Yacht & Pleasure Craft Proposal Form Step 1 of 5 20% Personal DetailsOwner's Name Date of Birth DD slash MM slash YYYY Postal AddressOccupational StatusSelectEmployedSelf EmployedHousehold DutiesUnemployedStudentClerical DutiesSupervisorOtherOther Email TelephonePeriod of InsuranceFrom DD slash MM slash YYYY To DD slash MM slash YYYY Sums InsuredHull and Equipment amount in EURMachinery amount in EURDinghy amount in EUROutboard Motors (for dinghy) amount in EURSpecial Equipment amount in EURTrailer amount in EURPersonal Effects amount in EURTotal Insured Value amount in EURLimit of Liability RequiredLiability to third parties (including passengers) / EUR - For vessels used for private pleasure purposes only €50.000 €100.000 Extensions1 Do you wish cover for legal liability to and of water skiers operating your vessel? 2 Will the vessel be used for racing purposes? 3 Do you wish to be covered for damage to the vessel whilst in transit by road? If yes, state nature & frequency of transit 4 Do you wish to bear an increased excess? Standard excess 0.5% of insured value – minimum €85 If yes state amount Particulars of HullName of vessel* Type or Class* Overall length Extreme breadth* Draft* Material of Hull* If wood, is it clinker, carver, diagonal etc Date Purchased* DD slash MM slash YYYY Price Paid*Date of Last Survey* MM slash DD slash YYYY 1.Is she an open boat? 2.Was the vessel professionally built? Name of Builders Date Built DD slash MM slash YYYY 3.Is the vessel a conversion? If yes what was original type & date converted? Was the conversion professional? 4. What system of lighting is used? 5 What systems of cooking and heating are used? 6.Is bottle gas used? If yes are all connections by metal tubing and unions or other material approved for marine use by gas suppliers? 7. Are there any gas appliances with continuously burning jets? If yes height of jet above cabin sole? 8. Fire extinguishers Number123451015TypeSelectHandAutomaticRemote ControlType of Εxtinguishing AgentSelectHandCo2Dry PowderCarbon tetrachloride (CTC)Other9. Is special equipment, such as sextants, binoculars portable radios etc, carried on board the vessel? If yes state amount Particulars of dinghyOverall length* Type* Outboard Motor Make (for Dinghy)* Material* Max.designed speed-Knots* H.P.* Particulars of MachineryEngine Type*SelectInboardOutboard Motors (for dinghy)Inboard/OutboardSeparate Value (each engine) EUR* H.P* Makers* Date of built Max. designed speed (specify: knots or mph)* Fuel used (main machinery)* Fuel used (Auxiliary machinery) Screw*SelectTwin ScrewSingle ScrewOther ParticularsIn which waters will the vessel be cruising?*SelectCyprus Coastal WatersEastern Mediterranean WatersMediterranean WatersAegean WatersWhere and how is the vessel morred when in commission?* The vessel will be laid up at*SelectAshoreAfloatOtherFrom* DD slash MM slash YYYY To* DD slash MM slash YYYY Experience of owner & used of Vessel Do you permit others to navigate your vessel in your absence? If Yes, please state name, age and experience. How many years experience have you had in handling craft of this description? How many years experience have you had in handling any other craft (please state type) Is vessel to be used solely for your own private pleasure? If no please give full details of commercial use Do you hold a Yacht Master Certificate? If yes give date, number & issued by Have any accidents or losses occurred during the last 5 years in connection with any vessel owned or sailed by you? Has any insurer refused your proposal? Refused renewal of your policy or increased the premium? Imposed special conditions? If yes give details and costs Name of present insurers? Expiry date of Policy DD slash MM slash YYYY For Data Protection Company Policy Click Here. * I have read the Data Protection Company Policy posted on this website I herewith provide Royal Insurance Company Ltd (and any successors and assignees thereof), my express and unconditional consent regarding the processing and creation of data records in electronic and physical form, of all my relevant personal data, that may include sensitive data which I have declared and submitted