| 1.
Personal Details |
|
| 2.
Boat Handling Experience |
| 2a. |
Qualification
(Skippers ticket, yachtmaster etc.) |
: |
|
| 2b.
|
Number
of years boating experience. |
: |
|
| 2c. |
Have you
had to submit any insurance claims in the past 3 years. |
: |
|
| 2d. |
Specify |
: |
|
|
| 3.
Boat Details |
| |
| 4.
Use & Storage |
| Use
of boat |
| 4a. |
Type |
: |
|
| 4b. |
Area |
: |
|
| Storage |
| 4c.
|
Storage
Type |
: |
|
| 4d.
|
Address -
where stored? |
: |
|
|
| 5.
Additional Cover Required |
| 5a. |
Third
party liability |
: |
|
| 5b. |
Water skiers
liability |
: |
|
| 5c.
|
Passenger
liability |
: |
|
| 5d. |
Submerged
objects |
: |
|
|
|