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Mauritian | Eagle Insurance
 
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   PERSONAL INFORMATION

   Full Name *
   Profession
   Address
   Business phone
   Home phone*
   E-mail *
 

   PLEASURE CRAFT

   Date of birth Click Here select to date
   No. of years experience in
   craft
   Type/model of vessel
   Material of hull
   Hull identification no.
   Dimensions
   Vessel
   Outboard motor
   Third party limit
   Other
   Sum insured
   Use of vessel for Private pleasure
Skipper charter
Other
   Do you require cover against
   cyclone
Yes No

 

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