled the craft?

Marine Hull Quotation

Personal Details

Risk Details 1

Particulars of Vessel to be Insured

Type of fire extinguishers and number carried

Pilot Details

Crew Details

Limit of Indemnity for any one accident

Limits of Liability

Maintainence Of The Vessel (Laid up, mooring, overhaul)